Uppsala, Sweden
VII International Workshop on Kangaroo
Mother Care
The purpose of the Workshop is to
advance the implementation of KMC in Europe and
promote the interchange of information and ideas between
professionals on various
aspects of the KMC method.
October 8th
Oral Presentations
Abstract/Conclusions/Summary
SWEDISH LEGACIES AND MECHANISMS RELEVANT
TO KANGAROO MOTHER CARE (KMC) Gene
Cranston Anderson, RN, Professor
Proffesor Anderson quotes some studies aiming to
justify the hypothesis that intermittent hard crying
postbirth interferes with PFOanatomical closure and
appropriately programmed stress responsivity.
College of Nursing, University of
Florida, Gainesville
Summary
MORBI-MORTALITY OF THE LOW BIRTH WEIGHT
INFANT (LBWI) AND KANGAROO
MOTHER CARE: THE COLOMBIAN
EXPERIENCE
Nathalie Charpak, MD PhD
Kangaroo Foundation, Bogota,
Colombia.
Summary
Evaluation of the efficacy and safety of KMC as
applied in Colombia through scientific research: KMC
for the stable infant.
Evaluation of the performance of a KMC Program in
terms of selected health outcomes achieved and
compliance with evidence-based processes.
Close monitoring of compliance with evidence-based
procedures, and frequent feed back may partially
explain the success of the program.
…
October 8th
Oral Presentations
Abstract/Conclusions/Summary
KANGAROO MOTHER CARE (KMC)
IMPLEMENTATION IN NIGERIA: THE STORY SO FAR
Ochiawunma Ibe, MD, Senior Manager Orphans and
Vulnerable Children USAID Nigeria
Key Recommendations:
1. Training of health care professionals at all levels
provides an impetus for KMC to be fully
implemented once introduced in any setting.
2. Adequate policy guidance will facilitate
implementation.
3. Initiation and sustenance of a pilot centre for
training and demonstration purposes is required
Maitama Abuja, FCT Nigeria
Summary
GROWTH AND DEVELOPMENT IN KMC-NICU
GRADUATES Rekha H Udani, MD, Professor, Head
Neonatology; Ashish Satpathy, Ruchi N Nanavati
Seth G S Medical College & KEM Hospital, D Y Patil
Medical college & Hospital, Navi
Mumbai, India
Summary
Global experience & randomized control trials have
shown the benefits of Kangaroo Mother Care (KMC)
& it can be applied everywhere including peripheral
community hospitals. The evidence related to growth
& development in KMC recipient is limited and so the
present prospective cohort follow up study was
undertaken.
Conclusions: Kangaroo Mother Care promotes
appropriate growth and development and promotes
breastfeeding in NICU Graduates ≤1800g.
…
October 8th
Oral Presentations
Abstract/Conclusions/Summary
VALIDATION OF A PREDICTION RULE FOR
IDENTIFYING PRETERM INFANTS UNDER
KANGAROO MOTHER CARE (KMC) WHO NEED
SUPLEMENTATION OF BREASTFEEDING
Juan Gabriel Ruiz-Peláez, MD, MMedSci1, Natalie
Charpak MD2 Gloria Sánchez MD MSc (Cand)2
1Departments of Clinical Epidemiology & Biostatistics
and Pediatrics, School of Medicine, Pontificia
Universidad Javeriana, and 2
Fundación Canguro,Bogotá,
Colombia.
Exclusive breastfeeding for premature infants is a
controversial and very important issue particularly in
developing countries, where supplementing or
fortifying breast milk implies manipulation of breast
milk, with increased risk of microbiological
contamination; besides, delivering fortifiers for breast
milk is seldom affordable and practical. Our findings
constitute a way of rationalizing the use of preterm
Formula, as the almost only available resource for
supplementation of direct breast feeding in
ambulatory patients in many developing
countries. After local validation at each interested
place, the prediction rule can be useful in
implementing this type of feeding policies, in similar
settings.
EFFECT OF KANGAROO POSITION ON PAIN IN
PRETERM NEONATES
Suman Rao, MD, Associate Professor of Neonatology
Dept. of Pediatrics, St. John’s Medical College
Hospital, Bangalore
Summary
Preterm neonates undergo many invasive procedures
without benefit of analgesia. Preventing or minimizing
pain is of paramount importance.
Subjects and Interventions: Stable preterm neonates
were enrolled in the study after written parental
informed consent. During Kangaroo care, the Prectl
and Beintema behavioral state, the maximum heart
rate and the minimum saturations in the 15 sec prior
to heel lancing were noted. The neonates were
subjected to heel lancing for routine random glucose
monitoring while in kangaroo care after half an hour.
Summary
October 8th
Oral Presentations
Abstract/Conclusions/Summary
WHO KMC GUIDELINES Jelka Zupan, MD.
Intervention about the need to reformulate and update
the WHO KMC Guidelines.
EVALUATION OF CONTINUOUS KMC IN A HIGH TECH
NICU Ylva Thernström Blomqvist, RN, PhD Student,
Kerstin Hedberg Nyqvist, RN, Associate
Professor of Pediatric Nursing
Despite the evidence of positive effects of KMC, and
the fact that Swedish parents are guaranteed
temporary parental benefit when the newborn infant is
sick and/or born preterm, KMC is still underused in
Sweden. One possible explanation for this is a belief
among hospital staff that mothers in Sweden would
not accept this model of carebut the study shows,
mothers accepted KMC model very well, on the
condition that they were given the help and support
they wanted. This study and existing evidence support
the view that parents’ chest should be considered the
optimal place for provision of infant care, and that
care routines at neonatal units should be changed
accordingly
Neonatal unit 95 F, University Hospital, Uppsala, and
Dept. of Women’s and Children’s Health,
Uppsala University, Uppsala, Sweden
Summary
Thursday October 9th
Oral Presentations
Abstract/Conclusions/Summary
BIRTH SKIN TO SKIN CARE: HOW MUCH IS
ENOUGH? Salahuddin Ahmed, MD Johns Hopkins
University, Based in Bangladesh, Dept. of
International Health, Baluchar Bangladesh
We adapted KMC for community-based birth KMC
(CKMC) in rural Bangladesh where home birth, low
birth weight and newborn mortality (NMR) are high.
As Anderson et al (2003) found, Skin-to-Skin is
implemented less than recommended.
Frequency and duration of birth STS may be sufficient
to impart survival benefits, while others find
constancy critical to thermal regulation. Additional
review is still needed.
Summary
MONITORING TIMING, DURATION AND QUALITY OF
EARLY SKIN-TO-SKIN CONTACT IN THE HOSPITAL
SETTING Laura N. Haiek1, Lydia Rochealeau2 1,2
Direction de santé publique de la Montérégie,1Institut
national de santé publique du Québec, 1Department
of Family Medicine, McGill University
Summary
In order to adequately support hospitals in
implementing skin-to-skin contact (SSC) after
delivery, Québec’s Montérégie regional public health
authority has monitored this best practice in its 9
maternity units. In conclusion, Monitoring data helps
individual hospitals revise practices to comply with
SCC recommendations. It also allows health
authorities to follow the evolution of SCC
implementation in response to regional and local
actions.
Thursday October 9th
Oral Presentations
Abstract/Conclusions/Summary
KANGAROO CARE (SKIN CONTACT) REDUCES
CRYING RESPONSE TO PAIN IN PRETERM INFANTS
Raouth R. Kostandy1, Susan M. Ludington-Hoe2 1
College of Nursing, University of Akron, Akron, Ohio;
2 Bolton School of Nursing, Case Western Reserve
University, Cleveland, Ohio
Summary
Crying commonly occurs in response to heel stick and
adversely affects the infant’s physiologic stability.
Kangaroo Care (KC) reduces pain and may reduce
crying in response to pain. The purpose of the pilot
was to test KC’s effect on the preterm infant’s audible
and inaudible crying during heel-stick.
Because Kangaroo Care reduced crying in response
to heel stick in medically stable preterm infants, a
definitive study is next needed prior to making
recommendations
EXTREMELY PREMATURE INFANTS’ REACTIONS TO
SKIN-TO-SKIN CONTACT Ragnhild Maastrup, RN
Knowledge Centre for Breastfeeding Infants with
Special Needs, Rigshospitale, Copenhagen, Denmark
The benefits of skin-to-skin contact (sts-contact) for
extremely premature infants (<28 weeks gestational
age) are not as well supported as for other premature
infants. This ongoing study will try to add more
evidence to the subject. There are no results yet.
Summary
Thursday October 9th
Oral Presentations
Abstract/Conclusions/Summary
EARLIER IS BETTER? : RANDOMIZED CONTROLLED
TRIAL (RCT) OF KANGAROO MOTHER CARE (KMC) IN
MADAGASCAR S. Nagai1,2, D. Andrianarimanana2, N.
Rabesabdratana2, R. Mori1,3,
N. Yonemoto3, A. Ramarijaona2, M. E. Razafanomezanjanahary2, T.Nakayama1 Kyoto University,
To examine effectiveness of KMC start as soon as
possible within 24 hours after birth for the LBW
infants and their mothers. To date there are 54
children included in the study with a predicted 100
total by October, 2008, which will provide more
conclusive results. The conclusions will be
presentable upon the inclusion of up to 100
participants as outlined in the results.
School of Public Health, Department of Health
Informatics, Japan 1, University hospital of
Mahajanga, Madagascar 2, Osaka Medical Center and
Research Institute for Maternaland Child Health,
Japan 3.
Summary
IMPLEMENTING BIRTH KANGAROO CARE FOR FULLTERM INFANTS: A TRANSLATIONAL RESEARCH
PROJECT IN THE U.S. Barbara Morrison, PhD, CNM,
FNP; Susan Ludington-Hoe, PhD, CNM, FAAN Case
Western Reserve University, Cleveland, Ohio, Frances
Payne Bolton School of Nursing, Cleveland, Ohio, USA
Summary
In 1991, the WHO launched the Baby-Friendly Hospital
Initiative and in 1997 Baby-Friendly USA was formed
to assist hospital in becoming baby friendly. But
hospitals in the U.S. have been slow to become babyfriendly, only 56 hospitals in 2007. Maternity nurses
(labor and delivery, postpartum, nursery and home
care nurses and lactation consultants) are leading the
change in birth practices so routine care includes
skin-to-skin contact starting immediately after birth.
But there is much resistance and many barriers to
changing practice. Initial results of the
implementation process including staff and patient
satisfaction and breastfeeding outcomes over the first
month will be presented.
Friday October 10th
Oral Presentations
Abstract/Conclusions/Summary
EVALUATION OF KANGAROO MOTHER CARE IN
MALAWI Anne-Marie Bergh1, Reuben Ligowe2, Evelyn
Zimba2, Elise van Rooyen1, Joy Lawn3, George
Chiundu2 1 MRC Unit for Maternal and Infant Health
Kangaroo mother care (KMC) was introduced in
Malawi in 1999 and has since been extended to a
number of hospitals. A retrospective assessment of
KMC was conducted with a view to making
recommendations for scaling up KMC to all district
hospitals. There are high levels of awareness of the
benefits of KMC in Malawi and strong support from
Ministry of Health level. It is possible to design and
implement a scale-up programme for Malawi to
involve all district hospitals. Close monitoring of
practices and quality is advised.
KMC IN THE COMMUNITIES OF KANCHANPUR
DISTRICT OF NEPAL Neena Khadka1, Meena
Sharma2, Chandra Rai3, Judith Moore4 Save the
In Nepal, around 20% of babies are low birth weight
(LBW) and 80% percent are born at home making it
necessary to explore the feasibility of initiating KMC
at this level. Female Community Health Volunteers
(FCHVs) were trained to weigh, identify and support
families to practice KMC at home. KMC was
acceptable and feasible at the household level with
over 50% mothers of LBW babies practicing KMC.
FCHVs scored over 80% when assessed in 5 key KMC
skills. The major challenge was peripheral health
facilities readiness to LBW referred to them.
Care Strategies and University of Pretoria; 2 Save the
Children Malawi Country Office; 3 Save the
Children/Saving Newborn Lives
Summary
Children US 1, Save the Children US 2, Save the
Children US 3. JHPIEGO
Summary
Friday October 10th
Oral Presentations
Abstract/Conclusions/Summary
KANGAROO MOTHER CARE IN LOW BIRTH WEIGHT
BABIES – SAFETY, FEASIBILITY AND ACCEPTABILITY
Maria UP (Sr. Lias), Suman Rao PN, Swarnarekha Bhat
To compare the physiological parameters (heart rate,
respiratory rate and temperature ) during KMC and
conventional care in LBW babies KMC had a
beneficial effect in temperature regulation in LBW
infants, especially in larger babies cared for in the
postnatal ward with the mother. It is very feasible and
safe to practice KMC. Mothers gained confidence in
handling and taking care of the babies at home.
PROVIDING COMMUNITY-BASED KMC:
RECOMMENDATIONS FROM A RECENT
CONSULTATIVE MEETING Stephen Wall and Joseph
de Graft Johnson Save the Children’s ACCESS &
Kangaroo Mother Care is an effective intervention for
managing low birth weight (LBW) newborns in
facilities, but less is known regarding the feasibility
and effectiveness of community-based Kangaroo
Mother Care (c-KMC). A recent consultative meeting
produced recommendations for programs to move
forward to include c-KMC. Providing c-KME in
programs through integration with ENC requires local
understanding of optimal methods, and carefully
designed monitoring/evaluation of use and
effectiveness. Formative research, integration with
ENC, linkages with the health system for referral, and
robust monitoring and evaluation are all essential
elements.
Division of Neonatology, Dept. of Pediatrics, St.
John’s Medical College Hospital, Koramangala,
Bangalore, India
Summary
Saving Newborn Lives (US)
Summary
Friday October 10th
Oral Presentations
Abstract/Conclusions/Summary
INTERACTION ANALYSIS AND VIDEO
ETHNOGRAPHY TO IMPLEMENTIMMEDIATE
UNINTERRUPTED SKIN-TO-SKIN: A CASE STUDY
Brimdyr Kajsa 1, Cadwell Karin 1, Widström AnnMarie 2 , Svensson Kristin 2, Azza Abul-Fadl 3, Abla el
Alfy 3, Cynthia Turner-Maffei 1. The Healty Children
Project, Inc., 2 Karolinska Institute, 3 The Egyptian
Lactation Consultant Association and the Centre of
Social & Preventive Medicine in Cairo University.
Summary
In their quest to revitalize the updated BFHI, Egyptian
Maternal and Child Health Departments of the
Ministry of Health and the Organization of Teaching
Hospitals sought the technical assistance of the
Healthy Children Project (USA) and research
midwives from Karolinska Institut (Sweden) to
encourage the implementation of skin-to-skin care in
the immediate postpartum period. The presenters will
describe a case study in which interaction analysis
and video ethnography were used to drive practice
change in urban and rural hospitals in Egypt.
MATERNAL RELAXATION DURING SKIN-TO-SKIN
CONTACT (KMC) Sheau-Huey Chiu 1, Gene Cranston
Anderson1
KMC has many benefits, including reduced infant
crying and improved breastfeeding. Mothers often say
they feel relaxed, a phenomenon observed by
researchers and clinicians but not yet documented.
Importantly, relaxation reduces sympathetic activity
and stress. Data collection is underway to complete
analyses by September. If successful, this protocol
will be used to study healthy infants, vulnerable
populations (e.g., depressed mothers, preterms,
minorities), dyadic synchrony/asynchrony in latency,
and effects of various environments.
College of Nursing, University of Florida, Gainesville 1
Summary
4 Groups worked during the Workshop
* Group 1: KMC in the neonatal intensive care
environment. KMC in the intermediate neonatal care
environment
* Group 2: KMC in low income settings and in the
community (maternal and newborn health
strategies) Psycho-social aspects of KMC, infants’
family and social network; KMC at home: with
whom, where and when. KMC in the maternity unit
* Group 3: Education and training in KMC
* Group 4: KMC monitoring and quality evaluation
Friday October 11th
Presentations of the reports of the 4 working groups
Group 1
KMC in the neonatal intensive care environment. KMC in the intermediate neonatal care environment
Report
Group 2
KMC in low income settings and in the community (maternal and newborn health strategies)
Psycho-social aspects of KMC, infants’ family and social network; KMC at home: with whom, where and
when. KMC in the maternity unit
Report 1
Report 2
Group 3
Education and training in KMC
Report 1
KMC universality
List of participants
Group 4
KMC monitoring and quality evaluation
Moderators: Nils Bergman y Juan Gabriel Ruiz
Secretary: Carolina Melcher
Uwe Ewald
Veronique Prevost
Laura Haiek
Maria Angel
Gene Anderson
Report
Poster Presentations
Poster Presentations
P 1. EFFECT ON VITAL SIGNS OF PREMATURE
NEWBORNS IN MECHANICAL VENTILATION, IN
KANGAROO MOTHER CARE
Vívian M.G.O Azevedo Sofia Feldman Hospital 1,
Federal University of Minas Gerais 2, Brazil
Summary
P 2. LESSONS LEARNED FROM THE INTRODUCTION
AND EXPANSION OF KANGAROO MOTHER CARE
SERVICES IN SELECTED DEVELOPING COUNTRIES
Joseph de Graft-Johnson1,2, Steve Wall1, Pat Daly1,
Winifred Mwebesa1 and Kate Kerber1 1 Save the
Children Federation; 2 ACCESS Program
Summary
P 3. HOW TO MOTIVATE FAMILY TO CONTINUE
KANGAROO MOTHER CARE (KMC) AT HOME IN
MADAGASCAR
D. Andrianarimanana1, S. Nagai1,2, N.
Rabesandratana1, R. Mori2,3,
N. Yonemoto3, A. Ramarijaona1, M. E. Razafanomezanjanahary1, T.Nakayama2
University hospital of Mahajanga, Madagascar 1,
Kyoto University, School of Public Health, Japan
2, Osaka Medical Center and Research Institute for
Maternal and Child Health, Japan 3.
Summary
P 4. TRAINING IN KANGAROO MOTHER CARE –
IDEAL AND REALITY
Anne-Marie Bergh, Elise van Rooyen, Karen Davy
MRC Unit for Maternal and Infant Health Care
Strategies, Faculty of Health Sciences, University of
Pretoria, South Africa
Summary
P 5. KANGAROO CARE (SKIN CONTACT) REDUCES
CRYING RESPONSE TO PAIN IN PRETERM INFANTS
Raouth R. Kostandy1, Susan M. Ludington-Hoe2
1 College of Nursing, University of Akron, Akron,
Ohio; 2 Bolton School of Nursing, Case Western
Reserve University, Cleveland, Ohio
Summary
P 6. AMBULATORY MANAGEMENT AND OUTCOMES
AT ONE YEAR OF 2092 PRETERM/LBW INFANTS
DISCHARGED HOME WHILE RECEIVING OXYGEN.
THE EXPERIENCE OF THE KANGAROO
FOUNDATION IN BOGOTA, 2003-2008
Maria Isabel Angel, RN1, Nathalie Charpak, MD1,2 on
behalf of the KMCP research group 1. Kangaroo
Foundation, Bogota, Colombia. 2. Integral Kangaroo
Mother Care Program, San Ignacio teaching hospital,
Javeriana University, Bogota, Colombia
Summary
Poster Presentations
P 7. ESTABLISHING A CENTER OF EXCELLENCE
FOR KMC IN RWANDA: MUHIMA DISTRICT
HOSPITAL
Baribwira C1, Aissatou Lo A. 2, de Graft – Johnson J
2 , Mwebesa W2 , Mac Dowell J 2 Kigali Teaching
Hospital/Belgium Technical Cooperation, Rwanda1,
ACCESS2
P 10. A COMPARISON OF NURSE AND MOTHER
ATTITUDES REGARDING MATERNAL SKIN-TO-SKIN
CARE AS A PAIN RELIEVING STRATEGY DURING
HEEL LANCE FOR PRETERM NEONATES
Campbell-Yeo, Marsha1, Johnston, Celeste 2, Filion,
Francoise2, McNaughton, Kate2 IWK Health Centre
Halifax, Nova Scotia1, McGill University Montreal,
Quebec2 CANADA
P 8. PHYSICAL, NEUROLOGICAL AND COGNITIVE
DEVELOPMENT OF PRETERM INFANTS AT 5 YEARS
OLD
Martha Cristo, MSc , Psychologist, 1,2 & Zita
Figueroa MD, Pediatrician1,2 1 Kangaroo Mother
Care Program, Hospital San Ignacio, Bogotá,
Colombia 2Kangaroo Foundation, Bogotá
Summary
Summary
Summary
P 9. SKIN TO SKIN CONTACT REDUCES
POSTPARTUM DEPRESSION AND
INCREASES MATERAL SENSITIVITY DURING
FEEDING
Ann E. Bigelow1, Michelle Power1, Marion Alex1,
Janis MacLellan-Peters1, Judith Cormier1,Penny
Fuller2, Terry Penny2, Magdy Fouad3, Ann Marie
Murdock3, Doris Gillis1, Claudette McDonald4, Kim
MacLean1, Clare Fawcett1, Sherry Bowman1
St. Francis Xavier University, Antigonish, Nova
Scotia, Canada 1, St. Martha’s Regional Hospital,
Antigonish, Nova Scotia, Canada 2, Aberdeen
Regional Hospital, New Glasgow, Nova Scotia,
Canada 3, Colchester East Hants Health Authority,
Truro, Nova Scotia, Canada 4.
Summary
P 11. OXYGEN DEPENDENT INFANTS: SAVED AT
THE NEONATAL UNIT, FORGOTTEN AFTER
DISCHARGE. THE PARADOX OF ACCESS TO
TECHNOLOGY IN RESOURCE CONSTRAINED
SETTINGS
Nathalie Charpak, MD1 and Juan G Ruiz, MD
MMedSci1,2 1Research group, Kangaroo Foundation,
Bogota, DC, Colombia 2Clinical Epidemiology,
Universidad Javeriana, Bogota, DC, Colombia
Summary
P 12. CLINICAL COURSE AND PROGNOSIS AT ONE
YEAR OF 827 COLOMBIAN INFANTS BORNED
BEFORE 31 WEEKS AND DISCHARGED HOME IN
KANGAROO POSITION.
Nathalie Charpak, MD 1,2, Maria Isabel Angel RN1 on
behalf of the KMCP research group1Kangaroo
Foundation, Bogota, Colombia2Integral Kangaroo
Mother Care Program, San Ignacio teaching hospital,
Javeriana University,Bogota, Colombia.
Summary
Poster Presentations
P 13. Massage therapy during the NICU period: A
pilot study Vo Thi Thanh Tra1, Laurie Dubois2, Luong
Kim Chi3, Réjean Tessier4
1 -Tu Du Hospital, Ho Chi Minh City, Vietnam; 2School of psychology ,Université Laval,
Québec,Canada, ; 3- Tu Du Hospital, Ho Chi Minh
City, Vietnam; 4- School of psychology, Université
Laval, Québec, Canada
Summary
P 14. MOTHERS’ RESPONSE ON KANGAROO
MOTHER CARE (KMC): AN ASSESSMENT IN
ESTABLISHING KMC PROGRAM IN INDONESIA
Bernie Endyarni, Rosalina Roeslani,
Soedjatmiko, Rinawati Rohsiswatmo Department of
Child Health, Faculty of Medicine, University of
Indonesia – Cipto MangunkusumoHospital, Jakarta,
Indonesia
Summary
P 15. PROMOTING KANGAROO CARE –
INTERVENTION USED AT LEVEL 3 NICU Aino
Ezeonodo RN, CEN (Certified Emergency Nurse),
CPN (Certified Pediatric Nurse), CNICN (Certified
Neonatal Intensive Care Nurse), MHC (Master of
Health Care), PäiviLuukkainen MD, PhD, Pediatrician,
Neonatologist Helsinki University Central Hospital
(HUCH), Children’s Hospital, Dept for Neonatology,
Neonatal Intensive Care Unit, K7
Summary
P 16. SKIN-TO-SKIN CONTACT FOR PAINFUL
PROCEDURES: THE EXPERIENCE OF MOTHERS OF
PRETERM INFANTS
Ananda Fernandes1, Elvira Santos1, Céleste
Johnston2
Coimbra College of Nursing Coimbra College of
Nursing, Coimbra, Portugal 2McGill University
Summary
P 17. PHYSICAL, NEUROLOGICAL AND COGNITIVE
DEVELOPMENT OF PRETERM INFANTS AT 5 YEARS
OLDMartha Cristo, MSc , Psychologist, 1,2 & Zita
Figueroa MD, Pediatrician1,2
Kangaroo Mother Care Program, Hospital San
Ignacio, Bogotá, Colombia. 2Kangaroo Foundation,
Bogotá
Summary
P 18. STAKES OF A PILOT CENTER FOR THE
DIFFUSION OF THE KANGAROO MOTHER CARE
METHOD IN AFRICA: THE CASE OF THE
LAQUINTINIE HOSPITAL IN DOUALA (CAMEROON)
Odette N. Guifo, MD1 ; Beatrice Moudze-Kaptué, MD2
; Kevine - Laure Nkaghere, MD3
1: Paediatrician, Chief of Paediatric Department,
Kangaroo Mother Care Unit, HLD, Email;
2: Pediatrician, kangaroo mother care Unit HLD,
3: General practitioner, Kangaroo Mother Care Unit,
Laquintinie Hospital of Douala
Summary
Poster Presentations
P 19. KANGAROO MOTHER CARE (KMC) IN LBW
INFANTS: A WESTERN RAJASTHAN EXPERIENCE
Mukesh Gupta (1), Rakesh Jora (2), Chandra K
Singhal (3) 1. Prof. Pediatrics 2. Ass. Prof. Pediatrics
3. Prof. & Head Obs. & Gyn. Medical College, Jodhpur
(Rajasthan). India
Summary
P 20. KANGAROO MOTHER CARE FOR PAIN IN
PRETERM NEONATES: RESULTS OF THREE
STUDIES
Céleste Johnston, RN PhD, Professor
School of Nursing, McGill University, Montreal,
Canada
Summary
P 21. ACADEMIC DETAILING TO ENHANCE
BREASTFEEDING COUNSELLING AND BABYFRIENDLY COMPLIANCE IN A LOCAL SERVICES
NETWORK IN QUEBEC
Stéphane Groulx, Laura N. Haiek, Céline Lafrenière,
Christian Viens
1,2 Direction de santé publique de la Montérégie,
1Institut national de santé publique du Québec,
1Department of Family Medicine, McGill University,
Québec, Canada
Summary
P 22. THE EFFECT OF KANGAROO MOTHER CARE
(KMC) ON BREASTFEEDING AT THE TIME OF NICU
DISCHARGE.
M. Heidarzadeh1, MB. Hosseini2, M Ershadmanesh3,
M Gholamitabar4 Neonatal health office, ministry of
health, Iran 1, Department of Pediatrics, Tabriz
Medical Science University, Tabriz, Iran 2, Neonatal
research center, Tabriz Medical Science University,
Iran 3, Department of midwifery, Tabriz midwifery
center, Tabriz, Iran 4
Summary
P 23. KMC IN THE COMMUNITIES OF KANCHANPUR
DISTRICT OF NEPAL
Neena Khadka1, Meena Sharma2, Chandra Rai3,
Judith Moore4 Save the Children US 1, Save the
Children US 2, Save the Children US 3. JHPIEGO
Summary
P 24. KANGAROO FEEDING AND NUTRITION
Roshanak, Vakilian-Health adviser, Midwife, Master
science, Bibi Malihe Nazarie, Public health expert, Dr.
Soheila Khazaei, MD, Professor, Super specialist of
pediatric infectious
diseases, Medical assistant professor, Health
adviser Iran Ministry of health, Teheran, Iran
Summary
Poster Presentations
P 25. DESCRIPTIVE ANALYSIS OF THE PROGRAM
KANGAROO IN THE MATERNITY CONCEPTION
PALACES (2002-2007) CARACAS, VENEZUELA
Eunice Lample1, Maria E Torres1, Freddy Bello
Department Neonatology, 2 Department Obstetrics,
P 29. THE “SOFT” EXPERIENCE: FROM ACONYM TO
ACCOMPLSHMENTS
Carol Lopez Melcher, RNC, CLE, MPH, Clinical
P 27. INFORMATION TO PARENTS ABOUT SKIN-TOSKIN CONTACT IN THE NICU
Ragnhild Maastrup, RN Knowledge Centre for
Breastfeeding Infants with Special Needs,
Rigshospitalet, Copenhagen, Denmark
Summary
P 30. BEST PRACTICE GUIDELINES FOR MOTHERINFANT ATTACHMENT IN THE
HOSPITAL
Carol Lopez Melcher, RNC, CLE, MPH, Clinical
Maternity Conception Palaces, Caracas, Venezuela
Summary
P 28. KNOWLEDGE CENTRE FOR BREASTFEEDING
INFANTS WITH SPECIAL
NEEDS, RIGSHOSPITALET, DENMARK
Ragnhild Maastrup, RN
Knowledge Centre for Breastfeeding Infants with
Special Needs, Rigshospitalet, Copenhagen,
Denmark
Summary
Director Perinatal Services Network of Loma Linda
University Children’s Hospital, Loma Linda,
California, USA
Summary
Director Perinatal Services Network of Loma Linda
University Children’s Hospital, Loma Linda,
California, USA
Summary
P 31. KANGAROO CARE AND THE FULLTERM DYAD:
EVOLUTIONARY CARE & THE NEURO-ENDOCRINE
CONNECTION
Barbara Morrison, PhD, RN, FNP, CNM, Assistant
Professor of Nursing Case Western Reserve
University, Frances Payne Bolton School of Nursing,
Cleveland, Ohio, USA
Summary
Poster Presentations
P 32. SKIN TO SKIN IN FULLTERM NEWBORNS: AN
ITALIAN EXPERIENCE
P. Sarni, MD, A. Pessi, S. Laghi, P. Zucchinetti
Neonatal Medicine Unit, St.Charles Hospital, Genoa,
Italy
Summary
P 33. A CRITICAL ASSESSMENT OF THE KANGAROO
MOTHER CARE UNIT’S ACTIVITY IN THE
LAQUINTINIE HOSPITAL (HLD) IN DOUALA
(CAMEROON)
Beatrice Moudze-Kaptué, MD1; Odette N. Guifo, MD2 ;
Edwige Ndap, MD3 ; Mireille Happi Fossi, MD4 ; Olive
Etogo, NP5 ; Angelique Tchagou, NP6 ; Bertine Wakia,
NP7 1: Paediatrician, kangaroo mother care Unit HLD,
2: Paediatrician, Chief of the Paediatric Department,
Kangaroo Mother Care Unit, HLD, 3, 4, 5, 6, 7:
(Kangaroo Mother Care Unit, Laquintinie Hospital of
Douala)
Summary
P 34. CLINICAL PRACTICE GUIDELINES
DEVELOPMENT FOR KANGAROO CARE IN JAPAN –
JAPANESE CONSENSUS UPON AVAILABLE
EVIDENCE –Kangaroo Care Guideline Working Group
Yoriko Nishizawa1, Shuko Nagai1, Shigeru Ohki2,
Rintaro Mori1, Kenji Shirai2, Shinichi Watabe3 Osaka
Medical Center and Research Institute for Maternal
and Child Health, Japan 1, SeireiHamamatsu General
Hospital 2, Kurashiki Central Hospital 3.
Summary
P 35. PSYCHOAFFECTIVE EXPERIENCE OF
PREMATURITY AND KANGAROO MOTHER CARE: A
CONTEXTUAL STUDY IN THE LAQUINTINIE HOSPITAL
OF DOUALA (CAMEROON).
Erero F. Njiengwé PhD1; Odette N. Guifo MD2 ; Hilaire
Ngoumela3; Medical and Paramedical staff of the
Premature Unit
Summary
P 36. EVALUATION OF THE KANGAROO MOTHER
CARE (KMC) STUDY TOUR FOR INDONESIAN HEALTH
PROFESSIONALS TO SOUTH AFRICA
Hadi Pratomo1, Ella N. Hadi2, and Berni Endyarti3
1Professor of the Faculty of Public Health, the
University of Indonesia and Health Service Program
(HSP)/USAID Consultant; 2) Department of Health
Promotion, Faculty of Public Health, the University of
Indonesia; 3The Indonesian Pediatric Society (IDAI)
and also Chairperson of the Participants of the Study
Tour
Summary
P 37. EVALUATION OF A 2 DAY KANGAROO MOTHER
CARE (KMC) TRAINING BY THE INDONESIAN
PERINATAL SOCIETY (PERINASIA) Hadi Pratomo1,
Uud Uhudiah2, and Hesti Tobing3
1Professor of the Faculty of Public Health, the
University of Indonesia, Chairman of the Board of
Planning Program, Perinasia, 1) Vice-Chairperson for
KMC Training Team, Perinasia; 3Research
Staff of Perinasia
Summary
Poster Presentations
P 38. THE OBSTACLES TO IMPLEMENT CONTINUOUS
KANGAROO MOTHER CARE (KMC) AT HOSPITAL IN
MADAGASCAR
N. Rabesandratana1 , S. Nagai1,2, D.
Andrianarimanana1, R. Mori2,3, N. Yonemoto3, A.
Ramarijaona1, M. E. Raza-fanomezanjanahary1,
T.Nakayama2 University hospital of Mahajanga,
Madagascar 1, Kyoto University, School of Public
Health, Japan 2, Osaka Medical Center and Research
Institute for Maternal and Child Health, Japan
Summary
P 39. KANGAROO BABY IN TROTRO AN-KODITRA
PROGRAM
Yvonne Ranaivoson, G. Ramahandridona, A. Sambany
CHU Befelatanana Maternity, Antananarivo,
Madagascar
Summary
P 40. KANGAROO MOTHER CARE FOR LOW BIRTH
WEIGHT INFANTS: A RANDOMIZED- CONTROLLED
TRIAL
Suman Rao P N MD, Associate Professor of
Neonatology, Rekha Udani MD: Professor &
HOD, Ruchi Nanavati MD, Associate Professor
St. John’s Medical College & Hospital, Bangalore; Seth
GS Medical College & KEM Hospital, Mumbai; D Y Patil
Medical College & Hospital, Navi Mumbai, India
Summary
P 41. THE IMPLEMENTATION OF CONTINUOUS
KANGAROO MOTHER CARE (KMC) AT THE NATIONAL
TOP REFERRAL HOSPITAL (RSCM) IN JAKARTA
Yeni Rustina, BN, MAppSc., PhD¹, Rosalina D
Roeslani2 , Nining Caswini3, Mimin Mintarsih4
Faculty of Nursing, the University of
Indonesia/Perinatology Division, Depok Campus, West
Java, and dr Cipto Mangunkusumo Hospital (RSCM),
Jakarta; ²,3Perinatology Division, dr Cipto
Mangunkusumo Hospital (RSCM), Jakarta; Department
of Obstetric and Gynecology, dr Cipto Mangunkusumo
Hospital (RSCM)
Summary
P 42. EVIDENCE-BASED GUIDELINES FOR THE USE
OF THE KANGAROO MOTHER CARE (KMC) METHOD
IN STABLE LBW INFANTS IN COLOMBIA.
Juan G Ruiz, MD MMedSci, Professor1,2 and Nathalie
Charpak, MD2. 1Clinical Epidemiology, Universidad
Javeriana, Bogota, DC, Colombia and 2Research
group, Kangaroo Foundation, Bogota, DC, Colombia
Summary
P 43. COMMUNITY KANGAROO MOTHER CARE: THE
WAY FORWARD
Nancy L. Sloan,1 Salahuddin Ahmed2
1 Dept. oc Community Medicine, Mount Sinai School of
Medicine, New York; 2 John Hopkins University, Dhaka;
Summary
Poster Presentations
P 45. EVALUATION OF KANGAROO MOTHER CARE
DURATION AND ITS OUTCOME
Rekha H Udani, Aloke V.R., Ruchi N Nanavati
Seth G S Medical College & KEM Hospital, Mumbai,
India D Y Patil Medical college & Hospital, Navi
Mumbai, India
Summary
P 46. KANGAROO MOTHER CARE AND GROWTH IN
HIGH RISK LOW BIRTH WEIGHT BABIES
Rekha H Udani, Aloke V.R., Ruchi N Nanavati
Seth G S Medical College & KEM Hospital, Mumbai
,India D Y Patil Medical college & Hospital, Navi
Mumbai, India
Summary
P 47. AN INTRODUCTION TO TRAINING MANUAL ON
KANGAROO MOTHER CARE
Rekha H. Udani, Ruchi N. Nanavati, Suman Rao,
Naveen Bajaj, Tushar Parikh, Dharmesh
Shah, Shrinivas Chinta. Seth G S Medical College &
KEM Hospital, Mumbai, India; D Y Patil Medical college
& Hospital, Navi Mumbai, India
Summary
P 48. ANALGESIC EFFECT OF SKIN - TO - SKIN
CONTACT IN KANGAROO
POSITION IN PRETERM NEWBORNS
Kiran Kumar BV, Rekha H. Udani Seth G S Medical
College & KEM Hospital, Mumbai, India
D Y Patil Medical college & Hospital, Navi Mumbai,
India
Summary
P 49. EFFECT OF EXPRESSED BREAST MILK AND
SKIN TO SKIN CONTACT IN KANGAROO POSITION
ON PAIN RELATED BEHAVIOR IN PRETERM INFANTS
DURING HEEL LANCING
Kiran Kumar BV, RH Udani
Seth G S Medical College & KEM Hospital, Mumbai,
India D Y Patil Medical college & Hospital, Navi
Mumbai, India
Summary
P 50. KANGAROO MOTHER CARE INITIATIVE IN INDIA
YEAR 2005, WHERE ARE WE?
Rekha H Udani. Ruchi N Nanavali., Ashish Satpathy,
Tushar Parikh, Suman Rao Department of
Neonatology, KEM Hospital and Seth G. S. Medical
College, Mumbai – 400012, INDIA
Summary
Poster Presentations
P 51. INNOVATION – K.E.M. KANGAROO BAG FOR
KANGAROO MOTHER CARE
Rekha H. Udani , Ruchi N. Nanavati,A V Mauskar,
Suman Rao,T Kulkarni Department of Neonatology ,
Seth GS Medical College & KEM Hospital , Mumbai,
India
Summary
P 52. EVALUATION OF KANGAROO MOTHER CARE
(KMC) TRAINING IN METROPOLITAN OF JAKARTA,
INDONESIA
Uut Uhudiah1, Hadi Pratomo2 and Ely Sawitri3 Uut
Uhudiah1, Hadi Pratomo2 and Ely Sawitri3 1) ViceChairman for KMC Training Team, Perinasia (The
Indonesian Society for Perinatology); 2Professor of
the Faculty of Public Health, University of Indonesia,
Chairman of the Board of Planning Program,
Perinasia, 3Research Staff of Perinasia Jakarta,
Indonesia
Summary
P 53. THE UNDERSTANDING AND PERCEPTIONS OF
MOTHERS PRACTICING KANGAROO MOTHER CARE
AT KALAFONG HOSPITAL
Elise van Rooyen1, Anne-Marie Bergh2, Rachel
Mkhondo3 Kalafong hospital, Department of
Paediatrics1, University of Pretoria, The Medical
Research Council Unit for Maternal and Infant Health
Care Strategies2 3, South Africa
Summary
P 54. AN ONGOING AUDIT OF KANGAROO MOTHER
CARE AT KALAFONG HOSPITAL
Elise van Rooyen1, RC Pattinson2 Kalafong Hospital,
Department of Paediatrics1, University of Pretoria,
The MRC Unit for Maternal and Infant Health Care
Strategies2, South Africa
Summary