The Kangaroo Mother Care Program of Yopal, Colombia: an opportunity to keep track of preterm infants

Objective In Colombia, the incidence of prematurity and low birth weight (LBW) is 12.8%. To describe a standardized follow-up until 12 months of 1138 premature and/or LBW included in the Yopal KMCP (2014 -2015). Materials and Methods Prospective cohort. Results The patients are from the subsidized h...

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Bibliographic Details
Published inRevista de salud pública (Bogotá, Colombia) Vol. 20; no. 1; p. 10
Main Authors Adriana del Pilar Montealegre Pomar, Sierra Andrade, Alina Patricia, Charpak, Nathalie
Format Journal Article
LanguageSpanish
Published Bogota Universidad Nacional de Colombia 01.01.2018
Subjects
Audiology
Babies
Birth weight
Breast feeding
Delivery scheduling
Health care
Infants
Low birth weight
Neonates
Ophthalmology
Optometry
Parents
Pre-eclampsia
Premature babies
Premature birth
Psychomotor performance
Retinopathy
Subsidies
Urinary tract
Vaccines
Ventilation
Weight
Colombia
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Summary:Objective In Colombia, the incidence of prematurity and low birth weight (LBW) is 12.8%. To describe a standardized follow-up until 12 months of 1138 premature and/or LBW included in the Yopal KMCP (2014 -2015). Materials and Methods Prospective cohort. Results The patients are from the subsidized health care system (Colombia government), 58.2% live in the city and 24.6% at more than two hours from the city; 80.6% of parents are stable couples and 78.9% are employed; 69% of mothers started prenatal control from the first trimester. The most frequent obstetric pathologies were urinary tract infection and pre-eclampsia; 97% of deliveries were in the hospital; 55% by caesarean section. Majority of infants were late preterm; 13.3% passed through the Neonatal Intensive Care Unit (NICU) with 27% ventilated and 5.9% oxygen-dependent at discharge. At 6 months more than 50% had exclusive breastfeeding. Ophthalmology screening was performed in 54% (4.6% retinopathy), optometry in 72% and audiology in 70% (4.7% with hearing deficit). At 12 months 4.4% had abnormal neurological exam and 95% complete vaccines schedule. Lost to follow up was 35% and mortality 0.4%. Conclusion It is important to implement KMCP in intermediate and isolated cities to ensure a high-risk follow-up for all LBW and / or premature babies, to detect somatic, sensory or neuro-psychomotor development anomalies and to perform timely interventions.
ISSN:0124-0064
2539-3596
DOI:10.15446/rsap.v20n1.67974