University of Khartoum

A Comparison of Kangaroo Mother Care versus Traditional Labor Room Care for Healthy Term Newborns in Saad Abu Alella Maternity Hospital Khartoum State

A Comparison of Kangaroo Mother Care versus Traditional Labor Room Care for Healthy Term Newborns in Saad Abu Alella Maternity Hospital Khartoum State

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Title: A Comparison of Kangaroo Mother Care versus Traditional Labor Room Care for Healthy Term Newborns in Saad Abu Alella Maternity Hospital Khartoum State
Author: Sirajaldeen, Amna Bashir Mohamed
Abstract: Introduction: Kangaroo mother care (KMC) originated in Bogota, Columbia in the 1970s as a method of caring for premature newborns in the absence of conventional therapy and other technical equipment. In 1978, kangaroo mother care was proposed and practiced as a caring alternative for low birth weight newborns. The method of skin to skin contact has shown physiological, cognitive and emotional gain and benefits for the preterm newborns. However KMC has not been studied adequately in term newborns. So this study was conducted to assess and compare physiological variables of body temperature, respiration, pulse and oxygen saturation and the neurobehavioral responses (sleep pattern) for the healthy, full-term neonates placed on KMC and the traditional labour room care (TLRC) shortly after birth. Methods: A comparative hospital based study was carried out in the two hours observation room in Saad Abu Alela Maternity Hospital during the period (2015/2016). The target population was neonate’s gestational age between 38-42 weeks delivered via spontaneous vaginal delivery. The sample size was 52 neonates. Twenty-six neonates recruited randomly for the KMC group and the other 26 for the TLRC. The data was collected by the use of the observational check list forms which contain temperature, pulse, respiration and oxygen saturation for each care. Modified Brazelten Behavioral Assessment Scale was also used for the assessment of sleep pattern. Each neonate was exposed to the procedure in the different care every thirty minutes for the first two hours shortly after birth. Results: Kangaroo mother care (KMC) had a positive impact on neonate’s body temperature, one hour after birth when compared with TLRC (P= 0.003). Neonates placed on KMC had a high level of oxygen saturation within the first two hours after birth, when compared with TLRC (P = 0.000). The independent sample t – test showed that the mean neurobehavioral responses score of TLRC neonates was 5.6500 and KMC was 5.9500 at (P = 0.05) level of significance. Conclusion: The results showed that KMC made a statistically significant improvement in healthy full term neonate physiological and neurobehavioral state.
URI: http://khartoumspace.uofk.edu/123456789/25236


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