The kangaroo mothers' programme: a simple and cost-effective alternative for protecting the premature newborn or low-birth-weight babies

• Published in: Revista de salud pública (Bogotá, Colombia) Vol. 14 Suppl 2; pp. 32 - 45
• Main Authors: Lizarazo-Medina, Jenny P, Ospina-Diaz, Juan M, Ariza-Riaño, Nelly E
• Format: Journal Article
• Language: Spanish
• Published: Colombia 01.06.2012
• Subjects: Adolescent; Adult; Birth Weight; Breast Feeding - methods; Breast Feeding - statistics & numerical data; Colombia - epidemiology; Cost Savings; Family Characteristics; Female; Health Care Costs - statistics & numerical data; Hospitals, Maternity - organization & administration; Humans; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases - epidemiology; Kangaroo-Mother Care Method - economics; Kangaroo-Mother Care Method - methods; Kangaroo-Mother Care Method - utilization; Length of Stay - statistics & numerical data; Longitudinal Studies; Male; Malnutrition - epidemiology; Maternal Age; Middle Aged; Pregnancy; Pregnancy Complications - epidemiology; Pregnancy in Adolescence - statistics & numerical data; Retrospective Studies; Socioeconomic Factors; Weight Gain; Young Adult; Colombia
• ISSN: 0124-0064

Describing the efficacy and achievements of the kangaroo mothers' programme (KMP) regarding preterm or low-birth-weight babies' health and development in Hospital San Rafael in Tunja from November 2007 to December 2009. This was a retrospective observational cohort study; 374 infants born prematurely or having low-birth-weight were included to assess household socio-demographic factors, maternal and obstetric history, delivery characteristics and complications and follow-up until 40 weeks post-conception age. There was a high prevalence of teenage pregnancy (17.5 %) and in women older than 35 years (12.6 %), unwanted pregnancy (40.6 %), low quality and poor availability of food in families, complications such as preeclampsia, infection and premature rupture of membranes, 1,969 grams average birth weight, 2,742.9 grams average weight on discharge and 22 grams average weight gain per day. It was found that KMP methodology substantially improved the mothers' psychological aspects and health status and the newborns' prognosis and led to stabilising body temperature and weight gain rate while decreasing risks of complications and nosocomial infection. It also lowered health care costs and shortened hospital stay.