GOVERNMENT COLLEGE OF NURSING, JODHPUR

SUBJECT: OBSTETRICES AND GYNACOLOGY

HEALTH TALK

ON

KANGAROO MOTHER CARE (KMC)

SUBMITTED TO SUBMITTED BY
MRS.SUMMI MAM NAZMIN BEHLIM

H.O.D. OBSTETRICES AND GYNACOLOGY MSc NSG PREVIOUS 2020-21

GCON, JODHPUR GCON, JODHPUR

HEALTH EDUCATION
GENERAL PROFILE
• Name of supervisor : Mrs. Manita Tambi

• Name of the student- teacher : Monika Panwar

• Subject : Paediatric Nursing

• Topic : Kangaroo Mother Care (KMC)

• Group : Postnatal Mothers

 • Venue : Postnatal Ward

• Date and Time :

• Duration : 20 min

• Method of teaching : Lecture cum Discussion

• Audio-visual aids : Flash cards

• Previous knowledge of the group: The group has some knowledge regarding KMC.

GENERAL OBJECTIVE

After the health talk, the group will gain more knowledge and develop desirable skill regarding KMC.

SPECIFIC OBJECTIVES
At the end of health talk, group will be able to-
define Kangaroo Mother Care.
enlist components of KMC.
discuss prerequisites of KMC.
explain benefits of KMC.
describe requirements of KMC implementation.
enlist eligibility criteria for KMC.
 discuss preparation for KMC.
explain KMC procedure.
identify time of initiation of KMC.
describe duration of KMC.
explain about discontinuation of KMC.
discuss about post discharge follow up.

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objective Teacher’s activity Learner’s activity

1 ¼ min SELF INTRODUCTION

Myself Monika Panwar MSc.Nursing Final
Year Student.

2 ¼ min ANNOUNCEMENT OF TOPIC

Today I am standing in front of you to give
health talk on Kangaroo Mother Care.

3 ½ min TOPIC INTRODUCTION

 Caring low birth weight babies is a great
challenge for neonatal care unit and family.
The cost of quality management of these
babies is increasing day by day. Kangaroo
mother care is a low cost approach for the care
of low birth weight babies.

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4 1 min To define KMC. DEFINITION Health educator Group Flash Define
Kangaroo mother care is a special way of caring low birth weight infants defines KMC. listen card KMC?
by skin to skin contact. It promotes their health and wellbeing by carefully.
effective thermal control, breast feeding and bonding. KMC is initiated
in hospital and continued at home.
5 1 min COMPONENTS Health educator Flash
explains card
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To enlist In KMC, infant is continuously kept in skin to skin contact by mother components of Group What are the
components of and breast fed exclusively to utmost extent. The two components are: KMC. show components
KMC. ✓ Skin to skin contact: Direct, continue and prolonged skin to interest. of KMC?
skin contact is provided between mother and her baby to
promote thermal control.
✓ Exclusive breast feeding: Skin to skin contact promotes
lactation and feeding interaction with exclusive breast feeding
6 1 min for adequate nutrition and to improve desired weight gain. Health educator Flash
PRE-REQUISITES discusses about card
To discuss ❖ Support the mother: Mother needs support in hospital and prerequisites of Group Discuss
prerequisites of home from care givers and family members. Counseling and KMC. listen about
KMC. supervision should be provided to the mother by health personnel attentively prerequisites
in hospital where as mother requires assistance and co-operation . of KMC?
from her family members at home.
❖ Post discharge follow up: KMC should be continued at home
after discharge. For safe and successful KMC at home a regular
follow up should be arranged to solve problems and evaluate
7 3 min health status of infant. Health educator Flash
BENEFITS explains benefits card
✓ KMC helps in thermal control and metabolism. Prolonged, of KMC. Group ask
continued and direct skin to skin contact between mother and doubts.
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To explain neonate provides effective thermal control and reduces risk of
benefits of hypothermia.
KMC. ✓ KMC results in increased duration and rate of breast feeding.
✓ KMC satisfies all five senses of infant. By feels warmth of
mother by skin to skin contact (touch), listen to mother’s voice
and heart beat (hearing), sucks the breast to feed (taste), smells
the mother’s odor (olfaction) and make eye contact with mother.
✓ During KMC baby has more regular breathing and less
predisposition to apnea.
✓ KMC protects against nosocomial infections and reduces
incidence of severe illness including pneumonia during infancy.
✓ Daily weight gain is slightly better with KMC, thus duration of
hospital stay may be reduced. What are the
✓ KMC facilitates best mother infant bondage due to significantly benefits of
less stress during kangarooing than in the incubator care. KMC?
✓ KMC is often best method of transporting babies by keeping
them in continue skin to skin contact.
✓ Mother feels increased confidence, self esteem, sense of
fulfillment and deep satisfaction with KMC.
✓ KMC does not require additional staff as compared to incubator
care.
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8 ½ min REQUIREMENTS OF KMC IMPLEMENTATION Health educator Flash
❖ Training of doctors, nurses and other staff in KMC especially describes card
who are involved in care of mother and baby. requirement of Group take What are the
❖ Educational material like information booklet, pamphlets, KMC interest. requirements
To describe poster, video film on KMC on local language. implementation. to implement
requirements of ❖ Reclining chairs or beds with adjustable backrest or pillow or KMC?
KMC ordinary chair.
implementation. ❖ No extra staff is required.
9 2 min ELIGIBILITY CRITERIA FOR KMC Health educator Flash
For baby: explains Group card
• All stable low birth weight babies are eligible for KMC. It is eligibility focus on
particularly useful for caring LBW infants weighing below 2000 criteria for illustration
To enlist gm. KMC.
eligibility • In a stable baby, KMC can be initiated soon after birth.
criteria for • KMC should be started after baby is haemodynamically stable.
KMC. • Sick LBW infants may take few days to initiate KMC, So sick
baby needs transfer to proper facility immediately.
• Infants of birth weight less than 1200 gm with serious
prematurity related to morbidity may takes days to weeks to
allow initiation of KMC.
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• KMC can be initiated who is otherwise stable but may still be on
IV fluid therapy, tube feeding and oxygen therapy.
For mothers:
• All mothers can provide KMC irrespective of age, parity,
education, culture and religion.
• Mother should be free of serious illness and able to take adequate What are the
diet and supplements recommended by her doctor. eligibility

• She should maintain good hygiene, daily bath, change of clothes, criteria for

hand hygiene, short and clean finger nails etc. KMC?

• She should have supportive family and community to be

10 2 min encouraged to continue KMC to her baby. Health educator Flash

PREPRATION FOR KMC discusses Group card

1. Counseling: preparation for watch

✓ Explain benefits of KMC to mothers and their family. KMC. flash card .
To discuss ✓ Demonstrate procedure to mother gently with patience.
preparation for ✓ Answer the questions as asked by mother and family to remove
KMC. anxiety.
✓ Allow mother to interact with someone who have already
practicing KMC for her baby.
✓ Discus about procedures to mother in law, husband and any other How can a

member of family. mother

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2. Mother’s clothing: prepare for
✓ Mother should wear front open light dress as per local culture. KMC?
Mother can wear sari blouse, gown, shawl etc.
3. Baby’s clothing:
✓ Baby should be dressed with front open sleeveless shirt, cap,
11 3 min socks, and nappy and hand gloves. Health educator Flash
KMC PROCEDURE explains about Group pay card
1. Kangaroo positioning KMC procedure. attention.
The baby should be placed between mother’s breasts in an
To explain KMC upright position.
procedure.
Baby’s head should be turned to one side in a slightly extended
position which helps to make the airway open and allow eye to
eye contact between mother and baby.
Baby’s hips should be flexed and abducted in a frog like position.
The arms should be flexed and placed on mother’s chest.
Baby’s abdomen should be placed at level of mother’s epigastric
region.
2. Monitoring during KMC
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During initial stage of KMC, baby should be monitored for
airway, breathing, color and assess the warmth. Airway must be
kept clear with regular breathing.
Baby’s neck should be neither too flexed nor too extended.
3. Feeding
Mother needs breast feed her baby during KMC. Holding baby
near breast stimulates milk production and kangaroo position
make breast feeding easy.
Baby could be fed with spoon and tube depends upon baby’s Explain
condition. about KMC
4. Physiological support to mother procedure?
Mother needs motivation to continue KMC; she should be
encouraged to ask questions to remove anxiety.
5. Privacy
12 ½ min Privacy should be maintained to avoid unnecessary exposure on Health educator Flash
part of mother. This makes her nervous and demotivated. explains about Group card
TIME OF INITIATION OF KMC time of initiation show When does a
• KMC should be initiated gradually with a smooth transition from of KMC. interest. mother can
To identify time conventional care to continue KMC. initiate
of initiation of • KMC can be started as soon as the baby is stable. KMC?
KMC.
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13 2 min • Short KMC session can be initiated during recovery with Health educator Flash
ongoing medical treatment. describes Group card
• KMC can be provided while baby is with gavage feeding. duration of clear
DURATION OF KMC KMC. doubts.
To describe ➢ Duration should not be less than one hour to avoid frequent
duration of handling which may be stressful to baby.
KMC. ➢ Gradually length of KMC sessions should be increased up to 24
hours a day.
➢ KMC should be continued in postnatal ward and home.
➢ When mother is not available then other family member such as
father, grandmother can provide KMC.
Can mother continue kmc during sleep and rest
o Mother can sleep with baby in KMC position in semi recumbent
position about 15 -30 degree above the ground.
o A comfortable chair with adjustable back may be useful to
provide KMC during sleep and rest.
o Adjustable bed or several pillows or an ordinary bed can be used For how
to maintain position which decreases risk of apnea of baby. much time a
o Supporting garments can be used to carry the baby in kangaroo mother can
position during sleep and rest. continue
14 ½ min KMC?
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o Father and family members can provide KMC to relieve mother Health educator Group Flash
during rest. explains about listen card Which is
DISCONTINUATION OF KMC discontinuation attentively correct time
To explain about ▪ KMC can be continued until the baby gains weight around 2500 of KMC. to
discontinuation gm or reaches 40 weeks of post conception age. discontinue
of KMC. ▪ KMC can be discontinued if baby starts wriggling to show KMC?
discomfort and pulls limbs out, cries every time when mother
tries to put the baby back into skin contact.
▪ When mother and baby are comfortable, KMC can be continued
15 ½ min as long as possible at health facility or at home.
▪ Mother can provide skin to skin contact occasionally after the Health educator Group take Flash
baby bath and during cold nights. discusses about interest. card Discuss
POST DISCHARGE FOLLOW UP post discharge about post
To discuss about ❖ In general a baby is followed up once or twice a week till baby follow up. discharge
2 min post discharge reaches 2.5-3 kg of weight. follow up?
follow up. ❖ There after a follow up once in 2-4 weeks may be sufficient till
3 months of post conceptual age.
SUMMARY
Kangaroo mother care is a special way of caring low birth weight infants
by skin to skin contact. Two basic components of KMC are skin to skin
contact and exclusive breast feeding. Support the mother and post
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discharge follow up are the prerequisites of KMC. KMC provides
effective thermal control and reduces risk of hypothermia. KMC results
in increased duration and rate of breast feeding.

BIBLIOGRAPHY

❖ Dutta Parul , Pediatric Nursing , 2nd Edition 2009, Jaypee Brother Medical Publication ; New Delhi
❖ Ghai O.P. , Essential Pediatrics , 5th Edition 2003 ,Mehta Publishers ; New Delhi
❖ Jacob Annamma. ”A Comprehensive Textbook of Midwifery and Gynaecological Nursing”. Jaypee Brothers Medical Publication. Third Edition. PP 600-
603, 213-215.
❖ www.babycentre.org