Abstract
Background: Kangaroo mother care (KMC) is a universally available method of care particularly, for premature babies for maintaining their body temperature. However, its prevalence is very low in Ethiopia. Thus, this study was intended to assess utilization of kangaroo mother care (KMC) and factors influencing among mothers and care takers of preterm /low birth weight babies in Yirgalem town, southern, Ethiopia Materials and Method: A community based cross sectional study was conducted from of February to March, 2017 among 215 mothers of preterm/low birth weight (LBW) infants in Yirgalem town. Mothers of preterm/LBW infant of age less than 36 months were included in study. Data was collected by using interviewer administered questionnaire that is adapted from relevant literatures and standardized accordingly. Data analyses ere accomplished using SPSS version 20. Logistic regression analyses were used to identify the association of different variables. Results: A total of 215 mothers with their preterm infants ranged 1-36 months of age voluntarily participated, with response rate of 100%. A hundred ninety (88.4%) of the mothers had normal vaginal delivery, and 11.6% had cesarean section. Among all study subjects 90(41.9%) practice KMC. Of these, 31(14.4%) started KMC immediately after birth as the infant had been stabilized, and 59(27.4%) practice it after 24 hours. However, only sixty of the infants showed improvement after they used continuous KMC at home compared to those infants that did not use KMC. It was found that some variables were statistically associated with the utilization of KMC. Respondents who gave birth spontaneously were 4.3 times more likely to practice KMC than those had caesarean section delivery [(AOR 4.341) 95%CI(1.435, 13.130)] and mothers who delivered at governmental hospital were 20.4 times more likely to practice KMC than those who gave birth at home [(AOR (20.458) 95%CI(2.644, 158.299))]. Conclusion: In this study only very low mothers initiated KMC immediately after birth and were practiced continuously KMC at home. Thus, it is recommended to promote KMC at home and develop studies on acceptability and applicability of the KMC and affecting factors that prevent the use of KMC at home method in Ethiopian context.
Highlights
Preterm birth, is the direct leading cause for three million neonatal deaths each year globally and the second leading cause of all deaths in children under the age of five, because, they stop feeding and are more susceptible to infection [1,2]
Respondents who gave birth spontaneously were 4.3 times more likely to practice Kangaroo mother care (KMC) than those had caesarean section delivery [(AOR 4.341) 95%CI(1.435, 13.130)] and mothers who delivered at governmental hospital were 20.4 times more likely to practice KMC than those who gave birth at home [(AOR (20.458) 95%CI(2.644, 158.299))]
It is recommended to promote KMC at home and develop studies on acceptability and applicability of the KMC and affecting factors that prevent the use of KMC at home method in Ethiopian context
Summary
Preterm birth (birth before 37 weeks of gestation), is the direct leading cause for three million neonatal deaths each year globally and the second leading cause of all deaths in children under the age of five, because, they stop feeding and are more susceptible to infection [1,2]. Ninety nine percent preterm deaths occur in lowincome countries [3] This is primarily due to a majority of women do not give birth in health facilities in developing countries and LBW death commonly occurs in places where there is little access to specialized neonatal medical care [4]. Ethiopia is one of the ten countries with the highest number of neonatal deaths, in which 320,000 babies are born preterm each year and 24,400 children under five die due to direct preterm [5,6]. This study was intended to assess utilization of kangaroo mother care (KMC) and factors influencing among mothers and care takers of preterm /low birth weight babies in Yirgalem town, southern, Ethiopia
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