Evolution of Kangaroo Mother Care (KMC) from Conventional Cuddling Care (CCC)

During pregnancy, babies are absolutely attached to their mothers, by the way they can be—getting warm, food, protection, and oxygen from their mother’s body. Whenever possible, mothers and babies should be in direct contact for at least the first 1–2 hours after birth.

In the earlier years, it was difficult to treat low birth weight (LBW) infants because they lacked NICU technologies and related treatments that would keep those infants alive. During the 1970s, medical researchers began to study the benefits of skin-to-skin contact between the newborn & mother and also for the effective method to do the same by adopting conventional cuddling care concept (CCC), which was a simple and low cost method of newborn care. The basic Kangaroo Mother Care (KMC) program started in the year 1979 – (Dr Rey and Martinez) in Bogota, Colombia.

To compare kangaroo mother care (KMC) and conventional cuddling care (CCC) in premature and other infants; 30 mother-infants were assigned to the KMC and the CCC group. Both groups of mothers cuddled their babies for a minimum of two hours a day, five days a week while in the study, with the KMC group having skin-to-skin contact while the CCC group had contact through normal clothing. Infants in both groups experienced equivalent rise in temperature while out of the incubators, equal weight gain, equal period of stay in the hospital, and equal breastfeeding duration. The main outcome from KMC/CCC were infant weight gain, temperature maintenance during KMC and CCC, and length of hospital stay.

At the First International Workshop, Trieste, Italy, in 1996, analysed 30 different terms used, agreed to use KMC (Kangaroo Mother Care) as standard term to define the programme of skin-to-skin contact, breastfeeding and etc. Researches are still continue worldwide with many organization and companies; we proudly say that IBIS medical (India) also being the part of renovating the CCC, KMC concepts. The study after study has shown a lots of key benefits for babies who experience skin-to-skin care (kangaroo mother care’) with their mothers. When babies are held naked against their mother’s skin, it is the closest they can get to being back in the warmth and security of the womb. It is importance of doing skin-to-skin contact with baby right after birth and delivery to all newborns, Let join hands with IBIS to increase the application of KMC worldwide with more professional touch.
Advertisements

List of Diseases & Challenges, (LBW) Preterm Babies Might Face Generally.

Staying Warm (hypothermia): Preterm babies lose body heat frequently, it putting them the risk of “hypothermia”. They need extra energy and care to stay warm and grow. In premature infants, hypothermia increases morbidity and mortality. Hypothermia may be purely environmental or represent intercurrent illness (eg, sepsis). Maintaining an appropriate environmental temperature in the delivery room or operating room is critical in preventing hypothermia. Hypothermic infants should be rewarmed and any underlying condition must be diagnosed and treated. IBIS developed an advanced “Infant Radiant Warmers” for (I CORE 10 series) most effective Infant Thermal Management.

Infant jaundice: Excess bilirubin (hyperbilirubinemia) is the main cause of jaundice in LBW babies. Other Conditions that can cause Infant jaundice are a liver malfunction, incompatibility of blood group, other viral or bacterial infections, lack of breastfeeding, dehydration etc. The best preventive of infant jaundice is adequate feeding. Breast-fed infants should have eight to 12 feedings a day for the first several days of life. Key treatment option to severe neonatal jaundice is by light rays that is LED Phototherapy. IBIS Medical provides high-end equipments as such (I-Rex Series and Duo).

Eyes: Preterm babies’ eyes are not ready for the outside world. They can be damaged by abnormal growth of blood vessels in the retina. The condition is usually more severe in very premature babies and if they are given too-high a level of oxygen. This can result in visual impairment or blindness. Also, we want to care baby’s eyes during the phototherapy process. For this, IBIS Medical provides Neonatal Eye Protectors which are made with ultra-soft cotton material attached to elastic for adjusting the circumference and steady positioning. This eye protectors act as infant sunglasses and offer extra eye protection for babies during phototherapy treatment.

Feeding: Feeding a newborn is a round-the-clock commitment. It’s also a chance to start forming a connection with the newest member of your family. Preterm babies can have trouble feeding because the coordinated suck and swallow reflex is not yet fully developed. They may need additional support for feeding. If you’re having trouble with breastfeeding, ask your baby’s doctor for help.

Breathing: Many preterm babies start breathing on their own when they are born, but others need to be resuscitated. If the lungs are not fully developed and lack surfactant (a substance that helps keep the lungs expanded), preterm babies may have difficulty breathing. Sometimes, premature babies that start off breathing are not strong enough to continue on their own. They exhaust themselves and may stop breathing (apnoea).

Infections: Severe infections are more common among preterm babies. Their immune systems are not yet fully developed, and they have a higher risk of dying if they get an infection.If your baby has an infection, you may notice some the following signs:

  • Slow heart rate
  • Difficulty tolerating feedings
  • Lack of alertness
  • Inability to maintain body temperature
Brain: Preterm babies are at risk of bleeding in the brain, during birth and in the first few days after birth; about 1 in 5 babies weighing less than 2kg have this problem. Preterm babies can also have brain injuries from a lack of oxygen. Bleeding or lack of oxygen to the brain can result in result in cerebral palsy, developmental delays and learning difficulties.

Source: WHO (World Health Organization) Online

 

The UNICEF report says Kerala is backward in breastfeeding for Infants

UNICEF report says that Kerala is still reluctant to breastfeed younger infants in the first hour. Mothers who breastfeed within an hour of birth are only 64%. However, the relief that this figure is higher than the national average of 41.5%.

According to the UNICEF reports, the mortality rate of newborn babies in Kerala making steady progress in the right direction, whereas in breastfeeding there is an unstable situation in Kerala and gives a low breastfeeding rate. Breastfeeding rate in Kerala was 14.2% in 1992-93 and in 1998 – 99 is 4.9%, 55.4%  in 2005 – 06 from there it becomes 64.3% .

According to the report, Sri Lanka has been first in breastfeeding. Nearly 90 percent of the babies are taking breast-milk for the first hour. Whereas India stands on the 56th position from the census.

 

 

The study suggests that breastfeeding within an hour of birth can reduce the percentage of newborn mortality rate to some extent.UNICEF Head, Dr. Yasmin Ali said that this information is provided by UNICEF and the World Health Organization on the basis of lack of reluctance in breastfeeding.

Improving breastfeeding habits have helped to reduce the infant mortality rate in Kerala. Jaundice often will resolve itself with the increase inadequate amount of breast-milk.

However, Jaundice is more common in breastfed babies. Definitely, neonatal jaundice is an extreme condition. But with the improvisation of technology and the medical advancements, it can be removed by its root through a form of treatment called LED phototherapy. Breastfeeding jaundice is caused when the baby does not get enough milk. Jaundice is a condition where it occurs in newborn babies within 2-3 days of birth. so, these conditions could be avoided only by breastfeeding. For more details on neonatal jaundice, give a read on the latest advancements regarding the diagnosis, treatment, and cure of the prominent health issue of neonatal jaundice at http://ibismedical.net/

Credits : Manorama Online

LED Phototherapy- The Most Favorable Solution for Neonatal Jaundice

Neonatal jaundice is a condition where the newborn is diagnosed with an extremely high level of bilirubin, resulting in the yellow pigmentation of the red blood cells. This might create an adverse effect on the liver. These varying levels of bilirubin can be measured using LED phototherapy and be quickly dispensed. There are mainly four major types of neonatal jaundice- physiological jaundice, pathological jaundice, breast milk jaundice and hemolytic jaundice.

The best way to diagnose and cure neonatal jaundice is through LED phototherapy. It is a treatment method where in high resolute bili lights are passed through the neonate’s body in a much intact manner. The rays produced from the phototherapy machines help in the quicker breakdown of excess bilirubin content in the baby’s body. It is said to be one of the most preferred treatment for neonates due to the availability of the phototherapy devices at a very low rate. Also, this process consumes very less amount of energy and at the same time, provides the most effective remedy with no side effects.

led phototherapy unit

The procedure of phototherapy takes up at least 5 to 7 days to be completed. It primarily involves the focusing of LED rays directly on the baby rather than pouring it in a dismantled manner. The major advantages of this kind of treatment are that it reduces the risk in relation to neonatal diseases like hemolysis, acidosis, asphyxia and hypoalbuminemia; all of these causing the lessening of the birth weight of the child.  As a part of the treatment, the baby is exposed to high resolution LED rays that breaks down and spreads the bilirubin content to its body as well as adequate sunlight. During the process, the eyes of the baby are covered in order to prevent any sorts of discomforts or mishaps.

IBIS has come up with the best available phototherapy machines at the most affordable rates. Since we prioritize in retaining the neonate’s health condition, we assure the quickest retention of the baby’s health with the best medical equipments. Ultimately, our aim is to provide the neonates with the best; in the form of our products and services.

You can continue read about IBIS High Performance, premium LED Phototherapy units (I-Rex series) here.

An extra step towards Neonatal Care

NICU or the Neonatal Intensive Care Units are those units that provide the newborn babies an atmosphere for their physical adjustments after the time of their birth. It helps them adjust their physical temperature with that of the outside atmosphere. It also ensures that the newborn attains and maintains the same health conditions after being delivered. Another major advantage of these kinds of units is that they avoid any kind of health hazards to the neonatal after the immediate birth.

What the preferred methods of neonatal care?

A wide variety of neonatal care products are made availed for the neonatal that are safe to use and ensure complete health of the child. These products look into the basic and specialized needs of the newborn with the basic procedures to use. They provide a complete package to the neonatal with equipments which are user friendly. One of the most user friendly technologies developed by them is the ECMO.

What is an ECMO?

ECMO is nothing but Extra Corporeal Membrane Oxygenation. In simpler terms, it works as an artificial heart and helps in providing blood pressure support. When compared to the cardiopulmonary support devices, ECMO is long lasting to use. They are connected as small tubes which are passed on to the heart through a small incision. Once the device is connected, it primarily drains the blood out of the baby’s body and pumps oxygenated blood back into their body.

 

 

ECMO monitoring methods

The ECMO process can be easily monitored using monitors that help in the quick registration of the child’s condition. This can be perfectly done with the help of the newly developed monitors that make a timely registration of the child’s health. There are normally three levels of monitoring followed in neonatology.

These include:

Cardiac monitors: these help in monitoring the heart beat of the new born and adjusting its rhythm and pace

Pulse oximeters: These are devices that are wrapped around the baby’s wrists and foot in order to measure the passing levels of oxygen.

Respiratory monitors: These are devices that use connectors to measure the baby’s breathing which ensure that the newborn experiences no such discomforts in breathing.

There are even some latest developments with regard to IVs which are no more a technical term to the people. Some of these are:

Peripheral IV lines: These are the IV lines that are visible at the periphery and are used for the circulation of medicines into the baby’s body. These are in fact the safest way of usage of IVs for premature babies.

PICC lines: Are actually a bit longer than the regular IVs and are safer to use. Insertion of PICC lines is one of the first things that are done after the baby is admitted in the NICU.

Umbilical catheters: This is another kind of device that is connected through an artery in the umbilical cord where, a vein or a tube can be used for medical administration, blood pressure monitoring, painless blood sampling, and other procedures.

There are also an additional variety of neonatal equipments such as:

Feeding tubes: A feeding tube is a tube that connects the nose or mouth of the newborn directly with its stomach. This function is made much simpler to those babies who are weak enough to receive the nutrition content from nose or mouth.

Incubators: Incubators is a very common device to the adults. It helps provide artificial warmth, thus maintain the body temperature.

Phototherapy: Pre matured babies are most likely to face diseases like jaundice. Phototherapy is a kind of procedure procured by transmitting more amounts of bili lights (lights filled that help break bilirubin that causes jaundice).

Best Preemie Clothes for newborns

Child care begins with hygienic, safe and child friendly clothes. However these clothes have to be worn only under certain conditions. After the child undergoes its systematic checkup of retaining its physical health after birth, the child would now be in need of warm clothes to wear. Thus, there needs to be a permanent solution to the post birth healthcare.

These come in the most child friendly shapes and sizes and are comfortable wears to the new born. These baby care products range from a wide variety of wind shielding hats, easily usable diaper covers and sleep wears for the babies especially when in crib. These help the babies stay warm, maintain and regulate the body temperature at a periodical basis. The parents too, find them user friendly as they are made in accordance with all the medical conditions that the child is likely to undergo.

Thus, the preemie clothes available in market ensure the complete health of the child and keep them comfortable under all conditions.

Infantometer Mat – Easy solution for measuring infant length

It is very important to monitor the growth of an infant, commonly height is considered as the best parameter to measure the growth of an infant. A newborn’s height is to be measured regularly as a part of monitoring the growth of an infant. The parents are more concerned about the growth factor of an infant. Generally, it is very difficult to assess the length of newborns than grown-ups. An Innovative tool is engineered for a quick measurement of an infant which is called infantometer mat. Infantometer mat made by IBIS Medical adheres to the WHO standards with precise measurements. This mat has a board and softly rounded sides that can guide the baby easily and safely into the right position. Nowadays, most of the hospitals prefer infantometer mat as an ideal solution for monitoring the length of an infant.

NICU-infanto-1

FEATURES OF INFANTOMETER MAT

  • Helps to measure baby’s length in lying down position.
  • Designed in a perfect manner with flexible PVC material will make sure the long life.
  • Its foldable design helps to store the mat in smaller areas.
  • It is portable too.
  • Fixed headrest.
  • It can adjust to the baby’s foot for quick measurement.
  • Easily disinfected by using normal hospital grade cleaning solutions.
  • Proper lettering pattern for reading.

 

 TECHNICAL SPECIFICATIONS

Material flexible PVC
Measurement inch/cm
Graduations 1mm
Measuring Range 5 – 80cm

The IBIS Medicals is one of the major manufacturers of neonatal products in India. They have a wide range of distribution network across the world. To know more details about the infantometer you can click the below link: – http://www.ibismedical.net/nicu-vitals/infantometer-mat.

IREX BLANKET PHOTOTHERAPY UNIT

IBIS Medicals introduced an Innovative solution for treating jaundice in babies and promoting mother-child bonding simultaneously, by allowing mother side phototherapy. IRex Blanket is an ideal solution when ventilator or incubator patients require phototherapy. An ideal solution to promote ‘kangaroo care’ and parent-infant bonding while in jaundice treatment. Phototherapy blankets from IBIS Medical are designed as a completely portable and maintenance free system.

biliblanket

The phototherapy blanket exerts blue and white light of varying intensity that permeates through a light fabric. This light helps a lot for an infant who is undergoing with jaundice. During the treatment, the baby is placed close to the blanket. So this light helps to break down the higher levels of bilirubin in the blood, which causes discolouration to the blood. The primary advantages of this blanket are it will not emit unwanted wavelength, it can avoid skin rashes and can reduce the weight loss.

PRODUCT FEATURES

  • Fiber optic technology
  • Special Irradiance 35 μ W/ cm2
  • No ultraviolet / No Skin Rashes
  • No infrared – No fluid loss/weight loss/Hyperthermia
  • Total usage timer and patient timer
  • Larger surface area
  • Low power consumption
  • Long life of LED source – 20,000 Hours

TECHNICAL SPECIFICATION

PERFORMANCE SPECIFICATION

  • Light source – High bright Blue LED – For treatment
  • Wavelength – 450 -465 nm (Peak at 458 nm)
  • Spectral Irradiance – 35μ W/ cm2 nm
  • Surface Area- 45 x 25 cm

   ELECTRICAL SPECIFICATION

  • Electrical Input- 220-240V, 50/60 Hz
  • Fuse- 2A, 220-240W, 50/60 Hz

The IBIS Medical is one of the major manufacturers of neonatal products. They have a wide range of distribution network across the world. To know more details about the IREX Blanket phototherapy you can visit the below link: –http://www.ibismedical.net/blanket-phototherapy/IREX-Blanket.