NARAYAN NURSING COLLEGE

HEALTH TALK ON KANGAROO MOTHER CARE

SUBMITTED TO: SUBMITTED BY:

DR. PROF. SAPNA SINGH PUJA KUMARI

HOD, CHILD HEALTH NURSING M.SC. NURSING 2 ND YEAR

NAME OF THE SUBJECT: CHILD HEALTH NURSING

NAME OF THE TOPIC

: KANGAROO MOTHER CARE

UNIT : I

TIME AND DURATION : 15- 20 MITS

SIZE OF THE GROUP : 10 students

STUDENT : M sc. Nursing 1st year

METHOD OF TEACHING : LECTURER CUM DISCUSSION

A.V AIDS USED : POWER POINT PRESENTATION

NAME OF THE PRACTICE TEACHER: MS PUJA KUMARI

NAME OF THE EVALUATOR :PROF DR. SAPNA SINGH

PREVIOUS KNOWLEDGE : Student has some knowledge regarding kangaroo mother care

GENERAL OBJECTIVES: - At the end of the teaching the participant will be able to

 Define KMC .
 State two types of KMC.
 Identify babies eligible for KMC.
  List the advantages to the mother and baby/family health worker and nation.
 Discuss the problems and its solution to use KMC .

TIM SPECIFIC CONTENT TEACHING AV AIDS EVALUATION

E OBJECTIVE LEARNING
ACTIVITIES

2 min Define KMC What is Kangaroo Mother Care?

What is KMC.
KMC is a universally available, a simple,
and inexpensive and biologically sound Narrating and
method of care for LBW infants. by asking
The method was first questions
introduced in Bogotá, Columbia in the late
1970s by Dr. Martinez and Rey and later
used in different facilities.

Kangaroo Mother Care (KMC) has 4 Lecture cum LCD What are the four
4 min parts: discussion parts of KMC ?

• Skin-to-skin contact between the

baby’s front and mother’s chest:
Skin-to-skin contact starts at birth and
is done day and night (24hrs) interrupted Lecture cum LCD
only for changing diaper. The baby needs: a discussion
cap or cloth to cover the head to keep the
head warm, and may wear cloths to soak up
stool and urine. Mother is the best provider
however, father or mother-in-law can
support mother in between.

2 Exclusive breastfeeding: The baby

breastfeeds within an hour of birth and
continued to exclusively breast feed directly
or EBM by cup or palidai. If not possible
use tube feeding as required.

3. Support to the mother and baby:

Whatever the mother or baby needs is done
without separating them. Mother and baby
need emotional and physical support to
practice 24 hrs KMC. In a health facility the
staff and family member will help. At home
the family , community helps.

4 Early discharge and follow up: Babies

are discharged when mother has
successfully adopted the procedure, may last
from one to several days independent to
weight gain(no cut off point ) feeding well ,
maintaining temperature ,no evidence of
 illness and follow up visit schedule
confirmed.

What are the

Types of KMC: types of KMC.
3 min

State two types 1.Continuous KMC – When KMC is

of KMC practiced ideally for 24 hour except cleaning
the diaper, or some personal activities of
mother. Therefore support is required from
father or other members of family.

2.Partial or Intermittent KMC – for certain

period of day or night. It will be applied to a
mother with c-section or sick mother or
those who are not able to do KMC
continuously due to other domestic work.

1 min Duration of KMC –

Both type of KMC can be practiced as long

as possible or until baby discharge from
KMC or till baby no longer tolerates the
procedure.
It is important to note however, that
essential care for the baby continues as
exclusive BF, thermal protection, prevent
 from infection and identification of the
danger signs and timely refer to an
appropriate health facility.

Eligible criteria for KMC: What are the

eligibility criteria
When to start KMC? of KMC.
2 min Identify babies
eligible for When baby can start KMC depend on the
KMC. condition and status of baby and the mother.
Early initiation of KMC is highly
recommended.
 Any LBW baby
 Willingness of the mother to do KMC
 When baby is in stable condition–no
major illnesses such as sepsis,
pneumonia, respiratory distress and
convulsion.
 Intermittent KMC can be used until
the baby is fully stable

Benefits of the KMC :

4 min List the
advantages to KMC improves the chances of LBW infants What are the
the mother and for better survival and better quality of life advantages of
baby/family for the baby, the mother, the family and the KMC .
health worker community and nation.
and nation .
It is a humane, low cost and can
significantly decrease neonatal mortality and
morbidity

Benefits to the Baby :

• Baby kept warm 24 hrs as mother

is the best incubator
• Breathing becomes regular as it
reduces apnea, reduces oxygen
requirement and facilitates
physiological stability
• Infections are reduced due to
decreased exposure
• Early discharge from the health
facility
• Alertness and quiet sleep
• Better IQ with better cognitive
development
• Better breastfeeding and weight
gain due to reduced energy
expenditure.
 Benefits to the mother:

Mother is actively involved in taking care of

the baby.
• Mother is more relax, more
confident and empowered
• Encourages mother - baby bonding
• Feels competent in caring for her
small, fragile baby
• Improves maternal satisfaction,
Contented and less stress
• Maintained lactation
• Reduced hospital stay
• Cost reduced

Benefits to the Family :

 Economical to the family because of

early discharge, improved health of the
baby and exclusive breast feeding
• Better IQ
• Reduced child abuse.
• Father can return to work early .
 Benefits to the Health Facility :

•Saves money on equipment and health

personnel
•Better utilization of resources –expensive
equipment can be used for very sick only
•Nurse baby ratio can be reduced as mother
takes care of the baby more
•Saves money as the baby is discharged
early
•Saves money on antibiotic because of
reduction of infection rate with the baby
who is on KMC
 Healthier baby lead to healthy
childhood so as to reduce the cost of
treating the childhood problems.

Benefits to the nation :

• KMC results in healthier and more

intellectual babies and thus adds to the
nation's wealth
• Decrease neonatal mortality and
morbidity
• Simple and applicable everywhere
and cost effective

Problems Associated with KMC

 PROBLEM
Kangaroo mother care is tiring for the
mothers.
SOLUTION
Encourage family members to assist by What are the
putting the baby in the kangaroo position
Discuss the when the mother needs a break.
problems and
4 min its solution to PROBLEM
use KMC. A strong belief in high technology may lead
to some resistance by mothers because of
the simplicity of KMC.
SOLUTION
Provide correct information about KMC to
the mothers and family members.
Obtain institutional support for KMC and
make the KMC unit attractive and desirable.

PROBLEM
Cultural barriers, e.g., grandmothers may
not accept the method. In some traditions,
the babies are separated from their mothers
and the granny takes care of the baby during
the first weeks. Also, babies are usually
carried on the back rather than in front.

SOLUTION
Educate mothers, grandmothers and others
in the community regarding importance of
keeping the mother and newborn baby
together.
Model and support the KMC unit in the
community.
Have providers from local facilities give
community education talks about KMC.

PROBLEM
Relatives, neighbors, and other members of
the community may laugh at the mother who
is practicing KMC.
SOLUTION
Conduct awareness campaigns and model
KMC within the community.
Obtain support for KMC from leaders and
well-known people; have these people
promote KMC.

PROBLEM
Noncompliance of mothers and health staff.

SOLUTION

Convince mothers and staff about the

benefits of the KMC method through
continuous information, education and
support. Share successful KMC
experiences.
PROBLEMS
Mothers may be concerned about getting
enough sleep if sleeping with KMC is
uncomfortable.
SOLUTION
Reassure mothers that they can sleep in a
variety of positions while maintaining KMC.
The mother should sleep in the position in
which she is most comfortable without
putting the baby at risk. Show her how she
can use pillows or any local substances to
rest in a semi-reclining position on her back
or sides.

PROBLEM
Mothers may be concerned about
suffocating the baby while sleeping with the
baby in the KMC position.

SOLUTION
Reassure mothers that if the baby is secured
in the proper KMC position while the
mother is sleeping, there is no risk of
smothering; it is actually very safe. It has
been observed that maintaining KMC while
in a reclined or semi-recumbent position
may actually reduce the risk of apnea for the
baby. There is no known experience of any
baby being smothered while in the KMC
position.
.
Summary:
Kangaroo mother care is a technique which is used for the care of infant who is low birth
weight .This method is totally inexpensive . this consist of four parts : skin to skin
contact ,exclusive breast feeding ,support to the mother and baby ,early discharge and
follow up. there are some criteria which is useful for KMC such as ,status of mother and
baby low birth weight baby ,willingness of mother. There are many benefits of KMC for
mother ,baby ,family ,health facility and nation .position of KMC are explained . there
are many problems are also associated with breast feeding for mother and baby .

Conclusion
At the end of this class room teaching the students will gain knowledge about the topic
kangaroo mother care. they will able to teach the mother and family members about the
advantage of breast feeding and the position of the KMC . at the end of this teaching I
would like to thank all the students and teacher for supporting me during my teaching.

Bibliography