EVALUATION OF OUTPATIENT KANGAROO MOTHER CARE FOR PRETERM INFANTS AT CA MAU OBSTETRICS AND PEADIATRICS HOSPITAL IN 2024
Main Article Content
Abstract
Background: Kangaroo Mother Care (KMC) for preterm infants is a low-cost, easy-to-implement solution. However, its home implementation faces many challenges. This study evaluates the care outcomes and factors related to outpatient KMC. Objectives: To determine the outcomes of outpatient KMC for preterm infants at Ca Mau Obstetrics and Pediatrics Hospital in 2024 and related factors. Subjects and Methods: A cross-sectional descriptive study on preterm infants who received KMC after discharge and follow-up visits at Ca Mau Obstetrics and Pediatrics Hospital from January 2024 to December 2024. Results: A study of 420 infants showed that 63.57% achieved developmental standards after care. After multivariate analysis, factors increasing the likelihood of infants meeting standards were urban residence, duration of Kangaroo Mother Care, and complete regular follow-up visits, with adjusted ORs of 2.13, 1.57, and 1.73, respectively. Furthermore, educational level and gestational age showed a tendency with ORs of 1.42 and 1.65, respectively. Conversely, pregnancy complications reduced the likelihood of infants meeting standards, with an adjusted OR of 0.57. Conclusion: The rate of children receiving PPK is still relatively high. Urban residence, higher educational level, longer gestational age, duration of Kangaroo Mother Care, and complete regular follow-up visits helped increase the proportion of infants meeting developmental standards. Pregnancy complications reduced the infants' developmental potential.
Article Details
Keywords
Kangaroo Mother Care, outpatient, preterm infants.
References
2. Conde-Agudelo A (2016), “Kangaroo mother care to reduce morbidity and mortality in low birthweight infants”, 8, CD002771.
3. Dawar R, et al (2019), “Factors Impacting Practice of Home Kangaroo Mother Care with Low Birth Weight Infants Following Hospital Discharge”, J Trop Pediatr; 65(6): 561-568.
4. Linnér A, et al (2022), “Immediate skin-to-skin contact may have beneficial effects on the cardiorespiratory stabilisation in very preterm infants:, Acta Paediatr; 111(8):1507-1514.
5. Phạm Hồng Loan, và CS (2020), "Đánh giá kết quả và tìm hiểu một số yếu tố liên quan đến chăm sóc trẻ sơ sinh non tháng bằng phương pháp Kangaroo tại Bệnh viện Đa khoa khu vực Châu Đốc", Tạp chí Y Dược học Cần Thơ, (30), tr. 207-215.
6. Nguyễn Thị Phương Ly, và CS (2024), "Kết quả chăm sóc trẻ đẻ non bằng phương pháp Kangaroo tại Bệnh viện Nhi Trung ương năm 2023", Tạp chí Y học Việt Nam, 534(1), tr. 299-304.
7. Mathias CT, (2021), “Facilitating factors and barriers to kangaroo mother care utilisation in low- and middle-income countries: A scoping review”, Afr J Prim Health Care, 13(1):e1-e15.
8. Hoàng Thị Bích Ngọc (2009), "Đánh giá kết quả chăm sóc và nuôi dưỡng trẻ non tháng - nhẹ cân bằng phương pháp Kangaroo tại Bệnh viện Trung ương Huế", Tạp chí Y học lâm sàng, 602(8), tr. 10-15.