TY - JOUR
T1 - Effect of community-initiated kangaroo mother care on breastfeeding performance in low birthweight infants
T2 - A randomized clinical trial
AU - Sinha, Bireshwar
AU - Sommerfelt, Halvor
AU - Ashorn, Per
AU - Mazumder, Sarmila
AU - Taneja, Sunita
AU - Bahl, Rajiv
AU - Bhandari, Nita
N1 - Funding Information:
We express our deepest gratitude to Prof. Maharaj Kishan Bhan (deceased January 26, 2020), who was our beloved mentor and played a central role in the conceptualization, design and supervision of the trial. We are grateful to Dr. Nigel Klein, MBBS, PhD, University College London Great Ormond Street Institute of Child Health, United Kingdom for his role as a follow‐up member to the group providing continuous support as a mentor and intellectual inputs. We thank Dr. Jose Martines, PhD, Scientific Coordinator, Centre for Intervention Science in Maternal and Child Health, Bergen, Norway for his support and guidance. We extend our thanks to Medha Shekhar, BA (Hons), and Runa Ghosh, MSc, MPS, Centre for Health Research and Development, Society for Applied Studies, New Delhi who were the study coordinators, and other members of the study team for their efforts. Finally, we are indebted to the mothers and families of the LBW babies for their valuable time and efforts. This work was supported by the DBT/Wellcome India Alliance Fellowship [Grant No. IA/CPHE/19/1/504612] awarded to Bireshwar Sinha and Centre for Intervention Science in Maternal and Child Health (CISMAC; project number 223269), which is funded by the Research Council of Norway through its Centres of Excellence scheme and the University of Bergen (UiB), Norway. The funding organizations had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
Publisher Copyright:
© 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - This individually randomized trial was conducted to estimate the effect of promoting community-initiated kangaroo mother care (ciKMC) in low birthweight (LBW) infants on infant breastfeeding performance. It was designed as a substudy within a larger primary trial on ciKMC and infant survival. Five hundred fifty stable LBW mother-infant dyads (1500−2250 g) who provided consent, were consecutively enroled for breastfeeding performance assessment. The ciKMC intervention included promotion and support of continuous skin-to-skin contact and exclusive breastfeeding (EBF) through home visits during the neonatal period. The primary outcome was effective breastfeeding performance indicated by an infant breastfeeding assessment tool score of ≥10 after the end of the neonatal period. As secondary outcomes, we reported maternal satisfaction related to infant breastfeeding, and EBF after the end of the neonatal period. We completed outcome assessments in 96% of participants. In the ciKMC arm, 92% of the infants showed effective breastfeeding performance against 81% in the control arm [adjusted prevalence ratio (aPR): 1.24, 95% confidence interval (CI): 1.16−1.32]. In the ciKMC arm, 65% of the mothers reported to be very satisfied with their infants' breastfeeding against 51% in the control arm (aPR: 1.22, 95% CI: 1.05−1.41). The proportion of infants practicing EBF was 89% in the ciKMC arm against 45% in the control arm (aPR: 1.62, 95% CI: 1.45−1.81). Our study findings suggest that promotion of ciKMC can improve effective breastfeeding, EBF and maternal satisfaction related to breastfeeding in LBW infants.
AB - This individually randomized trial was conducted to estimate the effect of promoting community-initiated kangaroo mother care (ciKMC) in low birthweight (LBW) infants on infant breastfeeding performance. It was designed as a substudy within a larger primary trial on ciKMC and infant survival. Five hundred fifty stable LBW mother-infant dyads (1500−2250 g) who provided consent, were consecutively enroled for breastfeeding performance assessment. The ciKMC intervention included promotion and support of continuous skin-to-skin contact and exclusive breastfeeding (EBF) through home visits during the neonatal period. The primary outcome was effective breastfeeding performance indicated by an infant breastfeeding assessment tool score of ≥10 after the end of the neonatal period. As secondary outcomes, we reported maternal satisfaction related to infant breastfeeding, and EBF after the end of the neonatal period. We completed outcome assessments in 96% of participants. In the ciKMC arm, 92% of the infants showed effective breastfeeding performance against 81% in the control arm [adjusted prevalence ratio (aPR): 1.24, 95% confidence interval (CI): 1.16−1.32]. In the ciKMC arm, 65% of the mothers reported to be very satisfied with their infants' breastfeeding against 51% in the control arm (aPR: 1.22, 95% CI: 1.05−1.41). The proportion of infants practicing EBF was 89% in the ciKMC arm against 45% in the control arm (aPR: 1.62, 95% CI: 1.45−1.81). Our study findings suggest that promotion of ciKMC can improve effective breastfeeding, EBF and maternal satisfaction related to breastfeeding in LBW infants.
KW - breastfeeding performance
KW - infant
KW - Kangaroo mother care
KW - low birthweight
U2 - 10.1111/mcn.13419
DO - 10.1111/mcn.13419
M3 - Article
AN - SCOPUS:85135622748
SN - 1740-8695
VL - 18
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
IS - 4
M1 - e13419
ER -
