"Management of Kangaroo Mother Program in TU DU Maternity Hospital".

Dr. Chi Luong (Vietnam)

I - Introduction:

The TU-Du OB-GYN hospital consisting of 910 beds with 150 beds for newborns is the most specialized one in treatment of women’s diseases.

The most of cases od abnormal pregnancy and serious phathological sing in the 27 provinces in South Vietnam were transferred to the hospital for treatment.

The anual number of deliveries varies from 15.000 to 32.746 (1997): 90 cases/day.

  1. The number of newborns at the hospital is on the increase:

  1. Preterm and low bith weight infants < 2.500g has been decreasing:

  1. Infants entering the Neonatology Department account for 1/3 of livebirths.

  2. The daeth rate in low bith weight infants tends to decrease:

II - Kangaroo Mother Program

A - Hospital Facilities:

  1. Inpatient Kangaroo room:
  2. Kangaroo Consultation room with:

B – Financial Assistance From:

C – Personnel:

2 Doctors Full time one

One midwife Part – time one

One specialist in physiotherapy

D – Working hours:

From 9 a.m to 12 a.m.

Monday though Friday.

E – Activities of the consultation office:

From 1/6/1997 -> 330/11/1997

Total < 1000 g 1.000 – 1500 gr >1500 – 2000 >2000 – 2200

40 01 15 21 03

 

  1. Kangaroo inpatient: 06 babies
  2. Kangaroo position: intermittent
  3. Kangaroo nutrition:

Exclusive breast- feeding : 3/40 babies: 7.5 %

Nearly exclusive beast feeding : 3/40 babies: 7.5 %

Formula Feeding : 34/40 babies: 85 %

Daily average consultation : 2 – 3 Babies

4. Kangaroo Program Drop – out : 9 babies

5. Re-admited patient : 02 babies

6. Death : None

 

From 1/12/1997 -> 1/10/1998

Total < 1000 gm >1.000 – 1500 gr >1500 – 1800gm >1800 – 2200

113 07 32 55 19

  1. Kangaroo inpatient: 77 %. 88/113

  2. Kangaroo position: 68.8 % Continous 62/90 intermittent 28/90 31.1%
  3. Kangaroo nutrition:
  • Exclusive breast feeding: 40/90 44.4 %
  • Nearly exclusive breast feeding: 21/90 23.3 %
  • Formula feeding: 29/90 32.2 %

4. Kangaroo program drops –out: 20

5. Re-admitted patiend: 7 Babies 11 times

6. Death: 5 Babies

(Congenital heart disease, broncho-neumonia and inhalation: at home).

7. Daily average consultation: 10 Babies.

8. Monthly average entering Kangaroo Mother Program: 10 Babies.

Feeding

Kangaroo group Normal group

Total Babies 90 % 43 %

Exclusive BM 40 44.0 4 9.3

Nearly exclusive BM 21 23.0 10 23.2

Formula Milk 29 32.0 29 67.4

Fields of consultation

  1. Physical:

Weight -- Length -- Head circumference

* 41 Gestational weeks:

  • Average weight: 2920 gm
  • Average length: 48 cm
  • Average head cicunference: 38.7 c

* 3 moths of corrected age:

  • Average weight: 5515 gm
  • Average length: 59.6 cm
  • Average head cicunference: 38.7 cm
  1. General consultation:

    2. Number %

    Respiratory infection

    41 weeks 8/50 16.0

    3 moths 10/50 20.0

    Inguinal hernia 5/50 10.0

    Blind (At 3 Months) 2/50 4.0

    Congenital heart disease 2/50 4.0

  2. Neurology ( Infanib):

    3. 3 Month:

    - Normal 44/50 88 %

    - Transient 6/50 12 %

  3. Inmunizations:

    4. BCG, DPT, Polio, Hepatitis-B, Measles: 100%

  4. The average consultation times:

41 weeks 7 times

3 months 6.2 times

6 months 4.3 times

F. The comment

  1. Advantages:

We have been considerably helped with material and moral by:
  • Kangaroo Mother Program in Santafe de Bogotá
  • The board of director.
  • All personnel from Neonatology department in TU DU hospital
  • Local and foreign charity organizations.
  • Hearted participation of parents and families.
  • An available room for mothers to apply Kangaroo method.
  1. Disadvantanges :
  • Personnel
  • Facilities
  • Knowledge
  • Climate
  • Finantial

III. Conclusion:

Kangaroo Method is a new one to Vietnamese. Besides, there is not enough time and personnel for us to do everything well. Therefore we only apply Kangaroo method for most of the babies under 1800grs and we heven’t had good study with such small sample.