SNO Objectives Time CONTENT Teacher learner AVAids Evaluation

activity
1 2min Introduction:
Kangaroo care(KMC) is a special way if
caring for low birth weight (LBW) babies. It
it improves their health and well – being by PPT 1
promoting effective thermal control, breast
feeding , infection prevention and bonding. Flash cards
In KMC, the body is continuously kept in
skin to skin contact with the mother and is
2 Know about breastfed exclusively.
components 5min
of KMC Lecture cum
Components of kangaroo mother care: discussion What are the
method major
The 3 major components of kangaroo components of
mother care are:- KMC
1. kangaroo position – skin to skin
contact
2. kangaroo nutrition – exclusive breast
feeding and Flip charts
3. kangaroo early discharge and regular
follow up
1.kangaroo position : SKIN TO SKIN
CONTACT:

Skin to skin contact between the mother and

the baby in strict vertical position between
the mother’s breast and under her clothes is
 known as kangaroo position mother serves
as a source of warmth and stimulation. The
baby’s temperature is maintained with in
normal values due to heat from mother’s
baby studies have reveled that the
temperature, heart rate, respiratory rate,
oxygenation and other physiological
parameters are maintained within normal
values while the baby is in kangaroo
position.
2.kangaroo nutrition: exclusive
breastfeeding:

Kangaroo mother care is an important way

of maintaining lactation. KMC increases
prevalence , breast milk production duration
and rate of exclusive breast feeding. It also
increases the competence of mother to
breast feed. scientific evidences prove the
beneficial effects of KMC on breast feeding.

3.Early discharge and regular follow –

3 List out the 3Min up:
advantages
& benefits of Babies in KMC are discharged from
KMC hospital early and counseled to come or
regular follow up. KMC is continued at
homw after early discharge from the
hospital have shown that KMC has
increased chances of survival of low birth
weight babies and reduced hospital stay of Group discussion Flash cards
babies. What are the
benefits for
Advantages /benifites of KMC: baby?

KMC is humane low cost method of care of

low birth weight infants and it’s
significantly decreases neonatal mortality
and morbidity
Benefits to the baby:
 prolonged skin to skin contact
between the mother and her preterm/
LBW infant provides effective
thermal control with a reduced risk of
hypothermia.
 KMCC facilitates physiological
stability in baby.
 KMC reduced apnea, oxygen
requirement and risk of infection to
the baby.
What are the
 KMC helps in early discharge of
benefits for the
babies from NICU thus also help in
mother
reducing the risk of nosocomial
infection.
 KMC induces sound sleep in baby.

Benefits to mother:
 1. As the mother is more actively
involved in the care of her baby she I
more relaxed and satisfied.
2. KMC promotes better mother infant
bonding.
3. Mothers are less stressed during
kangaroo care as compared with a
baby kept in incubator.

Benefits to the family:

1. KMC is economical to the family as What are the

the family does not have to pay any benefits for the
charges for keeping the baby warm nation
which they would pay had the pay
been in incubator.
2. KMC promotes early discharge of
baby which is beneficial for the
5 2Min family
Describe the Group discussion
3. KMC facilitates bonding between the leaflets
eligibility method
baby, mother and other family
criteria of
members involved in giving kangaroo
KMC List out the
care to the baby.
criteria foe
4. KMC helps reduce the incidence of
eligibility
child abandonment and child abuse.
criteria for

Benefits to the nation:

1. KMC decreases neonatal and infant

 mortality and morbidity and therefore
reduces the burden on health
resources
2. KMC is simple, easily applicable ,
cost effective & possible even at
home when 75% of Indian women
deliver.
3. KMC results in healthier and more
intelligent nannies and thus adds to
the nations wealth.

ELIGIBILITY CRITERIA

 All mothers can provide KMC

irrespective of age parity , education,
culture, and religion. The mother
must be willing to provide KMC and
should be free from any serious
illness to be able to provide KMC.
All satble low birth weight are
eligible for KMC. How ever very
6 3Min sick babies needing special care Discussion Baby cloth
Describe in should be cared under radiant warmer Method & PPT
How to prepare
detail about initially KMC should be started after child?
procedure the baby is hemodynamically stable.
1. Birth weight >= 1800 gms:

As they will ne generally stable at

birth so mostly initiated soon after the birth.
2. Weight 1200 – 1800 gms:

Many babies in this birth weight

group have significant problems in
neonatal period. It might take a few
days before KMC can be initated. How to
Such babies should be kept in NICU maintaining
where specialized services are positioning?
available

3. Birth weight < 1200 gms:

Serious prematurity related

morbidities are developed. They
benefit the most from in – utro
transfer to the institutions with NICU
facilities. It may take days to weeks
before baby’s condition allow
initiation of KMC.

1. PROCEDURE OF KMC:
a. Preparation for KMC: What are the
When baby is ready for KMC, mother methods of
and family members should be monitories
counscled so that a positive attitude is
created for KMC
b. Mother should be provided with a
front open gown (or) any front
open light dress that can retain the
 baby for extended period of time
c. Baby is dressed with cap, socks, How to provide
nappy, and front open sleeveless feeding position
shirt.
a.Kangaroo positioning:

1. Baby should be placed between

the mother’s breast in an upright
position.
2. Baby’s head should be turned to
one side and in a slightly extended
position this keeps the air way
open and allows eye to eye contact
between the mother and her baby.
3. Hips should be flexed and aducted
in a frog position the arms should
also be flexed. What is the time
4. Baby’s abdomen should be at the of initiation?
level of mothers epigastrium
mother’s breathing stimulates the
baby thus reducing the occurence
of apnea.
5. Baby’s bottom should be
supported with splint/ binder. How to maintain
duration
b.Monitoring:

KMC should be monitored carefully in the

initial steps / stages. Baby should be
monitoried for neck position, airway
clearance, regularly breathing, body color
and temperature.

c.Feeding:

Mother should be explained how to breast

feed while the baby is in KMC position.
When the child
Holding the baby near the breast stimulates
milk production. She can also express the
milk while the baby is still in KMC position
the baby could be fed this expressed breast
milk with paredy spoon, katori or NG tube Can be
feed can be given discahged

d.privacy:

It requires exposure on the part of mother .

hence it is mandate to respect mother’s
sensitivities in this regard.

Time of initiation:

It can be started as soon as baby is stable .

babies with severe illiness (or) those
requiring treatment should be managed
according to the unit protocol KMC can be
provided while the baby is being fed via NG
tube
Duration:

1. Contact should start gradually in

nursery with smooth transition from
conventional care to continuous
KMC
2. Sessions that last less than one hour
should be avoided because frequent
thendling may ne stressful for the
baby
3. The length of skin to skin contact
should be gradually increased upto
24hrs / day
4. KMC should be continued at home’

DISCHARGE CRITERIA

From nursery to ward:

 Stable condition
 weight gain
 Mother confident to look after baby
Discharge from hospital:

The standard policy of the unit for

discharge from the hospital should be
followed. Generally the following criteria
should be used for discharged the baby from
the hospital.
 When baby’s general health is good
and there is no evidence of infection.
 Baby is feeding well.
 Baby weight gain atleast 15 – 20
gm/kg for atleast 3 consecutive days
 Baby is maintaining body
temperature
 Mother can continue KMC at home.

If the mother and baby are confortable

KMC can be continued for as long ass
possible often KMC is desirable until
baby’s gestation reaches term and weight
is around 2500gms

Bibliography:

An essential of pediatric Nursing by

Rimple Sharma 2nd edition JAYPEE
publications, THE HEALTH SCIENCE
PUBLISHERS NEW DWLHI pg no
156, 157, 158, 159, 160, 161.

2. Pediatric nursing by parul Datal 4th

edition jaypee publications pg no 102,
103, 104, 105.