Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Kangaroo mother care practices for low birthweight newborns in a district hospital in Indonesia

  • Choirunisa, Septyana (Faculty of Public Health, Universitas Indonesia, Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia) ;
  • Adisasmita, Asri (Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia) ;
  • Izati, Yulia Nur (Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia) ;
  • Pratomo, Hadi (Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Indonesia, Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia) ;
  • Iriani, Dewi (Koja District Hospital, North Jakarta, Special Capital Region of Jakarta Province)
  • Received : 2021.07.23
  • Accepted : 2021.10.05
  • Published : 2021.10.31
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Abstract

Purpose: Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital. Methods: Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted. Results: This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC. Conclusion: Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.

Keywords

Acknowledgement

We would like to thank all parties involved in this study: the enumerators/data collection team, Koja District Hospital (management, all pediatricians, nursing staffs, and midwives), the North Jakarta City Administration Health Sub-office, the DKI Jakarta Provincial Health Office, and the team of experts (including Dr. Ekawaty Lutfia Haksari, Prof. Yeni Rustina, Dr. Risa Etika, Dr. Nani Dharmasetiawani, the late Prof. Rulina Suradi, and the late Dr. Uut Uhudiyah) from major teaching hospitals, Indonesian Pediatric Society-Neonatology Working Group, and the Indonesian Society of Perinatology.

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