Open Journal of Pediatrics, 2014, 4, 143-147
Published Online June 2014 in SciRes. http://www.scirp.org/journal/ojped
http://dx.doi.org/10.4236/ojped.2014.42020
How to cite this paper: Lakew, W. and Worku, B. (2014) Follow-Up Profile and Outcome of Preterms Managed with Kan-
garoo Mother Care. Open Journal of Pediatrics, 4, 143-147. http://dx.doi.org/10.4236/ojped.2014.42020
Follow-Up Profile and Outcome of Preterms
Managed with Kangaroo Mother Care
Wubishet Lakew
1
, Bogale Worku
2
1
Department of Pediatrics and Child Health, University of Gondar, Gondar, Ethiopia
2
Department of Pediatrics and Child Health, Addis Ababa University Medical Faculty, Addis Ababa, Ethiopia
Email: wubishet@gmail.com
Received 10 April 2014; revised 7 May 2014; accepted 15 May 2014
Copyright © 2014 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/
Abstract
Background: Kangaroo mother care (KMC) is effective in preventing hypothermia, establishing
breastfeeding, and reducing nosocomial infection in preterm babies in resource-limited areas.
Relatively little is known about long-term morbidity and mortality outcomes among Ethiopian in-
fants managed with KMC. Aims: To describe the follow up profiles and outcome of infants managed
with KMC and discharged alive. Methods: This cross-sectional descriptive study examined out-
comes among infants who were 1) managed by KMC at Black Lion Hospital, 2) discharged alive,
and 3) available for follow-up. Structured, pretested questionnaires were administered to moth-
ers. Results: Of the 110 infants included in the study, 9.1% died over the study period and 60% of
the deaths occurred at home. Mortality was 100% in those babies with mothers aged less than 18
years. Thirty five percent of the deaths occurred in those from rural location. Common medical
problems identified in study subjects were respiratory infections (10%), gastroenteritis (7%),
rickets (7%), and anemia (6%). About 20% of infants were readmitted to hospital at least once.
KMC initiation within one week was not found to be significantly associated with survival, but con-
tinued KMC after discharge significantly decreased mortality in our sample. Conclusion: Frequent
follow up is very important especially those with teenage mothers and coming from a rural loca-
tion. Follow up should be frequent in the first 2 months after discharge. Further research is need-
ed to explore the determinants of mortality and morbidity after hospital discharge.
Keywords
Preterm, Very Low Birth Weight, Kangaroo Mother Care, Follow Up Profile
1. Introduction
Survival among neonates is directly related to birth weight, with approximately 20% surviving among those be-
tween 500 and 600 g and 90% among those between 1250 and 1500 g. In the US, where life-support technology