Kangaroo mother care (KMC), sometimes called skin-to-skin care, is a technique of newborn care where babies are kept skin-to-skin with a parent, typically their mother. It is most used for Low Birth-Weight preterm babies. It ensures warmth to preterm/LBW improves breast feeding, prevents infection and it also reduces hospital stay. Participation of your child will help us to assess the compliance to kangaroo mother care which promotes better weight gain, early breast feeding and early discharge. We will divide into two groups in which one will receive "KANGA SURAKSHA" device and other group will receive routine kangaroo mother care. In the study you may be included in any one of the groups. If you are selected in the intervention group you will receive the "KANGA SURAKSHA" device. As a mother you may not practice KMC properly, you may not know when the baby becomes cold, hence in this study the device detects hypothermia, which will alert you to put your baby in skin-to-skin contact. This device monitors whether the baby is in skin-to-skin contact or not, weight of the baby and checks temperature with an alarm. This information will be obtained on phone, which will help us to monitor your compliance to KMC and alert you when required. By practicing KMC for a longer time, we expect that you will be able to practice breastfeeding better and in turn your baby gains better weight. Practicing KMC will also help in early discharge. However, we will be calling you for regular follow ups every week to monitor the weight gain, breastfeeding, and other problems which we do routinely for all the babies in KMC. This monitoring will be done till the baby attains 2.5kgs or 40 weeks. You will be given a dairy to note down the no. breast feeds, mode of feeding, temperature and duration of KMC being practiced. If you are selected in the control group you will be providing conventional KMC care to your baby. You will be manually monitoring temperature and weight gain of your baby as per the instructions of health care providers. Routine monitoring of the babies in both the groups will be done by the health care providers (Doctors and nurses) as a part of NICU care for preterm and Low birth weight babies with KMC. As in the intervention group weekly follow up of the babies in the control group will be done in the KMC clinic. A self-reporting dairy similar to the interventional group would be provided to the mothers, data of which would be collected on scheduled follow ups. |