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June 12-13, 2019 | Edinburgh, Scotland
Pediatrics and Clinical Pediatrics
2nd World Congress on
Current Pediatric Research | Volume: 23
Effectiveness of kangaroo mother care in reducing morbidity and mortality among
preterm neonates on RAM Cannula continuous positive airway pressure: A randomized
controlled trial
Catherine P Ricero Luistro, Ma Esterlita V Uy, Socorro De Leon Mendoza, and Aurora Gloria I Libadia
Batangas Medical Center, Philippines
Background: Prematurity is a major cause of neonatal
death. Continuous positive airway pressure (CPAP) is the
recognized initial intervention among preterm neonates
in respiratory distress. The Kangaroo Mother Care (KMC)
method may improve neonatal outcomes.
Objective: To determine the effectiveness of KMC in
reducing morbidity andmortality among pretermneonates
on CPAP via RAM nasal cannula.
Methodology: A prospective, non-blinded, randomized
controlled trial was conducted on eligible pretermneonates
requiring RCPAP due to respiratory distress. They were
randomly allocated to either KMC (n=35) or conventional
care group (n=35). Outcome measures included duration
of RCPAP, and oxygen support, morbidity, mortality and
length of hospital stay.
Results : Thermoregulation and oxygen saturations were
better during the KMC sessions. The durations of RCPAP
and oxygen support were both significantly shorter in the
KMC group. Morbidities (air leak syndrome, necrotizing
enterocolitis and late onset sepsis) were also significantly
lower in the KMC group. Although the mortality rate and
the hospital stay were reduced in the KMC group, these
were not statistically significant.
Conclusion: KMC effectively decreases the duration of
RCPAP and oxygen support, and incidence of morbidities.
There were trends of reduced mortality and length of
hospital stay in the neonates who received KMC.
Keywords: Kangaroo Mother Care, Preterm Neonates,
RAM Cannula CPAP, Oxygen Support.
Speaker Biography
Catherine P Ricero Luistro has completed her degree as Doctor of
Medicine from Iloilo Doctors' College of Medicine, Philippines. She
had her pediatric residency training in Batangas Medical Center and
fellowship training in newborn medicine at Philippine General Hospital.
She is presently the Chairperson of the Committee on Care for Small
Babies at Batangas Medical Center, Philippines.
e:
Catherine P Ricero Luistro et al., Current Pediatric Research, Volume 23
ISSN: 0971-9032