Impact of Kangaroo Mother Care Plus Massage Therapy on Growth of Preterm Low Birth Weight Infants at Discharge

Study Overview
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Brief Summary
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Kangaroo mother care plus massage therapy will lead to improved growth of preterm low birth weight infants at discharge.

Detailed Description
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Primary phase of the transition from the fetal to post-natal period is the most important, vulnerable and stressful phase in human life. Hence, care methods that facilitate better adaptation of neonates with early post¬natal environment have an important role in growth of newborns. Attachment is a unique relationship between the parents and their infants that begins during pregnancy when fetus grows in uterus and continues to the postnatal period with the relationship of mother and baby. This reciprocal parent-infant relationship is an essential element of the attachment process that helps relaxation of both mother and the infant. Kangaroo mother care has facilitated infant growth and decreased morbidities and hospital stay. Adding massage therapy may potentiate the kangaroo mother care benefits and better growth in preterm low birth weight infants admitted in neonatal intensive care unit. However, there is a very few published studies from Bangladesh regarding this. The objective of this study is to evaluate whether kangaroo mother care plus massage therapy is associated with better growth of preterm low birth weight infants. This study will be conducted in the department of Neonatology in Bangabandhu Sheikh Mujib Medical University over a period of eighteen months. After detailed history taking and thorough general and systemic examination the newborn will enter in to intervention or control group after taking informed written consent. Randomization will be done by random allocation software (version 2.0 developed by Mahmood Saghaei, Iran). Patient will be enrolled according to the inclusion and exclusion criteria. Thereafter control group will receive standard kangaroo mother care and intervention group will get massage therapy along with kangaroo mother care, up to discharge both group will be meticulously monitored by the investigator. Data will be collected by structured questionnaire and analysis will be done by The Statistical Package for Social Sciences (SPSS), version 25.

Official Title
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Impact of Kangaroo Mother Care Plus Massage Therapy on Growth of Preterm Low Birth Weight Infants at Discharge

Conditions
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Weight Gain

Intervention / Treatment
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* Behavioral: KMC with Massage therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1. Gestational age <34 weeks. or 2. Neonates weighing less than 2000 gm. With any one of the following Hemodynamically stable. Preterm neonate with up to 2 L/min O2 support by nasal canula or prong. Exclusion Criteria: Inclusion Criteria: Gestational age <34 weeks. or Neonates weighing less than 2000 gm. With any one of the following Hemodynamically stable. Preterm neonate with up to 2 L/min O2 support by nasal canula or prong. Exclusion Criteria: Hemodynamically unstable critically ill neonates. Newborn with severe perinatal asphyxia and seizure Newborn requiring exchange transfusion. Newborn with major congenital and chromosomal abnormalities. Newborn with sepsis, IVH, shock, necrotizing enterocolitis. Newborn with major surgical illness.

Ages Eligible for Study
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Minimum Age: 1 Hour
Maximum Age: 28 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized controlled trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: KMC with Massage therapy<br>Preterm low birth weight babies who will get KMC will also receive massage therapy | Behavioral: KMC with Massage therapy<br>* investigator will provide tactile and kinesthetic massage<br>|
| No Intervention: KMC only<br>Preterm low birth weight babies who will get KMC only | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight in grams | Pattern of weight gain in grams using KINLEE EBST-20 weighing scale. | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| OFC in centimeter | pattern of head growth using measuring tape | 18 months |