KMC vs conventional newborn care – characteristics of included studies
S. no | Author, Year | Country | Stabilisation status | Intervention group | Control group | Age at initiation of KMC (days) | KMC duration (hours per day*) | Last follow-up | Schema for follow-up |
1. | Ali et al 10 | India | Stable | KMC in facility | Conventional warmer or cots | 4.7 | 6.3±1.5 (range 4 to 12) | 6 months corrected age | Weekly until 40 weeks’ postmenstrual age, fortnightly until 3 months corrected age, and monthly until 6 months corrected age |
2. | Alisjahbana et al 11 | Indonesia | Stable | KMC in community | Conventional home care | – | – | 4 weeks after discharge | Weekly for 4 weeks after discharge |
3. | Archarya et al 9 | Nepal | Stable | KMC in facility | Conventional warmer or cots | – | 6 | In-hospital | Not reported |
4. | Bier et al 12 | USA | Stable | KMC in facility | Conventional clothed | 29 | – | 6 months after hospital discharge | At 1, 3, and 6 months after hospital discharge |
5. | Boo et al 13 | Malaysia | Stable | KMC in facility | Conventional NICU | 25 | 1 | In-hospital | Not reported |
6. | Cattaneo et a 14 | Ethiopia | Stable | KMC in facility | Conventional open cribs, incubator or warmer | 10 | 20 | 30 days postnatal age | Four times: at 3, 10, 20, and 30 days, and as usually scheduled at each hospital afterwards |
7. | Charpak et al 15 | Columbia | Stable | KMC in facility | Conventional incubator | 4 | 24 | 1 year and 20 years for a subset of enrolled subjected | At least once a week until 40 weeks’postmenstrual age; then monthly up to 3 months' corrected age, every 6 weeks until at least 6 months' corrected age, and every third month until 12 months' corrected age |
8. | Bhavana et al 16 | India | Stable | KMC in facility | Conventional warmer or cots | – | 13–14 | Until 2.5 kg weight | After discharge, babies were followed-up twice a week for the first week and weekly until babies reached 2.5 kg |
9. | Pratiwi et al 17 | Indonesia | Stable | KMC in facility | Conventional warmer or cots | 1 | 10.0±1.8 | In-hospital | – |
10. | Gathwala et al 18 | India | Stable | KMC in facility | Conventional warmer or cots | 1.7 | 10.2±1.5 | 3 months of age | Weekly until 3 months of age |
11. | Ghavane et al 19 | India | Stable | KMC in facility | Conventional warmer or cots | 14 | 8 | 40 weeks postmenstrual age | Weekly until 40 weeks' postmenstrual age |
12. | Hake-Brooks et al 20 | USA | Stable | KMC in facility | Conventional warmer or cots | 1 | – | Follow-up done telephonically at 6 weeks and 3 months and by an interview in the clinic at 6, 12, and 18 months | |
13. | Kadam et al 21 | India | Stable | KMC in facility | Conventional warmer or cots | 3.2 | 9.8±3.7 | In-hospital | – |
14. | Kumbhojkar et al 22 | India | Stable | KMC in facility | Conventional warmer or cots | 3 | 11.5 | 40 weeks’ PMA or weight of 2500 g | Weekly until 40 weeks' postmenstrual age in preterm infants, or until a weight of 2500 g was reached |
15. | Mazumder et al 4 | India | Stable | KMC in community | Conventional home care | 32.7 hours | 11.5 vs 0.2 | 28 days postnatal age and 1 year follow-up | Mothers and infants in the intervention group were visited at home (days 1–3, 5, 7, 10, 14, 21, and 28) to support kangaroo mother care |
16. | Md Mahbubul et al
23 | Bangladesh | Stable | KMC in facility | Conventional warmer or cots | 1.8 | – | In-hospital | Outcome measures ended before hospital discharge |
17. | Mwendwa 2012 | Kenya | Stable | KMC in facility | Conventional warmer or cots | 10 | 8 | In-hospital | None. Only in-hospital outcomes reported |
18. | Neu and Robinson26 | USA | Stable | KMC in facility | Conventional | 15 | 1 | 6 months of age | Twice a week for 2 weeks, followed by weekly visits for 6 months |
19. | Nimbalkar et al 27 | India | Stable | KMC in facility | Conventional | Immediate | 17.0±0.3 | In-hospital | – |
20. | Ramanathan et al 282001 | India | Stable | KMC in facility | Conventional warmer or cots | 11.8 | 4 | In-hospital | – |
21. | Roberts et al 29 | Australia | Stable | KMC in facility | Conventional clothed | 31 | 1.6±0.9 | 6 months of age | At 6 weeks after discharge or at 3 months of age, whichever was later, and at 6 months |
22. | Rojas et al 30 | USA | Stable | KMC in facility | Conventional incubator | 19 | 1.3±0.7 | In-hospital | – |
23. | Sloan et al 31 | Ecuador | Stable | KMC in facility | Conventional incubator or crib | 13 | – | 6 months of age | At 1, 1.5, 2, 3, 4, 5, and 6 months of age |
24. | Suman et al 32 | India | Stable | KMC in facility | Conventional warmer or cots | 3.7 | 13.5 | 40 weeks post menstrual age or until weight of 2500 g | Weekly until 40 weeks' postmenstrual age in preterm infants, or until a weight of 2500 g in term SGA infants |
25. | Wang et al 33 | China | Stable | KMC in facility | Conventional | 2.5 | 6 months corrected age | Follow-up appointments in outpatient setting at 40 weeks, 3 months, and 6 months CA | |
26. | Whitelaw et al 34 | UK | Stable | KMC in facility | Conventional incubator or crib | 16 | 0.6 (0 to 1.5) | 12 months of age | At 6, 9, and 12 months of age |
27. | Worku et al 35 | Ethiopia | Unstable | KMC in facility | Conventional incubator or crib | 10 | Continuous | Until hospital discharge | – |
*mean (± SD) duration of KMC in KMC group
CA, corrected age; KMC, Kangaroo mother care; NICU, give details; SGA, small for gesational age.