Management of Premature Infants Using the Kangaroo Method versus the Classic Method: Morbidity and Prognosis Associated with in Sendwe General Hospital in Lubumbashi (DR Congo)
2019; Scientific Research Publishing; Volume: 06; Issue: 02 Linguagem: Inglês
10.4236/oalib.1105150
ISSN2333-9721
AutoresJudith Sangwa Sinanduku, Gray Kanteng, Franck Moma, Stanis Wembonyama Okitotsho, Oscar Numbi Luboya,
Tópico(s)Infant Nutrition and Health
ResumoIntroduction: This study aims to compare the benefit of two low low-birth weight newborn management methods, namely the "classic" method using incubators, and the Kangaroo method in a hospital setting; and determine the survival prognosis associated with each of these methods.Methods: We conducted a longitudinal cohort study from 2013 to 2015 at the Jason Sendwe General Hospital in Lubumbashi (DR Congo).A total of 200 cases of low birth weight infants were included, followed by one or the other of the methods evaluated.Results: The average weight at the exit was better under Kangaroo (2191.8 ± 212.1 g versus 2068.6 ± 476.5 g) as well as the average gain in weight per day (52.2 ± 9.5 g versus 31.0 ± 15.1 g).Fewer episodes of hypothermia were noted under Kangaroo, and the duration of stay was shorter (10.2 ± 2.9 days versus 13.0 ± 5.4 days).Logistic regression showed that the Kangaroo method is better for the management of premature infants (p = 0.004, ORa = 4.39 (1.60 -12.04)).Survival is significantly higher under the Kangaroo method (p < 0.001).The median survival under Kangaroo versus classical method was 16 (EIQ: 15 -16) and 10 (EIQ: 9 -10) months, respectively.The incidence of Kangaroo deaths was 0.3 cases per 100 P-J versus 1.9 cases per 100 P-D (P < 0.001) using the conventional method.Conclusion: The Kangaroo method is applicable and offers guarantees of a beneficial management in the newborn with low birth weight.
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