Kangaroo Mother Care (KMC): Experience of Dhaka Shishu (Children) Hospital

Maksudur Rahman1, MAK Azad Chowdhury 2, Md Mahbubul Hoque3, Md Monir Hossain3, Mahfuza Shirin4, Liton Chandra Shaha1, Nishat Jahan5, Rawshan Akter Jahan5, Khanta chowdhury5, Rehana Pervin6,Tahmina Akter 6

Background: KMC is a safe and effective method of caring for low birth-weight (LBW)
babies to reduce neonatal morbidity and mortality. At Dhaka Shishu Hospital it was initiated
on July, 2013 with some support from WHO. This centre is now serving as a training centre
for individuals from various government and non-government canters to implement KMC
at their places and helping the government to scale up the program in the country.
Objectives: To substantiate the efficiency of KMC for preterm neonates, share the
experience and to motivate the health care providers and convince the government to
scale-up this simple method in public health facilities of Bangladesh with the necessary
skills for KMC practice.
Methods: The duration of this study was from July, 2013 to October, 2015. All preterm,
birth weight <2000gms, hemodynamically stable babies were offered KMC care. All the
babies were monitored and recorded during the hospital stay and followed up to 40 weeks
of gestational age. Incidence of complication and their weight gain and outcome were
recorded. All data were recorded and statistic analysis was done with SPSS-17 version.
Results: During the period from July 2013 to October 2015, total admitted LBW babies
were 1062. Among them 288 (27%) babies received KMC. Sixty (21%) cases who got
KMC came for their follow up visits and most of them (55 cases, 92%) gained weight.
Mean age of starting KMC of babies was 12.52±9.15 days (Minimum age was 1 day and
maximum age was 60 days at this age the baby’s wt was 1070gms). Mean weight of
starting KMC of babies was 1340±283.89gm. Baby’s minimum wt of starting KMC was
790gms at 19 days of age & this baby was discharged at 50 days of age and maximum
wt of starting KMC was 2000gm. Mean duration of KMC was 6.63±3.77 days. Baby’s
mean hospital stay was 15.61±10.56 days. Episode of apnea occurred in 32 (11%) cases
and sepsis also developed in 32 (11%) cases. Among them 21 babies could restart KMC.
The episodes of hypothermia was 29 (10%) in this study. Ninety percent (90%) of KMC
were discharged with exclusive breast feeding. The rest received cup feeding along with
the breast feeding. Regarding the mortality, out of total 1062 LBW babies, 195(18.4%)
died. But out of 288 KMC babies mortality was less (11, 3.8%).
Conclusion: This study further substantiated the efficiency of KMC for preterm
neonates. The experience of Dhaka Shishu (Children) Hospital in KMC implementation
can help the government and non-government organizations to scale up the program
in public canters and also in the community.
Key words: Kangaroo mother care, KMC, Dhaka Shishu Hospital.

Download PDF