Guess the topic on KMC (Sanket vispute).pptx

kangaroo mother care

1. Guess the topic?

2. KANGAROO MOTHER CARE By: Mr. Sanket Vispute 1 st Year Msc Nursing

3. OBJECTIVES GENERAL OBJECTIVE: At the end of the microteaching students will gain in depth knowledge about kangaroo mother care. SPECIFIC OBJECTIVES: Students will able to- To define KMC To describe milestones in KMC in india To enlist components of KMC To verbalize pre-requisites of KMC To explain benefits of KMC To list down steps of KMC To elaborate discharge and follow up care

4. DEFINITION Kangaroo mother care (KMC) is a simple method of care for low birth weight babies. This includes early, prolonged or continuous skin to skin with the mother and exclusive breastfeeding. This is natural form of the human care stabilizes body temp, promotes breastfeeding and prevents infection.

5. COMPONENTS OF KMC SKIN- TO- SKIN CONTACT: Early, continuous and prolonged skin- to- skin contact b/w the mother and her baby is the basic component of KMC. The infant is placed on her mother’s chest between the breasts. EXCLUSIVE BREASTFEEDING: The baby on KMC is breastfed exclusively. Skin to skin contact promotes lactation and thus facilitates exclusive breastfeeding.

6. PRE- REQUISITES OF KMC Support to the Mother in hospital and home: A mother needs counseling, support and supervision from healthcare providers for initiating KMC in the hospital. Post discharge follow up: KMC is continued at home after early discharge from the hospital.

7. SOURCE: nhm.gov.in

8. BENEFITS OF KMC

9. BREASTFEEDING Increased breast feeding rates Increased duration of breastfeeding

10. THERMAL CONTROL Prolonged skin- to- skin contact between the mother and her preterm LBW infant stabilizes the baby’s body temp. with a reduced risk of hypothermia. For stable babies, KMC is nearly equivalent to incubator care in terms of safety and thermal protection.

11. EARLY DISCHARGE KMC cared LBW infants could be discharged from the hospital earlier than the conventionally managed babies. The babies gain more weight on KMC than on conventionally care.

12. LESS MORBIDITY AND MORTALITY Babies receiving KMC have more regular breathing and less predisposition to apnea. KMC protects against nosocomial infection. Even after discharge from hospital, the morbidity amongst babies managed by KMC is less. KMC is associated with reduced incidence of severe illness including pneumonia during infancy.

13. OTHER BENEFITS Less stress to the infant Stronger bonding Deep satisfaction for mother More confident parents

14. ELIGIBILITY CRITERIA BABY: All stable LBW babies are eligible for KMC. KMC should be started after the baby is hemodynamically stable. Birth weight ≥1800: These babies are generally stable at birth,Therefore , in most of KMC can be initiated soon after birth.

15. MOTHER Willingness General health & nutrition Hygiene Supportive family

16. PREPARING FOR KMC MOTHER’S CLOTHING KMC can be provided using any front- open, light dress as per the local culture. KMC works well with blouse and sari, gown, front open kurta, shirt or shawl.

17. BABY’S CLOTHING Baby is dressed with cap, socks, nappy and front- open sleeveless shirt

18. PROCEDURE OF KMC Place baby between the mother’s breasts in an upright position Head turned to one side and slightly extended Hips flexed and abducted in a “frog” position; arms flexed Baby’s abdomen at mother’s epigastrium Support baby’s bottom

19. POST DISCHARGE FOLLOW UP Close follow up is a fundamental pre- requisite of KMC practice. Each unit should formulate own policy for follow up of these small babies undergoing KMC. In general, a baby is followed up once or twice a week until 37-40 weeks of post conceptional age or the baby reaches 2.5- 3.0 kg of weight. Thereafter, a follow up once in two weeks may be enough till 3 months of age. Later the baby should be seen at an interval of 1-2 months during first year of life. The baby should gain adequate weight( 15-20gm/kg/day up to 40 weeks of post conceptional age and 10 gm/kg/ day subsequently).

20. REFERENCES Dutta parul,textbook of pediatrics,3 rd edition,page no.-107,108,109,110 Ghai OP. Ghai Essential Pediatrics. New Delhi, India: CBS Publishers & Distributors; 2010. Carroll W, Gilchrist FJ, Mitchell M, Sammons H, Srinivas J. Practical paediatric prescribing: Practical paediatric prescribing E-book. Elsevier; 2020. World Health Organization. Kangaroo mother care: A practical guide. Genève, Switzerland: World Health Organization; 2003. Gov.in. [cited 2023 Jul 18]. Available from: https://nhm.gov.in/images/pdf/programmes/child-health/guidelines/Operational_Guidelines-KMC_&_Optimal_feeding_of_Low_Birth_Weight_Infants.pdf Wikipedia contributors. Kangaroo care [Internet]. Wikipedia, The Free Encyclopedia. 2023. Available from: https://en.wikipedia.org/w/index.php?title=Kangaroo_care&oldid=1163791853