Contents:
- Medical Video: 08 common Interview question and answers - Job Interview Skills
- What is the Kangaroo method?
- How do you do the kangaroo method?
- How can FMD help strengthen the bond between mother and child?
- Can PMK increase mother's milk production?
- Can PMK be performed on infants of sufficient age?
Medical Video: 08 common Interview question and answers - Job Interview Skills
The United Nations (UN) reports that globally there are 15 million babies born prematurely each year. Meanwhile, Indonesia is ranked fifth as the country with the highest number of premature babies in the world. If not handled properly, premature baby growth and development can be very disturbed. The kangaroo method is present as a method of treating premature babies and LBW. The kangaroo method also has many benefits for mother and baby.
Here are all you need to know about the kangaroo method.
What is the Kangaroo method?
The kangaroo treatment (PMK) treatment was first introduced by Rey and Martinez in Bogota, Columbia in 1979. This method adapted the animal behavior of kangaroos to care for their newborn baby. Baby kangaroos are born very prematurely and then will be stored in the stomach pouch of the kangaroo mother to prevent it from experiencing cold, as well as to get milk from his mother.
Kangaroo behavior later became the basis of the kangaroo method, emerging as an alternative treatment for infants with LBW and limited incubator facilities for premature babies. On the other hand, one thing that is lacking in incubator care is the lack of skin contact time between mother and baby.
With the creation of the FMD method, premature babies will spend more time with mother as an "alternative" source of warmth than in an incubator tube. This method then also provides time for mothers and children to establish inner bonds.
How do you do the kangaroo method?
The thing that must be considered in carrying out the kangaroo method is the position of the baby. Place the baby between the mother's breast, so that the mother's and baby's chest meet. Position of a baby close to the mother's breast can stimulate milk production.
The baby's head is turned on one side (right or left) and the head is slightly raised. The goal is to keep the baby's airways open, while also allowing babies and mothers to meet their eyes. The position of the baby's arms and legs should bend like the position of the frog.
Leave the baby naked, using only diapers, socks and hats. This is intended to make the wider skin contact between babies and mothers. The baby is put into the mother's clothes and placed right on the mother's chest so that skin contact occurs between the mother and baby.
The position of the baby is then secured with a cloth or a long cloth so that the baby does not fall when the mother stands. Don't tie the fabric too tightly so the baby still has enough room to breathe. Mother's breathing will stimulate the baby's breathing.
Care for the kangaroo method must be done gradually and continuously. The longer the duration of the kangaroo method, the better for the baby. The kangaroo method that is done less than 60 minutes can make the baby stressed because the changes that the baby feels occur too quickly.
How can FMD help strengthen the bond between mother and child?
Skin contact between the child's mother will trigger the release of the hormone oxytocin in the mother's blood, causing a sensation of calm and drowsiness. Psychologically, this will make the mother more prepared physically and mentally to take care of her baby. The PMK method makes mothers feel more competent and more responsive to their babies, thus increasing breastfeeding in infants compared to mothers who do not do PMK.
Mother's skin has the same temperature as the uterus so that the baby will feel warm and calm when in the mother's chest. This also helps maintain the baby's body temperature so the baby does not feel cold. In this way the baby can adjust to the outside environment more easily.
Moreover, babies can feel the mother's heartbeat and feel the mother's breath when approached through the kangaroo method. This sensation is similar to when he was still in the womb. This certainly makes the baby feel more calm. In addition, this can also make the baby have a more normal heart rate and breath. The comfort and calm that this baby gets makes babies cry less after the first cry at birth.
Can PMK increase mother's milk production?
Mothers with premature babies admitted to the NICU are reported to have increased stress levels. This can inhibit the release of the hormone lactation and inhibit the instinct of the baby to start breastfeeding. Babies may be unwilling to suckle because they "detect" stress and fatigue that their mother feels. As a result, milk production can stop, and babies suckle less often.
PMK prioritizes direct skin contact between mother and baby. Direct contact between the mother's skin and the baby can stimulate the baby's instinct to move towards the mother's breast when she is ready to suckle. The first suction of the baby to suckle then triggers the release of the hormone oxytocin and prolactin in the mother's body so that it stimulates the production of colostrum and the release of breast milk faster.
Prolactin will continue to be in the mother's blood circulation for 30 minutes after the baby's first suction, so that it can continue to stimulate the breast to produce the next milk. Therefore, the more babies suckle, the more milk is produced. Conversely, the less often the baby sucks, the less breast produces milk.
Can PMK be performed on infants of sufficient age?
PMK was originally intended for the treatment of newborns with premature or low birth weight (low birth weight) conditions. However, FMD is also equally beneficial for babies who are born old enough. A term baby (37-42 weeks of gestation) who is placed in the position of the kangguru 1 minute immediately after birth is reported to have a more stable body temperature, good blood sugar levels, and faster to stick to the mother's nipple to start breastfeeding.
