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South African Journal of Child Health

versão On-line ISSN 1999-7671
versão impressa ISSN 1994-3032

Resumo

BENGUMA, W; KHAN, N  e  MCKERROW, N H. The outcome of newborns admitted to kangaroo mother care units at regional hospitals in KwaZulu-Natal, South Africa. S. Afr. j. child health [online]. 2021, vol.15, n.2, pp.83-88. ISSN 1999-7671.  http://dx.doi.org/10.7196/sajch.2021.v15.i1.1739.

BACKGROUND: Kangaroo mother care (KMC) is a common modality of care for low birthweight and preterm newborns, with good long-term outcomes at low cost. However, little is known about the short-term outcomes of babies during their stay in a KMC unit.OBJECTIVE: To describe the profile and outcome of newborn babies admitted to KMC unitsMETHOD: A retrospective chart review was undertaken of babies admitted to the KMC units of two Durban hospitals over a two-year period. All babies with birthweights below 2 000 g admitted to the KMC units for the first time during this period were included. Poor outcome was defined as a death in the KMC unit or need for readmission to the neonatal nurseryRESULT: Two hundred and twenty-four newborns were included in the study. The median maternal age was 25 years. The newborns had a median gestational age of 32 weeks, median birthweight of 1 500 g, median KMC unit admission weight of 1 600 g, and median age on admission to the KMC units of 9.5 days. Twenty-six percent of babies had a poor outcome, including seven deaths. Significant factors associated with a poor outcome included a birth or admission weight to KMC units below 1 500 g, HIV-negative mothers; and abnormal temperature or blood glucose levelsCONCLUSION: Seventy-four percent of babies admitted to KMC were discharged home after an uneventful stay. Poor outcomes were associated with a birth or KMC admission weight below 1 500 g and an abnormal temperature or blood glucose level while admitted to the KMC unit

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