Kangaroo Mother Care to Prevent Hypothermia in Preterm Infants
Condition: Hypothermia, Newborn
MeSH terms: Hypothermia
Study type: Interventional

Summary: 
      The overall hypothesis is that better adherence to Kangaroo Mother Care (KMC) in combination
      with existing WHO thermoregulation care will reduce the incidence of moderate hypothermia
      (32-36 degrees C) or severe hypothermia (<32.0 degrees C) in preterm infants (32-36 6/7 weeks
      of gestational age) when compared with routine WHO thermoregulation alone.
    

Detailed description: 
      The overall hypothesis is that better adherence to Kangaroo Mother Care (KMC) in combination
      with existing World Health Organization (WHO) thermoregulation care (warm delivery rooms,
      immediate drying after birth, KMC whenever possible, early and exclusive breastfeeding,
      postponement of bathing and weighing, appropriate bundling, and use of air incubator, radiant
      warmer, or heat mattress if the neonate develops hypothermia) will reduce the incidence of
      moderate hypothermia (32-36 degrees C) or severe hypothermia (<32.0 degrees C) in preterm
      infants (32-36 6/7 weeks of gestational age) when compared with routine WHO thermoregulation
      alone.
    

Intervention name(s): Continuous Kangaroo Mother Care to 1 hour after birth; Standard Kangaroo Mother Care to 1 hour after birth; Continuous Kangaroo Mother Care to discharge; Standard Kangaroo Mother Care to discharge
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Infants will receive the standard WHO thermoregulation care with encouragement from study personnel to keep infant in Kangaroo Mother Care for as much as possible until 1 hour of birth. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering infant's back. All infants will be resuscitated as usual per Neonatal Resuscitation Program guidelines and hospital standard practices. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), the infant will be removed from KMC and routine bundling practices will be used. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age.; Infants will receive the standard WHO thermoregulation care of Kangaroo Mother Care for as much as possible until 1 hour of birth, without additional encouragement per study personnel. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering the infant's back. All infants will be resuscitated as usual per Neonatal Resuscitation Program guidelines and hospital standard practices. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), the infant will receive standard care which may include removal from KMC and use of routine bundling practices. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age.; Infants will receive the standard WHO thermoregulation care with encouragement from study personnel to keep infant in Kangaroo Mother Care for as much as possible from one hour after birth to discharge. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering the infant's back. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), the infant will be removed from KMC and routine bundling practices will be used. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age and again at discharge or 24 hours whichever occurs first.; Infants will receive the standard WHO thermoregulation care without additional encouragement from study personnel to keep infant in Kangaroo Mother Care for as much as possible from 1 hour after birth to discharge. In KMC, the naked newborn infant with cap and diaper will be placed prone on mom's bare chest with blanket covering the infant's back. The nursing staff will supervise mother-infant when mother is sleeping with infant in KMC. If infant becomes hyperthermic (>38 degrees Celsius), standard treatment will be given which may include removal from KMC and use of routine bundling practices. The infant's temperature will be taken via axillae with a digital thermometer at one hour of age and again at discharge or 24 hours whichever occurs first.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Hypothermia; Newborn; Hyperthermia; Kangaroo mother care