Long-term effects of earlier initiated continuous Kangaroo Mother Care (KMC) for low-birth-weight (LBW) infants in Madagascar
Version of Record online: 23 JUN 2011
© 2011 The Author(s)/Acta Pædiatrica © 2011 Foundation Acta Pædiatrica
Volume 100, Issue 12, pages e241–e247, December 2011
How to Cite
Nagai, S., Yonemoto, N., Rabesandratana, N., Andrianarimanana, D., Nakayama, T. and Mori, R. (2011), Long-term effects of earlier initiated continuous Kangaroo Mother Care (KMC) for low-birth-weight (LBW) infants in Madagascar. Acta Paediatrica, 100: e241–e247. doi: 10.1111/j.1651-2227.2011.02372.x
- Issue online: 8 NOV 2011
- Version of Record online: 23 JUN 2011
- Accepted manuscript online: 2 JUN 2011 11:13AM EST
- Received 6 February 2011; revised 23 May 2011; accepted 30 May 2011.
- Kangaroo mother care;
- Long-term followup;
- Low birth weight infants;
- Randomized controlled trial;
- Resource-limited country
Aim: To examine the long-term effects of earlier initiated continuous Kangaroo Mother Care (KMC) for relatively stable low-birth-weight (LBW) infants in a resource-limited country.
Methods: A randomized controlled trial with long-term follow-up was performed in LBW infants in Madagascar. Earlier continuous KMC (intervention group) was initiated as soon as possible within 24 h postbirth, and later continuous KMC (control group: conventional care) was initiated after complete stabilization. Outcome measures were mortality or readmission, nutritional indicators at 6–12 months postbirth and feeding condition at 6 months postbirth (ClinicalTrials.gov, NCT00531492).
Results: A total of 72 infants were followed for mortality or readmission at 6–12 months postbirth. There was no difference between the two groups (7/36 vs. 7/36, Risk ratio (RR), 1.00; 95% CIs, 0.39–2.56; p = 1.00). The proportion of exclusive breast feeding (EBF) at 6 months postbirth was significantly higher with earlier KMC than later KMC (12/29 vs. 4/26; RR 2.69; 95% CIs, 1.00–7.31; p = 0.04). There were no differences in nutritional indicators between the two groups at 6–12 months postbirth.
Conclusion: Earlier initiated continuous KMC results in a significantly higher proportion of EBF at 6 months postbirth. Further larger-scale long-term evaluations of earlier initiated continuous KMC for LBW infants are needed.