Aim: To study the knowledge, attitude, and practices of Kangaroo Mother Care (KMC) among eligible postnatal mothers in the postnatal ward (PNW) and neonatal intensive care unit (NICU) of a tertiary neonatal unit in Eastern India.
Methods: A cross-sectional survey was conducted among 100 mothers of low-birth-weight babies in our PNW and NICU. As part of the unit protocol, all mothers of eligible babies were counseled about KMC at first contact verbally as well as by using an informative video on KMC. Data was collected using a structured questionnaire after the routine counseling of the mothers on their first visit after delivery. The analysis of the data was done using appropriate statistics.
Results: More than three-fourths (83.2%) of mothers had good knowledge of KMC. A good attitude toward using KMC was found in 91.6% of the mothers. Almost all the mothers (98%) knew the correct KMC position, and 12% of mothers had a previous preterm baby and had given KMC. Many mothers felt the small size of the baby, pain after cesarean section, and central or peripheral intravenous lines in the baby were barriers to KMC.
Conclusion: The knowledge regarding KMC among mothers whose babies were admitted into the PNW/NICU was good. Though the attitude toward KMC was good, mothers felt there were multiple barriers to initiating KMC.
World Health Organization. Preterm birth. Accessed December 11, 2023. https://www.who.int/news-room/fact-sheets/detail/preterm-birth
2.
ChawanpaiboonS, VogelJP, MollerA-B, . Global, regional, and national estimates of levels of preterm birth in 2014: A systematic review and modelling analysis. Lancet Glob Health. 2019;7:e37–e46.
3.
LiuL, OzaS, HoganD, . Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016;388:3027–3035.
4.
BoundyEO, DastjerdiR, SpiegelmanD, . Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics. 2016;137:e20152238.
5.
Conde-AgudeloA, Díaz-RosselloJL.Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev. 2016. doi.10.1002/14651858.CD002771.pub4
6.
Ruiz-PeláezJG, CharpakN, CuervoLG.Kangaroo mother care, an example to follow from developing countries. BMJ. 2004;329:1179–1181.
7.
BajajSS, NanavatiR, SurekaS, . Knowledge, attitude, and practice study of KMC. Perinatology. Accessed December 11, 2023. https://www.perinatology.in/knowledge-attitude-and-practice-study-of-kmc.
8.
UrmilaKV, RavikumarKarunakaran U.Study to assess the knowledge, attitude and practice of kangaroo mother care among post-natal mothers in a tertiary care centre of North Kerala, India. Int J Contemp Pediatr. 2018;5:992–996.
9.
BrothertonH, GaiA, KebbehB, . Impact of early kangaroo mother care versus standard care on survival of mild-moderately unstable neonates <2000 grams: a randomised controlled trial. eClinicalMedicine; 39. Epub ahead of print September 1, 2021. doi:10.1016/j.eclinm.2021.10105
10.
ChoYC, GaiA, DialloBA, . Barriers and enablers to kangaroo mother care prior to stability from perspectives of Gambian health workers: a qualitative study. Front Pediatr. 2022;10. Accessed May 30, 2023. https://www.frontiersin.org/articles/10.3389/fped.2022.966904.
11.
BlomqvistYT, FrölundL, RubertssonC, NyqvistKH.Provision of kangaroo mother care: supportive factors and barriers perceived by parents. Scand J Caring Sci. 2013Jun;27(2):345–353.
12.
WHO Immediate KMC Study Group. Immediate kangaroo mother care and survival of low birth weight infants. N Engl J Med. 2021;384:2028–2038.
13.
GebeyehuNA, GelawKA, AzezeGA, AdmassBA, LakeEA, AdelaGA.Knowledge, and practice towards kangaroo mother care among postnatal women in Ethiopia: systematic review and meta-analysis. PLoS One. 2022May6;17(5):e0265411.
14.
OlawuyiO, EzenwaBN, FajoluIB, OnwuamaM, EzeakaCV.Knowledge, attitude and practice of kangaroo mother care among mothers in the neonatal wards of a tertiary care center. Pan Afr Med J. 2021Apr14;38:364.
