Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia
Selamwit Gidey,1 Dawit Seyoum Gebremariam,1 Marta Yemane Hadush,1 Amanuel Berhe,1 Tedros Hailu Abay,1 Araya Abrha Medhanyie,2 Selemawit Asfaw Beyene,2 Tadele Tesfean Abraha,2 Yibrah Berhe Zelelow3 1Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Et...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-02-01
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| Series: | International Journal of General Medicine |
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| Online Access: | https://www.dovepress.com/practice-of-kangaroo-mother-care-among-low-birth-weight-infants-discha-peer-reviewed-fulltext-article-IJGM |
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| author | Gidey S Gebremariam DS Hadush MY Berhe A Abay TH Medhanyie AA Beyene SA Abraha TT Zelelow YB |
| author_facet | Gidey S Gebremariam DS Hadush MY Berhe A Abay TH Medhanyie AA Beyene SA Abraha TT Zelelow YB |
| author_sort | Gidey S |
| collection | DOAJ |
| description | Selamwit Gidey,1 Dawit Seyoum Gebremariam,1 Marta Yemane Hadush,1 Amanuel Berhe,1 Tedros Hailu Abay,1 Araya Abrha Medhanyie,2 Selemawit Asfaw Beyene,2 Tadele Tesfean Abraha,2 Yibrah Berhe Zelelow3 1Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 2School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 3Department of Obstetrics and Gynecology, College of Health Sciences, Mekelle University, Mekelle, EthiopiaCorrespondence: Dawit Seyoum Gebremariam, Department of Pediatrics and Child Health, Ayder Comprehensive Specialized Hospital, College of Health Science, P.O. Box: 1871, Mekelle, Tigray, Ethiopia, Tel +251911731454, Email dgseyoum@yahoo.comBackground: Kangaroo mother care is a proven intervention shown to be effective in reducing neonatal mortality among low-birth-weight infants. The paucity of evidence regarding the practice at home can be highlighted. This study aimed to assess the practice and outcome of kangaroo mother care at home among mothers having low-birth-weight infants discharged from two hospitals in Mekelle, Tigray, Ethiopia.Methods: A prospective cohort study was conducted among 101 paired mothers and low-birth-weight neonates discharged from Ayder and Mekelle Hospitals. Non-probability purposive sampling was used to select 101 infants. Data were collected from patient charts in both hospitals using interviewer-administered structured questionnaire, anthropometric measurements and were then analyzed using SPSS version 20. Characteristics were analyzed using descriptive statistics. Bivariate analysis was used, and variables with p-value < 0.25 were exported to multivariable logistic regression and statistical significance was set at a p-value < 0.05.Results: Kangaroo mother care was continued at home in 99% of the infants. Three of the 101 infants died before the age of 4 months with a possible cause of death from respiratory failure. Exclusive breastfeeding was provided for 67% of the infants, and it was higher in infants who started kangaroo mother care within 24 hours of life (AOR 3.8, 95% CI 1.07– 13.25). Malnutrition was higher in those with birth weight < 1500 grams (AOR 7.3,95% CI 1.63– 32.59); small for gestational age (AOR 4.8,95% CI 1.41– 16.31) and those provided kangaroo mother care for < 8 hours per day (AOR 4.5,95% CI 1.40– 16.31).Conclusion: Early initiation and prolonged duration of kangaroo mother care were associated with increased exclusive breastfeeding practice and decreased incidence of malnutrition. Kangaroo mother care should be promoted at the community level.Keywords: low birth weight, kangaroo mother care, malnutrition, exclusive breastfeeding |
| first_indexed | 2024-04-10T06:37:59Z |
| format | Article |
| id | doaj.art-ea21b772bf8e4232aa45461f9ece2fd7 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-04-10T06:37:59Z |
| publishDate | 2023-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-ea21b772bf8e4232aa45461f9ece2fd72023-02-28T18:02:43ZengDove Medical PressInternational Journal of General Medicine1178-70742023-02-01Volume 1675776881923Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern EthiopiaGidey SGebremariam DSHadush MYBerhe AAbay THMedhanyie AABeyene SAAbraha TTZelelow YBSelamwit Gidey,1 Dawit Seyoum Gebremariam,1 Marta Yemane Hadush,1 Amanuel Berhe,1 Tedros Hailu Abay,1 Araya Abrha Medhanyie,2 Selemawit Asfaw Beyene,2 Tadele Tesfean Abraha,2 Yibrah Berhe Zelelow3 1Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 2School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 3Department of Obstetrics and Gynecology, College of Health Sciences, Mekelle University, Mekelle, EthiopiaCorrespondence: Dawit Seyoum Gebremariam, Department of Pediatrics and Child Health, Ayder Comprehensive Specialized Hospital, College of Health Science, P.O. Box: 1871, Mekelle, Tigray, Ethiopia, Tel +251911731454, Email dgseyoum@yahoo.comBackground: Kangaroo mother care is a proven intervention shown to be effective in reducing neonatal mortality among low-birth-weight infants. The paucity of evidence regarding the practice at home can be highlighted. This study aimed to assess the practice and outcome of kangaroo mother care at home among mothers having low-birth-weight infants discharged from two hospitals in Mekelle, Tigray, Ethiopia.Methods: A prospective cohort study was conducted among 101 paired mothers and low-birth-weight neonates discharged from Ayder and Mekelle Hospitals. Non-probability purposive sampling was used to select 101 infants. Data were collected from patient charts in both hospitals using interviewer-administered structured questionnaire, anthropometric measurements and were then analyzed using SPSS version 20. Characteristics were analyzed using descriptive statistics. Bivariate analysis was used, and variables with p-value < 0.25 were exported to multivariable logistic regression and statistical significance was set at a p-value < 0.05.Results: Kangaroo mother care was continued at home in 99% of the infants. Three of the 101 infants died before the age of 4 months with a possible cause of death from respiratory failure. Exclusive breastfeeding was provided for 67% of the infants, and it was higher in infants who started kangaroo mother care within 24 hours of life (AOR 3.8, 95% CI 1.07– 13.25). Malnutrition was higher in those with birth weight < 1500 grams (AOR 7.3,95% CI 1.63– 32.59); small for gestational age (AOR 4.8,95% CI 1.41– 16.31) and those provided kangaroo mother care for < 8 hours per day (AOR 4.5,95% CI 1.40– 16.31).Conclusion: Early initiation and prolonged duration of kangaroo mother care were associated with increased exclusive breastfeeding practice and decreased incidence of malnutrition. Kangaroo mother care should be promoted at the community level.Keywords: low birth weight, kangaroo mother care, malnutrition, exclusive breastfeedinghttps://www.dovepress.com/practice-of-kangaroo-mother-care-among-low-birth-weight-infants-discha-peer-reviewed-fulltext-article-IJGMlow birth weightkangaroo mother caremalnutritionexclusive breastfeeding |
| spellingShingle | Gidey S Gebremariam DS Hadush MY Berhe A Abay TH Medhanyie AA Beyene SA Abraha TT Zelelow YB Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia International Journal of General Medicine low birth weight kangaroo mother care malnutrition exclusive breastfeeding |
| title | Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia |
| title_full | Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia |
| title_fullStr | Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia |
| title_full_unstemmed | Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia |
| title_short | Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia |
| title_sort | practice of kangaroo mother care among low birth weight infants discharged from health facilities and its outcome in mekelle city tigray northern ethiopia |
| topic | low birth weight kangaroo mother care malnutrition exclusive breastfeeding |
| url | https://www.dovepress.com/practice-of-kangaroo-mother-care-among-low-birth-weight-infants-discha-peer-reviewed-fulltext-article-IJGM |
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