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Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates.
J Hum Lact. 2017 Aug; 33(3):533-539.JH

Abstract

BACKGROUND

Breastfeeding at discharge among sick low-birth-weight (LBW) infants is low despite counseling and intervention like kangaroo mother care (KMC). Research aim: The aim was to study the effects of early initiation of KMC on exclusive human milk feeding, growth, mortality, and morbidities in LBW neonates compared with late initiation of KMC during the hospital stay and postdischarge.

METHODS

A randomized controlled trial was conducted in level 2 and 3 areas of a tertiary care neonatal unit over 15 months. Inborn neonates weighing 1 to 1.8 kg and hemodynamically stable were randomized to receive either early KMC, initiated within the first 4 days of life, or late KMC (off respiratory support and intravenous fluids). Follow-up was until 1 month postdischarge. Outcomes were proportion of infants achieving exclusive human milk feeding and direct breastfeeding, growth, mortality and morbidities during hospital stay, and postdischarge feeding and KMC practices until 1 month.

RESULTS

The early KMC group (n = 80) achieved significantly higher exclusive human milk feeding (86% vs. 45%, p < .001) and direct breastfeeding (49% vs. 30%, p = .021) in hospital and almost exclusive human milk feeding (73% vs. 36%, p < .001) until 1 month postdischarge than the late KMC group (n = 80). The incidence of apnea (11.9% vs. 20%, p = .027) and recurrent apnea requiring ventilation (8.8% vs. 15%, p = .02) were significantly reduced in the early KMC group. There was no significant difference in mortality, morbidities, and growth during the hospital stay and postdischarge.

CONCLUSION

Early KMC significantly increased exclusive human milk feeding and direct breastfeeding in LBW infants.

Authors+Show Affiliations

1 Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.1 Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.1 Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.2 Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28152330

Citation

Jayaraman, Dhaarani, et al. "Randomized Controlled Trial On Effect of Intermittent Early Versus Late Kangaroo Mother Care On Human Milk Feeding in Low-Birth-Weight Neonates." Journal of Human Lactation : Official Journal of International Lactation Consultant Association, vol. 33, no. 3, 2017, pp. 533-539.
Jayaraman D, Mukhopadhyay K, Bhalla AK, et al. Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates. J Hum Lact. 2017;33(3):533-539.
Jayaraman, D., Mukhopadhyay, K., Bhalla, A. K., & Dhaliwal, L. K. (2017). Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates. Journal of Human Lactation : Official Journal of International Lactation Consultant Association, 33(3), 533-539. https://doi.org/10.1177/0890334416685072
Jayaraman D, et al. Randomized Controlled Trial On Effect of Intermittent Early Versus Late Kangaroo Mother Care On Human Milk Feeding in Low-Birth-Weight Neonates. J Hum Lact. 2017;33(3):533-539. PubMed PMID: 28152330.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates. AU - Jayaraman,Dhaarani, AU - Mukhopadhyay,Kanya, AU - Bhalla,Anil Kumar, AU - Dhaliwal,Lakhbir Kaur, Y1 - 2017/02/02/ PY - 2017/2/6/pubmed PY - 2018/5/2/medline PY - 2017/2/3/entrez KW - breastfeeding KW - exclusive breastfeeding KW - growth KW - human KW - kangaroo mother care KW - low birth weight KW - milk KW - preterm SP - 533 EP - 539 JF - Journal of human lactation : official journal of International Lactation Consultant Association JO - J Hum Lact VL - 33 IS - 3 N2 - BACKGROUND: Breastfeeding at discharge among sick low-birth-weight (LBW) infants is low despite counseling and intervention like kangaroo mother care (KMC). Research aim: The aim was to study the effects of early initiation of KMC on exclusive human milk feeding, growth, mortality, and morbidities in LBW neonates compared with late initiation of KMC during the hospital stay and postdischarge. METHODS: A randomized controlled trial was conducted in level 2 and 3 areas of a tertiary care neonatal unit over 15 months. Inborn neonates weighing 1 to 1.8 kg and hemodynamically stable were randomized to receive either early KMC, initiated within the first 4 days of life, or late KMC (off respiratory support and intravenous fluids). Follow-up was until 1 month postdischarge. Outcomes were proportion of infants achieving exclusive human milk feeding and direct breastfeeding, growth, mortality and morbidities during hospital stay, and postdischarge feeding and KMC practices until 1 month. RESULTS: The early KMC group (n = 80) achieved significantly higher exclusive human milk feeding (86% vs. 45%, p < .001) and direct breastfeeding (49% vs. 30%, p = .021) in hospital and almost exclusive human milk feeding (73% vs. 36%, p < .001) until 1 month postdischarge than the late KMC group (n = 80). The incidence of apnea (11.9% vs. 20%, p = .027) and recurrent apnea requiring ventilation (8.8% vs. 15%, p = .02) were significantly reduced in the early KMC group. There was no significant difference in mortality, morbidities, and growth during the hospital stay and postdischarge. CONCLUSION: Early KMC significantly increased exclusive human milk feeding and direct breastfeeding in LBW infants. SN - 1552-5732 UR - https://www.unboundmedicine.com/medline/citation/28152330/Randomized_Controlled_Trial_on_Effect_of_Intermittent_Early_Versus_Late_Kangaroo_Mother_Care_on_Human_Milk_Feeding_in_Low_Birth_Weight_Neonates_ L2 - https://journals.sagepub.com/doi/10.1177/0890334416685072?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -