Wednesday 20 June 2012

50.KANGAROO MOTHER CARE ALL ARE TRUE EXCEPT

A.CONTRAINDICATED IN NEONATES WITH OROGASTRIC TUBE
B.>1800 G IMMEDIATE KMC
C.1200-1800 GM AFTER STABILISATION
D.TRANSPORT TO SMALL BABIES

ANS:CI IN BABY WITH OGT


Babies weighing 1800g or more at birth (gestational age 30-34 weeks or more) may have
some prematurity-related problems, such as respiratory distress syndrome (RDS). This may
raise serious concerns for a minority of those infants, who will require care in special units. In
most cases, however, KMC can start soon after birth.

In babies with birth weight between 1200 and 1799g (gestational age 28-32 weeks), prematurityrelated problems such as respiratory distress syndrome (RDS) and other complications are
frequent, and therefore require some kind of special treatment initially. In such cases the delivery
should take place in a well equipped facility, which could provide the care required. Should
delivery take place elsewhere, the baby should be transferred soon after birth, preferably with the
mother. One of the best ways of transporting small babies is keeping them in continuous skin-toskin contact with the mother. It might take a week or more before KMC can be initiated.Although early neonatal mortality in this group is very high, mostly due to complications, most babies survive and mothers could be encouraged to express breast milk.

Babies weighing less than 1200g (gestational age below 30 weeks) incur frequent and severe
problems due to preterm birth: mortality is very high and only a small proportion survive
prematurity-related problems. These babies benefit most from transfer before birth to an
institution with neonatal intensive care facilities. It may take weeks before their condition
allows initiation of KMC.

No comments:

Post a Comment