LESSON PLAN

Subject : Obstetrical and pharmacological nursing

Unit : PNC

Topic : Kangaroo mother care

Course : MSc nursing 1st yr

Group : PNC mothers in PNCward

Date :

Time :

Place : PNC ward

Method of teaching : Lecture cum discussion

Teaching aids :

Method of instruction : Hindi

Previous knowledge of group : Mixed

GENERAL OBJECTIVE
Group will be able to gain knowledge regarding kangaroo mother care, develop positive attitude towards it and will be able to practice the same.

SPECIFIC OBJECTIVE By the end of the health talk group will be able to  Define KMC  Explain the KMC procedure  Estimate the duration of KMC  Enlist the persons who can provide KMC  List out the benefits of KMC  Enumerate post discharge follow up INTRODUCTION I Namitha Josy MSc nsg 1st yr student is giving a health talk on the topic kangaroo mother care in PNC ward of Jayprakash hospital. .

SL TIME SPECIFIC CONTENT TEACHING. questioning procedure and keeps him firmly and comfortably in contact with practice it. The mother then covers herself and the baby with her usual dress. arms and legs to remain in skin-to-skin contact with the mother’s chest and abdomen. When the temperature drops below 22°C. open at the front to allow the face. Students : KMC easy-to-use method to promote the health and well. abdomen. Special garments are not needed unless traditional ones are too tight. a warm hat and socks (Fig. sleeveless shirt. listening being of infants born preterm as well as full-term. i. Students : KMC provided the dress accommodates the baby.e. baby should wear a cotton. chest. her skin. EVALUVA- NO OBJECTIVE LEARNING TION TION ACTIVITY EXPECTED GROUP 1 2 min Define KMC Definition Teacher: Group will be Kangaroo mother care is care of preterm infants explaining able to define carried skin-to-skin with the mother. Kangaroo position Place the baby between the mother’s breasts in an . 2 5 min Explain Clothing for the mother Teacher: Group will be the KMC procedure The mother can wear whatever she finds illustrating able to explain comfortable and warm in the ambient temperature. Clothing for the baby When the ambient temperature is 22-24°C. AV-AIDS EVALUVA. the baby is carried in kangaroo position naked. except for the diaper.3). It is a powerful.

the arms should also be flexed. chest to chest. airway is clear. The hips should be flexed and extended in a “frog” position. including feeding. while in kangaroo position. is in a slightly extended position. color is pink and temperature is maintained. This slightly extended head position keeps the airway open and allows eye-to-eye contact between the mother and the baby. breathing is regular. upright position. It needs no appliances. They need to be moved away from skin-to-skin contact only for:  changing diapers. Caring for the baby in kangaroo position Babies can receive most of the necessary care. Hand expression is the simplest way to express breast milk.  clinical assessment. Secure him with the binder. so a woman can do it anywhere at any time Monitoring Make sure babys neck position is not too flexed or extended. The top of the binder is just under baby’s ear. turned to one side. 3 2 min Estimate the duration Duration of KMC Teacher: Group will be . according to hospital schedules or when needed Breast feeding KMC facilitates the initiation and establishment of breastfeeding in small infants. Avoid both forward flexion and hyperextension of the head. hygiene and cord care. The head.

5 2 min List out the benefits Benefits of KMC of KMC Teacher: Group will be  early. Sessions that last less than 60 questioning duration of minutes should. with a explaining able to smooth transition from conventional care to Students : understand the continuous KMC. day and night. be avoided because KMC. continuous and prolonged skin-to-skin explaining able to contact between the mother and the baby Students : understand the  exclusive breastfeeding (ideally) listening benefits of  it is initiated in hospital and can be KMC. The length of skin-to-skin contacts gradually increases to become as continuous as possible. continued at home  small babies can be discharged early  it is a gentle.other family member explaining able to enlist KMC such as grand ma. 4 1 min Enlist the persons Persons who can give KMC Teacher: Group will be who can provide When mother is not available . effective method that avoids the agitation routinely experienced in a busy ward with preterm infants 6 2min Enumerate post Post –Discharge follow up . or any other relative can Students : the providers provide KMC. especially where no other means of thermal control are available. frequent changes are too stressful for the baby. listening of KMC. father. of KMC Skin-to-skin contact should start gradually. however. interrupted only for changing diapers.

Ensure follow-up for the mother and the baby. . valid in most circumstances: – two follow-up visits per week until 37 weeks of post-menstrual age. If the baby is discharged in accordance with up after the above criteria. The smaller the baby is at discharge. either Teacher: Group will be at your facility or with a skilled provider near the explaining able to baby’s home. – one follow-up visit per week after 37 weeks. Students : understand the earlier and more frequent follow-up visits he will listening need of follow need. the following suggestions will be discharge.discharge follow up.

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Truesdale A. 2000. Ayers S. McCandlish R. Wood J. England: Clinical Press.I would like to thank the subject coordinator for the same. Taylor J. Am J Obstet Gynecol. KMC. Kangaroo mother care. Preterm infants. needs .  Jackson KW Jr. CONCLUSION By this health talk I came to know more about KMC and its needs. Allbert JR. 2016 Mar. Elliot M. Essential Management of Obstetrics and new born care. Active verses passive management of preterms: the Hinchingbrookerandomised controlled trial. 3rd ed. et al. pediatrics. William. Elbourne D. Elbourne D. Leveno KJ. 2001. 1998 Mar 7. Eur J ObstetGynecolReprod Biol. and follow up to be practiced in this procedure. Cochrane Database Syst Rev. Gant NF. Vayssière C. New York. McDonald S. Deneux-Tharaux C.  Cunningham FG. 196-201.  Sentilhes L.SUMMERY In this health talk we dealt with kangaroo mother care. duration . Humphrey A. procedure. NY: McGraw-Hill. 320- 5. Bristol. REFERENCES  Baskett TF. Lancet. Postpartum hemorrhage: guidelines for clinical practice in new born care: in collaboration with the French Society of Anesthesiology and Intensive Care (SFAR). 185(4):873-7. 1999. . A randomized controlled trial comparing KMC and warmth of a radiant warmer. 198:12-21.  Prendiville WJ. 351(9104):693-9. CD000007.  Rogers J. et al. 2001 Oct. eds. Schemmer GK. 21st ed.