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KMC

(Kangaroo Mother Care)

            Kangaroo Mother Care is an affordable alternative technology that addresses the needs of low birth weight infants. The kangaroo Mother Care position where in the baby is held against the mother’s chest on skin to skin contact provides all the basic requirements for newborn survival. The method has been proven by research to improve neonatal mortality rates and is one of the key components of the DOH administrative order on essential newborn care.           

            Zamboanga City Medical Center is adopting the Kangaroo Mother Care Policy to improve and strengthen the neonatal care services and to provide effective, efficient, timely and safe Kangaroo Mother Care for infants less than or equal to 2000 grams delivered at Zamboanga City Medical Center.

History:        

            KMC Programme started in Bogota Columbia, South America, in 1979, by Dr. Edgar Rey and subsequently adopted by many countries around the world. Philippines have the highest LBW in south East Asia and 7th highest LBW globally.

Benefits:

  • better weight gain
  • decreased risk of infection
  • improved maternal, family and infant bonding
  • increased breastfeeding rates
  • maternal and family empowerment
  • decreased cost of care

Target Population

  • All stable Low Birth Weight (LBW) newborns any time after birth.

3 Essential Components:

  1. Kangaroo position
  2. Kangaroo Feeding strategy
  3. Kangaroo early discharge policy
  4. Ambulatory kangaroo care

Intermittent KMC:

  • Can start as early as EINC.
  • Early KMC on CPAP or Mechanical Ventilator.
  • At least 6 hours a day on KMC position.

Continuous KMC: 

  • At least 20 hours KMC position daily.

KMC Position

  • The baby should be placed between mother’s breast in an upright position
  • The head should be turned to one side and in a slight extended position. This slightly extended head position keeps the airway open and allows eye to eye contact between the mother and the baby.
  • The hips should be flex in abducted in a frog position ; the arm should also be flexed
  • Baby’s abdomen should be at the level of the mother epigastrium. Mothers breast feeding stimulates the baby. Thus reducing the occurrence of apnea.

KMC Committee:

Chairman:

Cesar Jeffrey G. Masilungan, MD, DPSNbM, FPPS (Chairman of Department of Pediatrics)

Co-Chairman:

Janet C. Agustin, RM (KMC Coordinator)

Members:

Erlinda S. Poderanan. MD (Chief of OPD/KMC Coordinator)

Shareen K. Lakibul, MD (Chief Resident of Department of Pediatrics)

Julieta S. Peralta, RN, MAN (NICU Nurse Supervisor)

Tetchie A. Castillo, RN (KMC Secretary)

Sherilyn H. Dela Cruz (MSS Coordinator)