Kangaroo Mother Care Foundation |¢¢Ú¼è² ÜU¢æx¢¢L }¢¢¼ë „æx ... · our news letter from the Kangaroo Mother Care Foundation, India in your hands. This issue carries

K a n g a r o o M ot h e r C a r e F o u n dat i o n

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Volume V | September 2016

JJ }¢¢¼ë±ÿ¢:S‰¢H}¢ì Ý±Á¢¢¼çà¢à¢¢ï: Ÿ¢ïDS‰¢¢Ý}¢ì JJMother’s chest – best place for baby care

KMC Promotional activities by AOP Gujarat

1) aoP gujarat celebrated Breast Feeding Week across gujarat from 1-7 august 2016.Following activities were done:

a) BF kit were prepared and delivered to all 31 branches of gujarat. it also contained KMC cloth and baby doll for demonstration.

b) about 31 workshops involving hundreds of doctors and thousands of paramedical staff, were organized. Local pediatricians delivered talks on KMC and demonstrated it with the help of BF Kit.

c) a dVd was prepared wherein many lady pediatricians delivered talks on various aspects of breast feeding in gujarati. this dVd included a talk on KMC by dr. uma nayak. Such 2000 dVds were distributed during above mentioned workshops.

d) about 8000, 4 color pamphlets were prepared on BF. it described various aspects of KMC. Pamphlets were distributed during the workshops.

2) dr. Swati Popat – president aoP gujarat, delivered a talk on KMC at rajkot at Perinatal workshop organized by FogSi, on 18.09.2016.

the audience included obstetricians and pediatricians of Saurashtra and Kutch

3) KMC training program was organized at mansion 23rd oct. 2016 dr. S,n.Vani, dr. Swati Popat and team iaP gandhinagar conducted the training. about 90 participants including faculty members of nursing schools were trained.

Home base Kangaroo Mother Care

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✻ ✻ NEWSLETTER | Kangaroo Mother Care Foundation

Registration No.: E/21020/Ahmedabad, 23.07.2015PAN Card No. : AACTK6419M

80G No. : AACTK6419M/44/16-170’ -400/80G(5)/ Dated 06.10.2016www.kmcfoundationindia.org

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Kangaroo Mother Care FoundationIndia

Managing Trustee Dr. Shashi N. Vani [email protected]. Secretary Dr. Nikhil M. Kharod [email protected]. Joint secretary Dr. Parag Dagli [email protected]. Joint secretary Dr. Abhishek M. Bansal [email protected] Dr. Viren S. Doshi [email protected] Dr. K.M. Mehariya [email protected]

Mr. Bharat Sarabhai Shah [email protected]. Narendra T. Vani [email protected]. Anuj J. Grover [email protected]. Ravikumar D. Parikh dr_ [email protected]. Jatin Gunvantlal Mistri [email protected]. Ashish Arunbhai Mehta [email protected]. Deepa Alay Banker [email protected]. Somashekhar Nimbalkar [email protected]

National Advisory Board: International Advisory Board:Dr. Vinod K Paul – New Delhi Dr. Nathalie Charpak - Bogota, ColumbiaDr. Simin Irani – Mumbai Dr. Nils Bergman –Cape Town, South AfricaDr. Siddharth Ramji – New Delhi Dr. Susan Ludington-,Cleveland, Ohio, USADr. Rekha Udani - MumbaiDr. Kumutha - ChennaiDr. Swarnarekha Bhat – Bangaluru

2 NEWSLETTER | Kangaroo Mother Care Foundation

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From the heart of the Editors

It is a great pleasure to place this fifth issue of our news letter from the Kangaroo Mother Care Foundation, India in your hands. This issue carries the summary of the latest version of the Cochrane review of June 2016 on the effect of KMC in reducing the morbidity and mortality in Low Birth Weight Infants. There is an encouraging positive verdict. Regarding the effect on neuro development, the review indicates the need for more studies to provide robust evidence.

One important article on advocacy and justification of zero separation of mother and baby by the great champion Dr. Nils Bergman has been downloaded from the learners’ manual of certification training course at USA run by Dr. Susan Ludington and colleagues. They have kindly permitted us to reproduce the same here for the benefit of our esteemed readers.

In the last quarter we had several important activities. On 15th May 2016 we celebrated the International KMC Awareness day for the first time. Dr. Mrs. A.B.Desai, one of the senior most pediatricians from India and Past President of IAP, Retired PG Director and Prof. and HOD of Ped. from B.J. Medical College and Civil Hospital Ahmedabad delivered the presidential address. Dr. N.B.Dholakia, additional director of health from GOGujarat, Dr. Narayan Gaonkar, Health Specialist from UNICEF Gujarat and Dr. Shobha Shah from SEWA Rural Zagadia, a reputed voluntary health care NGO from Gujarat were the other dignitaries present. Many KMC children and family members shared their KMC experiences with the large audience. Certificates of appreciation for good work for the promotion of KMC were distributed to nurses from the SNCUs of Gujarat and volunteer link workers from the various NGOs who participated in the study on Home based KMC carried out by KMCF in 2014-15. The

participants in the program also had glimpse of a small exhibition arranged for the promotion of KMC.

Another important project was the survey of all the forty Special Newborn Care Units (SNCU) of Gujarat for the assessment of status of KMC practices and the scope for further promotion quality improvement of KMC in SNCUs. UNICEF Gujarat conducted the survey with the support of Kangaroo Mother care Foundation, Ministry of Health and family Welfare MNCH division of Government of Gujrat and the Department of Preventive and Social Medicine of P.S. Medical College, Karamsad, Gujarat.

KMCF provided the technical guidance and prepared the survey tool based on Dr. Anne Marie Bergh model and oriented all the faculty members for the survey. KMCF members conducted the assessment of the ten most difficult districts for high priority action. All the senior medical college faculty members participated in this important assessment and also gave their guidance to the units they had visited for further improvement of KMC and care of LBWI. The data has been compiled and analyzed in detail and will be released shortly with suggestions and recommendations for further follow up actions for improving KMC practices in the state. It is encouraging to note that KMC has been integrated in the routine practice of all the SNCUs. The degree varies from place to place. It is worth repeating similar exercise in different states of India

KMCF has prepared a draft manual for home based KMC. Field testing in Gujarat is satisfactory. It has been recently translated in Oriya language and used during their state wide workshops covering all the districts of Odisha. Feedback from the grass root level workers is

NEWSLETTER | Kangaroo Mother Care Foundation 3

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awaited from Odisha.

KMCF provided consultation to state of Telengana for preparing their role out plan for training and also guidelines.

We had a very interesting training program on KMC including home based KMC for the self help group volunteers of a leading NGO Rajiv Gandhi Mahila Vikas Parivartan Pariyojana ( RGMPP) The detailed report appears in this issue.

In Gujarat, we had training program at Mansa and one awareness program at Tribal region of Mangrol. This issue carries details.

Many of our members participated in the state assessment survey and carried out advocacy programs all over Gujarat.

We have a few very important announcements:

KMCF members Dr. Shashi N. Vani, Dr. Deepa Banker and Dr. Somasekhar are participating in the forthcoming 11th International conference of KMC at Trieste, Italy from 14th to 17th November 2016. Dr. Rekha Udani, member of our national advisory group is also attending the conference and the preconference workshop.

Our members are also the lead discussants for India in the session on Enablers and Challenges for KMC promotion in countries with difficulties.

Study papers of Dr. Deepa Banker and Dr. Somsekhar have been included for presentation. Dr. Shashi N. Vani is making a podium presentation on “Promotion of Homebased KMC in India an urgent need of the hour” and also one presentation on role of NGOs in promotion of KMC.

Dr. Gagan Gupta, the chief health specialist from UNICEF India and Dr. Suman Rao, another champion of KMC from Bangalore are amongst the other participants from India in this important International meeting. Incidentally this is the same place where the first International KMC conference was held 20 years ago and Dr. Vani had presented the first study paper on KMC in this meeting in 1996.

Our forthcoming events include many training programs and awareness activities in Gujarat, Rajasthan, Madhya Pradesh and other places.

On 17th November as a part of celebration of International prematurity day, one program is under consideration at Udaipur.

On 8th December 2016 we are conducting a preconference workshop along with Neocon 2016 at Indore along with National Neonatology Forum, India

On 18th and 19th of February 2017 a national program on KMC is planned for NGOs / Voluntary health care organizations for mother and children from all over India at Palanpur, Gujarat,

On 25th and 26th February 2017 the first national conference of KMC will be held at Hydrabad with the support of UNICEF. The details will be announced soon Our website has been launched www.kmcfoundationindia.org

We have got our 80 G certificate for income tax exemption recently.

We are opening our membership for all those who are interested in joining us and help in promotion of KMC in India through different avenues. For details please visit our website.

Hope to meet you soon through the pages of our next newsletter with the reports of International conference, our own first national conference, survey report of Gujarat SNCUs for status of KMC and quality improvement and other news of our activities. Please continue your support and share you’re your experiences and expertise in promotion of KMC in our country. We have a long way to go!

We are very grateful to Dr. Prabhakar P.K., Deputy Commissioner, child health division, Ministry of Health and Family Welfare, Government of India and Dr. Renu Srivastava for all their support and cooperation for our activities for the promotion of KMC in India

Shashi N. Vani Nikhil M. KharodManaging Trustee Hon. Secretary


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Plain Language Summary

Kangaroo mother care to reduce morbidity

and mortality ine low birth weight infants

Review question:

Does Kangaroo Mother Care (KMC) reduce

morbidity and mortality in low birth weight

(LBW ) infants?

Background:

Conventional neonatal care of LBW infants (<

2500 g) is expensive and requires both highly

skilled personnel and permanent logisticl

support. KMC has been proposed as an

alternative to conventional neonatal care of

LBW infants. The major component of KMC

is skin-to-skin contact between mother and

newborn. The other two components of KMC

are frequent and exclusive or nearly exclusive

breastfeeding and attempted early discharge

from hospital.

Study characteristics:

We identified 21 randomized controlled trials

(3042 infants) for inclusion in this review by

searching medical databases in June 2016.

Key results:

Compared with conventional neonatal care,

KMC was found to reduce mortality at discharge

Conde-Agudelo A, Díaz-Rossello JL.Kangaroo mother care to reduce morbidity and mortality in low birth weight infants.

Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD002771.DOI: 10.1002/14651858.CD002771.pub4. www.cochranelibrary.com

or at 40 to 41 weeks’ postmenstrual age and

at latest follow-up, severe infection/sepsis,

nosocomial infection/sepsis, hypothermia,

severe illness, and lower respiratory tract

disease. Moreover, KMC increased weight,

length, and head circumference gain,

breastfeeding at discharge or at 40 to 41 weeks’

postmenstrual age and at one to three months’

follow-up, mother satisfaction with method

of infant care, some measures of maternal-

infant attachment, and home environment.

Researchers noted no differences in

neurodevelopmental and neurosensory

outcomes at 12 months’ corrected age.

Quality of evidence:

Most critical and important outcomes had

moderate-quality evidence.

Conclusions:

KMC is an effective and safe alternative to

conventional neonatal care for LBW infants,

mainly in resource-limited countries.

Kangaroo mother care to reduce morbidity

and mortality in low birth weight infants

(Review)

Copyright © 2016 The Cochrane Collaboration.

Published by John Wiley & Sons, Ltd.


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Quoted with special thanks

From the learners manual for KMC certification courseby Susan M Ludington-Hoe , Ph. D, RN, CNM, FAAN

Kathy Morgan, BSN, RN, NNP , Barbara Morrison, Ph. D, RN, NM,FNP Gene C. Anderson, Ph. D, RN, FAAN

The neuroscience of birth – and the case for Zero SeparationQuotations from paper on

The neuroscience of birth – and the case for Zero Separation byAuthor: Nils J Bergman

Affiliation : Department of Human Biology, University of Cape Town, South AfricaCorrespondance to : Nils Bergman Email : [email protected]

How to cite this Article: Bergman, N.J.2014. The neuroscience of birth- and case for ZeroSeparation

curationis 37(2),Art.#1440, 4 page, http://dx.doi.org/10.1402/curationis.v37i2.1440The Neuroscience of birth – and the case for zero separation

Currently, Western maternal and neonatal care are to a large extent based on routine separation of mother and infant. It is argued that there is no scientific rationale for this practice and a body of new knowledge now exists that makes a case for Zero Separation of mother and newborn. For the infant, the promotion of Zero Separation is based on the need for maternal sensory inputs that regulate the physiology of the newborn. There are harmful effects of dysregulation and subsequent epigenetic changes caused by separation. Skin- to-skin contact is the antithesis to such separation; the mother’s body is the biologically ‘normal’ place of care, supporting better outcomes both for normal healthy babies and for the smallest preterm infants. In the mother, there are needed neural processes that ensure enhanced reproductive fitness, including behavioural changes (e.g. bonding and protection) and improved lactation, which are supported by the practice of Zero Separation. Zero Separation of mother and newborn should thus be maintained at all costs within health services.

IntroductionProblem statement

Until recently, the standard belief about the

newborn brain was that it was extremely

immature at birth. It was believed that

maturation was primarily a genetically

guided process and therefore relatively

impervious to influence by early care at

birth and inevitable adverse experiences. It

was believed that mothers had negligible

influence on their newborns’ brains or bodies

and that the important thing was to ensure

newborn survival. There was a legacy of

high maternal mortality, so childbirth was

regarded as extremely dangerous and

required management by specialists that

ensured survival. In the process, success

became measured largely by survival itself,

not by quality of survival or any other

behavioral or social outcomes. Over the last

100 years, this world view has shaped the

way in which health services are designed

and operated. New ideas that might possibly

undermine the good results that modern care

has achieved are often met with resistance.

Aims:

The above beliefs and ideas about childbirth

are not supported by 21st century

neuroscience or by evidence-based medicine.

This brief scientific report provides a critical

examination of the current gap between latest


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evidence and current practice in newborn

care.

Trends

Early childhood development and policy

makers refer to the ‘first 1000 days’ as the

first two years of life, as well as the 270 days

preceding birth (panter0Brick & Leckman

2013).The human newborn is born with a

relatively small brain, but science has shown

that it is perfectly wired and competent for

early extra-uterine life (Schore 2001a; Winberg

2005). A human will never be as alert as after

a vaginal birth noradrenalin wakes up the

brain and is 10 times higher at birth than ever

again (Lagercrantz & Bistoletti 1977). High

level of noradrenalin activate the lungs and,

more importantly, ensure early bonding with

the mother (Ross & Young 2009). The mother’s

smell (Porter 1998), contact and warmth

‘fire ’a pathway from the baby’s amygdala

to its frontal lobe (Bartocci et al. 2000),

which connects the newborn’s emotional

and social brain circuit (Nelson & Panksepp

1998).Whilst genes have made this possible

(Lagercrantz 1996), the experience of a

mother’s constant and uninterrupted physical

presence make it happen (Hofer 1994). It used

to be asked whether ‘nature or nurture drove

development; more recently it was believed

that it was nature and nature AND niche’–

with niche being the environment – that did

so. The current view is to regard both nurture

and niche as environment; nature’s gene

effects are multiplied in their interaction with

this environment (commonly written GxE)

(Caspi et al. 2010).

The case for Zero Separation

Is the safest place for a newborn

the observation nursery, separated from its mother? The Cochrane review on early skin- to-skin contact (SSC) for healthy newborns and their mothers (Moore et al. 2012) finds strong evidence that SSC produces improved physiological regulation and increases breastfeeding rates. Another Cochrane Review on the Kangaroo Mother Care (KMC) strategy which includes SSC, breastfeeding and early discharge (World Health Organization [WHO] 2003), concludes that KMC lowers mortality (Conde-Agudelo, Belizan & Diaz- Rosselo 2011). Premature babies are, in many hospitals, believed to be unstable, thus holding and touch is discouraged. Findings from a randomized controlled trial published10 years ago indicate, however, that low-birth-


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weight newborns stabilised because they

were not separated from their mothers. In

contrast, preterm babies became increasingly

unstable during their first six hours of life

in optimal incubator care (Bergman, Linley &

Fawcus 2004). Why then do private and public

hospital staff still believe that the mother’s

body is a dangerous place for newborns, when

research demonstrates that premature babies

became unstable because their mothers are

not holding them, that is to say, because of

maternal-infant separation (Bergman et al.

2004)?

A common view of a newborn is that it lies

in its bed, where it either cries or sleeps;

and swaddling is helpful for stopping its

crying. Crying is said to be good, elping to

fill the lungs with air. Modern neuroscience,

however, does not support this view. The

science behind reproductivve biology

is that all of a mother’s body sensations

help control all of the different parts of the

physiology of the baby (Hofer 2005);

this is called regulation. Prolonged maternal

regulation results in healthy physiological set-

points (Hofer 2005); this is called regulation.

Prologned maternal regulation results in

healthy physiological set-points (Hofer 2005),

mediated by epigenetic settings that wire

modbrain neural circuits (Meaney & Szyf

2005). Babies cry because of the absence of

the maternal sensory regulators: they are

expreiencing dysregulation (Christenson et

al. 1995; Hofer 2005). This shuts off the baby’s

growth harmone and switches on cortisol

(Hofer 2005). Cortisol diverts all the calories

and other neurological resources to ensuring

survival, so that homeostasis is re-established,

but at the cost of growth. Such infants

do have ‘stable vital signs’, but the energy

consumed to achieve this homeostasis is not

measured (MCEwen & Seeman 1999). When

the mother provides regulation through her

own body, all of the baby’s energy is available

for development.

In a study of two-day-old healthy babies

sleeping alternatively in cots and in SSC (their

own controls), cot sleeping showed three

times higher autonomic nervous system

(ANS) activation compared with SSC (Morgan,

Horn & Bergman 2011). lt is now known that

more calories are required with higher ANS

activity; this is accompanied by high cortisol

levels. When cortisol is doing the regulating,

less efficient homeostatic set-points are being

programed in the physiology of the baby.

These set-points remain for life (Hochberg et

al. 2011). The most well established effect of

this re-programming is obesity (Stettlet et al.

2005), but hypertension, high cholesterol and

diabetes may, become likely health outcomes

because of such changes (Coe & Lubach

2008). Furthermore, the infant connection

of amygdala to frontal lobe is weakened

(Schore 2001b) and the capacity for trust is

compromised when the infant’s basic needs

are not met (Ross & Young 2009).

The swaddled and separated baby lies still

with its eyes closed and is believed to be

sleeping. A study on autonomic activation

(Morgan et al. 2011), showed that quiet sleep

was reduced by 86% in separated babies and

their sleep cycling was almost abolished.

There were also specific autonomic patterns

in separated babies, which match perfectly

those described as ‘threat responses’ found

in abused children (Perry et al.1995). The first

sign of perceived threat results in vigilance,


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where crying has survival value since the

perceived threat is further away than the

mother. When the perceived threat is closer

than the mother, or if the mother is not

responding, a cry response would however

increase danger, thus a state of freeze follows

(Misslin 2003). This ‘freeze state’ is produced

by intense and total autonomic activation,

with profound avoidance activation on

electro encephalogram (Jones, McFall &

Diego 2004). Such babies lie absolutely still,

absolutely quiet, with eyes firmly closed. This

is believed to be sleep! It is however a state

of high arousal also called ‘fear-terror’ (Perry

et al. 1995) When this state is prolonged,

cortisol may initiate harmful changes that

can affect the individual across its lifespan.

Whilst survival rates are important, it is the

quality of survival that actually matters. This is

specifically true for preterm infants that spend

weeks in separation. It has been shown that

there is a poor quality of survival with respect

to their immunity (Baron et al. 2011; Bird

et al 2010), IQ and scholastic achievement

(Jain 2008; Morse at el. 2009). SSC with Zero

Separation is the biological normal (default)

and is the one intervention above any other

that can improve quality of survival.

The impact of Zero Separation on the mother

Nursing practices also ensure the mother’s

safety, but many procedures and restrictions

have no evidence base. Over recent years,

procedures have been tested methodically

in randomized controlled trials and have

been shown to be unhelpful or even harmful

Examples of such procedures include

shaving, episiotomy, giving birth in lithotomy

position, continuous use of cardio tocograph

and starving during labor (WHO 2014).

Whilst there have been changes, health

professionals still maintain control of the

whole birth experience, the mother is not

allowed this basic right (WHO 2014).

A new mother is often still coerced or

encouraged into thinking that she needs

‘to rest and be alone’ after birth that this is

good for her and that it is safest and best

for her baby to be in the hospital nursery.

Reproductive biology affirms that there are

critical periods that operate in the newborn

(Lee 2003), but equally so in the mother.

The stimulations the newborn provides to

the mother including eye contact, nipple

stimulations and sounds, all work together to

trigger new neural circuits in the mother. One

of these is an oxytocin effect in the anterior

cingulate gyrus (Uunas-Moberg 2003) which

produces -’ferocity of defense of young’ The

window for this effect is only a few hours

(Uvnas-Moberg 2003). Early suckling produces

prolactin which ensures that mammogenesis

is optimal (Uvnvas-Moberg et al. 1990); the

window for this is two days. Thus, successful

breastfeeding requires Zero Separation. Many

other effects are taking place, but suffice it to

say, it is a huge disservice to mothers when

their newborns are removed.

Whilst mothers themselves need observation

and care in order to prevent complications

during and after childbirth, this author believes

that current care must accommodate the

new understanding of reproductive biology

and developmental neuroscience. Maternal

and fetal outcomes are profoundly improved

when doula care is provided (American

College of Obstetricians and Gynecologists

2014) along with natural birth, (Mercer et

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al. 2007; Smith, Plaat & Fisk 2008), as well as when the ecologically-valid environment that produces the ‘GxE’ described earlier is ensured. Although the technology and skills available for newborn and preterm care are wonderful, they do not require separation; they should instead be applied to the right place, the mother’s chest (Phillips 2013; White 2004). In this way, maternal physiological regulation will be working in synergy with the baby’s ANS, the need for technology will be lessened and the intensity thereof can be reduced, with better outcomes.

The essential requirement is maternal-infant ’togetherness’, the first part of which is SSC, starting from the moment of birth and

Zero Separation (Bergman & Bergman 2013). Achieving ‘togetherness’ also requires that the father does SSC (Erlandsson et al. 2007; Gloppestad 1998). Space thus needs to be provided for both mother and father to care for their baby. Broader social support is needed, not the ‘one size fits all’ and ‘no space for father’ that institutional and impersonal service often codify so rigidly.

Conclusion

The one intervention above any other that would improve neonatal and maternal outcomes is Zero Separation for the first day of every newborn’s life.

“Breast Feeding Week 2016 was celebrated by the students of Shri G.H.Patel School of Nursing conducting the posters exhibition on the theme of 2016 ‘’ Breast feeding is a key to Sustainable Development’’ on 3rd August 2016 all day near Paediatric OPD.

Dr. Nikhil Kharod, HOD of Pediatric Department inaugurated the exhibition and emphasized about the importance of breast feeding and KMC to the visitors.

Breast Feeding Week Celebration-2016(Including Kangaroo Mother Care)

The key points of the exhibition were as follows:

1. Theme of the Breast Feeding week

2. Importance of Breast Feeding

3. Kangaroo mother care and Breast feeding

4. Advantages of Kangaroo Mother Care

All the postnatal mothers of the postnatal ward and lactating mothers of the Pediatric OPD with their relatives visited the exhibition

with full interest and learnt about the theme of the celebration. Students participated with full enthusiasm and explained each and every poster to the visitors throughout the day.


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Rajiv Gandhi Mahila Vikas Paryojna (RGMVP)

in association with Public Health Foundation

of India (PHFI) and the Kangaroo Mother Care

Foundation in Gujarat held a workshop at Jais,

Amethi District on 9th July 2016. The workshop

was a day long engagement that attracted

around 150 women participants who were

the SHG( Self Help Group) leaders from 100

different blocks where health interventions are

implemented under Uttar Pradesh Community

Mobilization Project. Prof Shashi N Vani,

the Managing Trustee of KMC Foundation,

India, Emeritus Professor Pediatrics and

Neonatology; along with Prof Narendra T Vani,

the Trustee of KMC Foundation, India, Retired

Professor Obstetrics & Gynecology, Senior

Consultant (Oby&Gyn) and Dr N K Singh

as the National Trainer, KMC Foundation,

India, Intensivist newborn care and Pediatrics,

Vivekanand Polyclinic, Lucknow, held the

extensive session enlightening the benefits

and techniques of Kangaroo Mother Care. The

workshop was highly interactive and kept the

SHG leaders engaged by encouraging them to

talk about their experiences and the problems

that they face in various villages and districts

of UP regarding maternal and childcare.

RGMVP working in Uttar Pradesh through the

pipeline of SHGs members have contributed

to a lot of changes in maternal and childcare

health awareness. In the workshop, it was

pointed out that in a 2012 Survey among the

SHG members of Uttar Pradesh conducted by

RGMVP, every 3 women out of 100 women said

that they gave KMC to their new born child. In

Report of the KMC training Program at Raebareli -UP

2015 that number has increased from 3 to 33

women. The growth and awareness among

the mothers and in the families have seen a

tremendous increase due to KMC practice.

By this workshop and many other similar

workshops to come, RGMVP wants to ensure

further neonatal care and fall in morbidity and

mortality rate in the state of Uttar Pradesh.

A SHG member named Sushma from Raebareli

narrated a story of her daughter-in-law’s

new born whose heart rate was not getting

stabilized in the local city hospital. Sushma,

aware of the benefits of KMC, convinced

the doctor to give KMC to the child for a few

hours. Sushma claims that the child’s heart

rate started improving in few hours by itself.

This and many such success stories came in

the vanguard regarding the improved health

of the newborn due to KMC.

The one day workshop ended with vote of

thanks by Dr P S Mohanan to all the guest

speakers and the SHG leaders. He hailed the

efforts of SHG leaders to join the workshop and

contribute to its success. Women participants

took oath to affirm that they would keep

on working for their fellow sisters in various

villages. Dr P S Mohanan also said that it is the

first time where Meeting Sakhis and IHC have

participated at such a large scale from various

districts for a health workshop. Dr Mohanan

further encouraged the participants to

sustain and increase the KMC and other health

practices amongst the households through

the help and support of RGMVP.


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International Kangaroo Mother Care Awareness Day Celebrations

Date : Sunday 15th May 2016

Time : 10.00 AM to 01.00 PM

Venue: Asmita Bhavan, Opp. Superintendent’s office, Civil Hospital Campus, Asarwa Ahmedabad

Chief Guest:Dr. (Mrs) A. B. DesaiPast President Indian Academy of PediatricsDirector of PG StudiesSenior Professor and HOD of PediatricsB. J. Medical College and Civil Hospital, Ahmedabad

Guests of HonorDr. N.B. DholakiaAdditional Director of Health (MCH)Department of Health and Family WelfareGovernment of Gujarat, Gandhinagar

Dr. Narayan GaonkarHealth SpecialistUNICEF, Gandhinagar, Gujarat

Dr. Shobha ShahCoordinator for Health Training and Resource Center SEWA Rural, Zagadia, Gujarat, Past President Gujarat Voluntary Health Association

About 300 participants attended this meeting. Many nurses from the neonatal units of the medical colleges of Gujarat, were given certificates of appreciation for their good work for promotion of KMC in their hospitals. Community Health Workers including ASHA, AWW , ANMS and the link workers/volunteers from the five voluntary health organizations who participated in the study project of home based KMC by KMCF, India and contributed for the success of the study project were also given certificate of appreciations.

A letter of appreciation from a mother satisfied with KMC at home.

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Mkwðkðz íkkhe¾: 4-6-15

Mkwðkðz MÚk¤: Mke.yu[.Mke. LkkLkkÃkkuZk, ð÷Mkkz rsÕ÷ku

sL{ Mk{ÞLkwt ðsLk: 1250 økúk{çknuLkLke Mkwðkðz Ãkqhk {kMku Mkwðkðz Mke.yu[.Mke. LkkLkkÃkkuZk nkuÂMÃkx÷{kt ÚkE níke. Mkwðkðz Lkku{o÷ ÚkE Ãký çkk¤fLkwt sL{ Mk{Þu ðsLk 1250 økúk{ níkwt. çkk¤fLku {kuxe nkuÂMÃkx÷{kt íkhík heVh fÞwO. çkk¤fLke Mkkhðkh íÞkt 12 rËðMk fhe. ÃkAe hò ykÃke. çknuLk ÃkeÞh økÞk Ãký fkÞofhu økk{{kt s Mkwðkðzðk¤e çknuLkLku çkku÷kðe ÷eÄk yLku íkhík fu.yu{.Mke. rðþu Mk{s ykÃke yLku íku {wsçk fhíkk ÚkÞk. ykhkuøÞ fkÞofh çku-çku rËðMku çkk¤fLke Mkt¼k¤ rðþu Vku÷ku-yÃk fhíkk níkk. çku {rnLkk{kt çkk¤fLkwt ðsLk 3000 økúk{ ÚkÞwt níkwt.

– {nuLÿ¼kE Ãkðkh


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Kangaroo mother care training program was organized at Mansa 0n 23rd October.

Lead Instructor: Dr (Mrs) Shashi N. Vani, Managing Trustee KMC Foundation India

Hosts: The Gandhinagar Pediatric Association & IMA Mansa branch.

Co-sponsored by: Kangaroo Mother Care Foundation

Number of participants: 90 (included pediatricians, obstetricians, medical officers, B.Sc. nursing students, ANM nursing students, paramedical staff etc.

The program started with registration, kit distribution, pretest & lunch at 11 AM, followed by welcome speech from IMA Mansa’s president Dr. Lekhraj Singh, introduction of guests by The Gandhinagar pediatric association’s secretary Dr. Dhara Nanavaty. This was followed by inspirational speech from AOPG president Dr. Swati Popat. Thereafter the training started at 12.15 by Dr. Vani madam. She explained theory of KMC for about 80 minutes. After which madam and Dr.

Report of KMC Training Programon 23rd October at Mansa

Swati practically explained how to start & do KMC using manikins, videos & other equipment. This was followed by questions from participants & feedback. Posters from KMC foundation of India were also distributed by madam to participants. At the end of training, nice certificates were distributed to all participants. The program ended with vote of thanks by IMA Mansa’s secretary Dr. Yashwant Nayee. The program was anchored by Dr. Prafull Patel. The program generated tremendous interest amongst participants & was well appreciated by everyone. Nobody left the hall during whole program.

We are very much thankful to Vani madam for sparing her valuable time in spite of her busy schedule, giving excellent training & inspiring everyone.

We appreciate the efforts, encouragement & moral support by AOPG president Dr. Swati, without which this program could not have been organized or succeeded.

Dr. Prafull I. Patel President,

The Gandhinagar Pediatric Association.

This Recently the program of forming breast feeding clinics in the name of Amrut kaksh is being proposed in the states of Rajasthan, nearby Haryana and other places. It is heartening to note that Kangaroo Mother Care has been included as an important component in these breast feeding clinics for better promotion of breast feeding in the community.

This program was conducted very successfully in the tribal village of Boria, near Mangrol in Narmada District. We are grateful to organizers for this vital opportunity given to KMCF.

Glimpses from the programme to celebrate International KMC Awareness day on 15th May 2016 at Asmita Bhavan, Civil Hospital Campus, Ahmedabad

Founder Trustees of KMCF India

Managing Trustee : Dr. Shashi N. Vani | Hon. Secretary: Dr. Nikhil M.KharodHon. Joint Secretaries: Dr. Parag Dagli | Hon. Joint Secretaries : Dr. Abhishek M. Bansal | Treasure: Dr. Viren S. Doshi

Trustees: Dr. K.M.Mehariya | Mr. Bharat Sarabhai Shah | Dr. Narendra T. Vani | Dr. Anuj J. GroverDr. Ravi kumar D. Parikh | Dr. Jatin Gunvantlal Mistri | Dr. Ashish Arunbhai Mehta | Dr. Deepa Alay Banker

Dr. Somsekhar Nimbalkar

Office: 10, Shamiana Apartment, 61, BMM Society, Ellisbridge, Ahmedabad - 380 006Administrative Wing: Department of Paediatrics, Pramukhswami Medical College, Gokal Nagar, Karamsad 388 325, Dist. Anand

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KMC Training Programme at Modasa

Breast Feeding Week 2016, celebrated by the Students of Shri G.H. Patel School of Nursing, Karamsad

Kangaroo Mother Care Foundation |¢¢Ú¼è² ÜU¢æx¢¢L }¢¢¼ë „æx ... · our news letter from the Kangaroo Mother Care Foundation, India in your hands. This issue carries

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