Kangaroo mother care – False is?
Correct Answer: Can also be given by father
Description: Ans.:A.)Can also be given by father KANGAROO MOTHER CARE* KMC is care of preterm or LBW infants by placing skin-to-skin contact with the mother* Position: veical position between the mother's breasts and under her clothes* The position is maintained until the infant no longer tolerates it (indicated by sweating or baby refuses to stay in KMC position)* Kangaroo nutrition: exclusive breast feeding* Continuous KMC is an alternative to minimal care in an incubator for infants who have already overcome major problems while adapting to extra-uterine life Able to suck and swallow properly Thriving in neutral thermal environment * Intermittent KMC (atleast 1-2 hour) when continuous KMC is not possible* All mothers can provide KMC irrespective of age, parity, education, culture or religion* Initiated in a facility and continued at homeClinical benefits* Significantly increases milk production in mothers* Increases exclusive breast feeding rates* Reduces incidence of respiratory tract and nosocomial infection* Better cardiorespiratory stability* Fewer apneic episodes* Improved weight gain* Improves thermal protection in infants and there is a reduced chance of hypothermia* Improves emotional bonding between the infant and mothers* Reduces the duration of hospital stay* Improved survival in low resource settingCriteria for eligibility for KMC* Indicated in all stable LBW babies* Very sick babies needing special care should be cared for under radiant warmer initially. KMC should be staed after the baby is hemodynamically stable* Sho KMC sessions can be initiated during recovery with ongoing medical treatment* KMC can be provided while the baby is being fed orogastric tube or on oxygen therapy * BW > 1800g: generally stable at bih and KMC initiated soon after bih* BW 1200 -- 1799 g: many babies have significant neonatal problems. It might take a few days to sta KMC* BW < 1200g: it might take days to weeks before initiating KMCWhen to stop KMC* When the baby attains a weight of 2500g and a gestation of 37 weeks* A baby who upon being put in kangaroo position, tends to wriggle out, pull limbs out or cries, is not in need of KMC any more
Category:
Pediatrics
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