Kmc

KANGROO MOTHER CARE

1. KANGAROO MOTHER CARE Presented by Pallavi sharin Nurse educator M.Sc nursing

2. DEFINITION Kangaroo care  or  kangaroo mother care  ( KMC ) sometimes called  skin-to-skin contact , is a technique of newborn care where babies are kept chest-to-chest and skin-to-skin with a parent, typically their mother . Kangaroo Mother Care (or skin-to-skin care), is a simple, easy method of caring for newborn infants where the mother uses her own body temperature to keep her infant warm

3. PURPOSES for nursing low birth weight infants (infants with a birth weight below 2500 g ). promotes attachment and bonding improves parental confidence promote increased milk production and breastfeeding success .

4. COMPONENTS Kangaroo position (skin to skin contact) Kangaroo nutrition. Kangaroo support. Kangaroo discharge.

5. WHAT IS THE KANGAROO POSITION?

6. Usually the infant is placed in an upright position against the mother’s bare chest and between her breasts. The infant is kept naked except for a nappy, socks and woolen cap . Both mother and infant are usually covered by a blanket or shirt. The kangaroo position is also called skin-to-skin contact, as much of the infant’s skin is in direct contact with the mother’s skin .

7. WHAT IS KANGAROO NUTRITION?

8. Exclusively breast feeding on demand. Most infants are either breast fed or fed expressed breast milk by cup or nasogastric tube. Most small infants should be fed every two hours. One of the benefits of KMC is that these infants have easy access to their mother’s breasts.

9. successful breast feeding is common most infants are discharged home on breast feeds. The duration of breast feeding is also much longer. many infants as immature as 30 weeks can begin breast feeding. KMC increases the volume of milk that a mother produces.

10. WHAT IS KANGAROO SUPPORT?

11. This is the physical and emotional support which is given when KMC is practiced. Support must be given by the nursing and medical staff to the mother to assist and encourage her to provide KMC. The whole family should be informed about KMC. They may also need to be supported by the staff. In turn, the family should support the mother. The role of the father or partner is important in supporting the mother. The support of the mother-in-law is also helpful .

12. The mother’s own mother has a very important role to play in helping her to give KMC. The community should also be told about the advantages of KMC. When introducing KMC into a hospital or clinic, the staff often also need support. Without support, it is difficult to get mothers to give KMC successfully. Pregnant women should be informed and educated about KMC from their first antenatal visit.

13.   What is kangaroo discharge?

14. With kangaroo discharge, the mother leaves the hospital with her infant in the kangaroo position and continues to provide KMC at home. This practice has many advantages both to the mother and her infant. Most low birth weight infants can be discharged home earlier if KMC is used. Mothers can get home to their families sooner. However, with early discharge (kangaroo discharge), adequate follow-up care and support are essential.

15. Cont …. Pre discharge planning is important. Each mother should practice KMC while her infant is still in hospital. She should also make arrangements for her return home and emotionally prepare herself for KMC after discharge. The family must be told that the infant will be receiving KMC at home.

16. ADVANTAGES

17. MOTHERS The mother’s confidence and bonding is encouraged. They feel less stressed. Mothers are empowered to play an active role in their infant’s care. Breast feeding is promoted. Less neglect and abandonment.

18. FATHERS Fathers are able to play a far greater role in the care of their infants. It improves bonding between fathers and infants, which is particularly important in countries with high rates of violence towards children.

19. INFANTS Most low birth weight infants can be kept warm and stable with KMC. Infants grow faster. Serious infection is less common in the infant. Less apnoea (stopping breathing). HEALTH CARE PROVIDERS: Fewer staff and less equipment are needed in hospital nurseries. Infants can be discharged home earlier. It is cheaper.