Implementation of Kangaroo Mother care for low birth weight babies: supportive factors and barriers perceived by mothers
Abstract
Introduction: Kangaroo mother care (KMC) consist of prolonged skin to skin contact between mother and infant and exclusive breastfeeding. It was originally developed to prevent hypothermia and to enhance bonding between mother and Infant.
Methods: It was a questionnaire based cross sectional observational study. Questionnaire was prepared by authors in local native language and was validated by experts; mothers with babies fit for KMC were enrolled and interviewed with a predefined proforma having both open and close ended questions with their demographic details.
Results: More than half (54%) of the mothers had no knowledge about KMC during their pregnancy. About 46% of them were made aware by their doctors (82.6%) or their relatives (mother/elder sisters). Most mothers get help from nursing staff (98%) and they felt that environment was conducive for the practice of KMC (70%) and they got help from other mothers (74%) and family members (84%). Barriers were pain due to stitches (44%), unfavorable condition to perform KMC (29.4%), fatigue/fear while performing KMC (16.3%), difficulty due to twins (9.8%). Pain/fatigue (53.75%) is the barrier to KMC according to the mothers; about 30% mothers felt temperature as a barrier while practicing KMC.
Conclusion: They believed that their babies will become healthier and can feed easier after initiation of KMC. Inspiration from family members or other mothers are also an enabler of KMC. Lack of support from family members, other mothers as well as from nursing staff in some cases, this barrier can be improved by training of their family members.
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