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Teaching Aids: NNFKMC-1 Kangaroo Mother Care. Teaching Aids: NNFKMC- 2 What is KMC A special way of caring for Low birth weight (LBW) babies It promotes.

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Presentation on theme: "Teaching Aids: NNFKMC-1 Kangaroo Mother Care. Teaching Aids: NNFKMC- 2 What is KMC A special way of caring for Low birth weight (LBW) babies It promotes."— Presentation transcript:

1 Teaching Aids: NNFKMC-1 Kangaroo Mother Care

2 Teaching Aids: NNFKMC- 2 What is KMC A special way of caring for Low birth weight (LBW) babies It promotes  Effective thermal control  Breast feeding  Prevention of infection  Parental bonding

3 Teaching Aids: NNFKMC- 3 Components of KMC Skin-to-skin contact Early, continuous and prolonged skin-to- skin contact Exclusive breast feeding Promotes lactation and facilitates feeding

4 Teaching Aids: NNFKMC- 4 Pre-requisites of KMC Support to the mother  In hospital &  At home Post-discharge follow up

5 Teaching Aids: NNFKMC- 5 Benefits of KMC Breast feeding  Increased breast feeding rates  Increased duration of breast feeding Thermal control  Effective thermal control  Equivalent to conventional incubator care

6 Teaching Aids: NNFKMC- 6 Benefits of KMC (cont..) Early discharge Better weight gain Early discharge Lesser morbidity Regular breathing Decreased episodes of apnea Protection from nosocomial infections

7 Teaching Aids: NNFKMC- 7 Other benefits  Less stress to the infant  Stronger bonding  Deep satisfaction for mother  More confident parents Benefits of KMC (cont..)

8 Teaching Aids: NNFKMC- 8 Requirements for KMC implementation Training Nurses, physicians and other staff Educational material Information sheets, posters and video films on KMC Furniture Semi-reclining easy chairs Beds with adjustable back rest

9 Teaching Aids: NNFKMC- 9 Eligibility criteria: Baby Birth weight >1800 gm: Start at birth Birth weight gm: Hemodynamically stable Birth weight <1200 gm: Hemodynamically stable Hemodynamic stability is a MUST

10 Teaching Aids: NNFKMC- 10 Willingness General health & nutrition Hygiene Supportive family Supportive community Eligibility criteria: Mother

11 Teaching Aids: NNFKMC- 11 Preparing for KMC Counseling  Demonstrate procedure  Ensure family support  KMC support group Mother’s clothing  Front-open, light dress as per the local culture Baby’s clothing  Cap, socks, nappy and front-open sleeveless shirt or ‘jhabala’

12 Teaching Aids: NNFKMC- 12 KMC procedure: Kangaroo positioning 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

13 Teaching Aids: NNFKMC- 13 KMC procedure: Kangaroo positioning (cont..) Head turned to one side Frog-leg position Baby between mother’s breasts Support baby’s bottom

14 Teaching Aids: NNFKMC- 14 KMC procedure: Kangaroo positioning (cont..)

15 Teaching Aids: NNFKMC- 15 Monitoring during KMC Check if Neck position is neutral Airway is clear Breathing is regular Color is pink Temperature is being maintained

16 Teaching Aids: NNFKMC- 16 Initiation of KMC Baby should be stable Short KMC sessions can be initiated even if the baby is receiving  IV fluids  Oxygen therapy  Orogastric tube feeding

17 Teaching Aids: NNFKMC- 17 Duration of Kangaroo Mother Care Start KMC sessions in the nursery Practice one hour sessions initially Transit from conventional care to longer KMC Transfer baby to post-natal ward and continue KMC Increase duration up to 24 hours a day

18 Teaching Aids: NNFKMC- 18 KMC during sleep and resting Resting Reclining or semi-recumbent position Adjustable bed Several pillows on an ordinary bed Easy reclining chair Sleep Supporting garment restraint for baby

19 Teaching Aids: NNFKMC- 19 KMC during sleep

20 Teaching Aids: NNFKMC- 20 KMC during resting

21 Teaching Aids: NNFKMC- 21 Any family member can do it ! Father & other family members can also provide skin-to-skin care Father Grandmother

22 Teaching Aids: NNFKMC- 22 Criteria for transfer From nursery to ward Stable baby Gaining weight Mother confident of looking after the baby

23 Teaching Aids: NNFKMC- 23 Discharge criteria Baby is well with no evidence of infection Feeding well (predominant breast milk) Gaining weight (15-20 gm/kg/day) Maintaining body temperature (in room temperature) Mother confident of taking care of the baby Follow-up visits ensured

24 Teaching Aids: NNFKMC- 24 Discontinuation of KMC Term gestation Weight ~ 2500 gm Baby uncomfortable  Wriggling out  Pulls limbs out  Cries and fusses Mother can continue KMC after giving the baby a bath and during cold nights

25 Teaching Aids: NNFKMC- 25 Post-discharge follow up Once or twice a week till wks / kg Thereafter, once in 2-4 wks till 3 months PCA Subsequently, every 1-2 months during first year More frequent visits if baby is not growing well (< gm/kg/day up to 40 weeks PCA and then < 10 gm/kg/day)


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