Effects of Early Stimulation Using the Mother Kangaroo Method in the Premature at Delfina Torres de Concha Hospital del Sur in Esmeraldas, Ecuador

Authors

  • Sara E. Vásquez Mendoza Pontificia Universidad Católica del Ecuador, Sede Esmeraldas.
  • Michell J. Nazareno Segura Ministerio de Salud Pública, Esmeraldas, Ecuador.

DOI:

https://doi.org/10.69890/hallazgos21.v6i2.518

Keywords:

early stimulation;, kangaroo mother care method;, premature;, newborn;, breastfeeding.

Abstract

Background: The Kangaroo Mother Care (KMC) method through skin-to-skin contact between the mother and the baby ensures optimal growth and development in the premature newborn and prevents morbidity and mortality.

Objective: to describe the effects of early stimulation by the Mother Kangaroo Care method in the premature newborn at “Delfina Torres de Concha” Hospital del Sur, in Esmeraldas, Ecuador.

Methods: the investigation was of mixed type (Quan/ Qual), with a descriptive scope and non-probabilistic sampling for convenience. The sample consisted of 51 premature children who received the intervention in the intrahospital phase; the 51 mothers were surveyed in order to identify the knowledge level about the method; Through the observation form, the abilities and techniques of the mothers in the kangaroo position were verified and through the medical records the recovery of the neonate´s weight was determined.

Results: it was found out that the most outstanding age groups were those under 15 years (27.5%), followed by the 16 to 20 years group (37.3%). The gestational ages under study were from 28 to 36.5 weeks´ gestation, 64.7% of the mothers have an incomplete knowledge level about the method and its characteristics, 60.8% referred fear of and insecurity in the procedure; only five infants up to 35 weeks´ gestation increased their weight to 201g of their initial weight and none of the infants over 36 weeks gestation increased their weight.

Conclusions: the adolescents were a relevant group in the study due to the little knowledge they had about the KMC, in addition to the ineffectiveness in its application and specifically in the recovery of weight, since the newborns decreased the weight and in those who increased it, it was generated by autonomy and not as part of the method. Educating pregnant women in the technique is essential. This will help build confidence when performing the method and will affect the recovery of preterm newborns.

References

Araque, S., Ariza, N. E., & Valderrama, M. L. (2017). Estrategia Educativa para el Cuidado Domiciliario de los Bebes Prematuros: Madres Usuarias del Programa Madre Canguro de Tunja, Colombia. Revista CUIDARTE, 8(1), 1509–1518. http://www.revistacuidarte.org/index.php/cuidarte/article/download/367/759

Chicaiza S., Manosalvas R., Ortiz A., & Jiménez S. (2015). Factores que influyen en la ganancia de peso, en el recién nacido con un peso inferior a 1500 gramos, en el hospital Carlos Andrade Marín, durante el periodo de enero-julio 2013 (Universidad Central del Ecuador) (Tesis de Postgrado). Recuperado de http://www.dspace.uce.edu.ec/bitstream/25000/4641/1/T-UCE-0006-115.pdf

Gallardo Cadenasso, E., Gallardo Cadenasso, L. & Gallardo López, M. (2018). Descenso de peso en recién nacidos a término en las primeras 48 horas post natales. Rev Chil Pediatr, 89(3), 325 – 331. https://doi.org/10.4067/S0370-41062018005000101

Gómez, C., Ruiz, P., Garrido, I., & Rodríguez, M. (2018). Bajo peso al nacer, una problemática actual Low birth weight, a current problem. Rev. Arch Med Camagüey, 22(4), 406–411. http://www.revistaamc.sld.cu/index.php/amc/article/viewFile/5410/316

Lizarazo-Medina, J. P., Ospina-Diaz, J. M., & Ariza-Riaño, N. E. (2013). The Kangaroo Mothers’ programme: A simple and cost-effective alternative for protecting the premature newborn or low-birth-weight babies. Revista de Salud Pública, 14(2 SUPPL.), 32–45. https://doi.org/10.1590/s0124-00642012000800004

Martínez-Martínez, T., & Damian-Ferman, N. (2014). Beneficios del contacto piel a piel precoz en la reanimación neonatal. Enfermería Universitaria, 11(2), 61–66. https://doi.org/10.1016/s1665-7063(14)72666-1

Ministerio de Salud y Protección Social. (2017). GPC Canguro. Recuperado de https://fundacioncanguro.co/wp-content/uploads/2017/09/Guia-de-Practica-Clinica.pdf

Ministerio de Salud Pública. (2015). Recién nacido prematuro. Guía de Práctica Clínica (GPC). Recuperado de https://www.salud.gob.ec/wp-content/uploads/2016/09/GPC-Recén-nacido-prematuro.pdf

Montealegre-Pomar, A., Sierra-Andrade, A. P., & Charpak, N. (2018). The kangaroo mother care program of yopal, Colombia: An opportunity to keep track of preterm infants. Revista de Salud Publica, 20(1), 10–16. https://doi.org/10.15446/rsap.V20n1.67974

Organización Mundial de la Salud. (2018). Nacimientos Prematuros. Sitio Web OMS: Ginebra. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth

Organización Mundial de la Salud. (2019). El método de la madre canguro para reducir la morbilidad y la mortalidad y mejorar el crecimiento de los niños con peso bajo al nacer. Sitio Web OMS: Ginebra. Recuperado de https://www.who.int/elena/titles/kangaroo_care_infants/es/

Organización Panamericana de la Salud. (2010). Método madre canguro: una solución segura y eficaz. Recuperado de https://www.paho.org/hq/index.php?option=com_content&view=article&id=2647:2010-kangaroo-mother-care&Itemid=40275&lang=es

World Health Organization. (2015). WHO recommendations on interventions to improve preterm birth outcomes. www.who.int/reproductivehealth

Published

2021-07-22

How to Cite

Vásquez Mendoza, S. E. ., & Nazareno Segura, M. J. . (2021). Effects of Early Stimulation Using the Mother Kangaroo Method in the Premature at Delfina Torres de Concha Hospital del Sur in Esmeraldas, Ecuador. Revista Científica Hallazgos21, 6(2), 148–157. https://doi.org/10.69890/hallazgos21.v6i2.518

Issue

Section

Artículos Originales