LESSON PLAN

Subject : Obstetrical and pharmacological nursing

Unit : PNC

Topic : Kangaroo mother care

Course : MSc nursing 1st yr

Group : PNC mothers in PNCward

Date :

Time :

Place : PNC ward

Method of teaching : Lecture cum discussion

Teaching aids :

Method of instruction : Hindi

Previous knowledge of group : Mixed

GENERAL OBJECTIVE
Group will be able to gain knowledge regarding kangaroo mother care, develop positive attitude towards it and will be able to practice the same.
SPECIFIC OBJECTIVE
By the end of the health talk group will be able to

Define KMC
Explain the KMC procedure
Estimate the duration of KMC
Enlist the persons who can provide KMC
List out the benefits of KMC
Enumerate post discharge follow up

INTRODUCTION
I Namitha Josy MSc nsg 1st yr student is giving a health talk on the topic kangaroo mother care in PNC ward of Jayprakash hospital.
SL TIME SPECIFIC CONTENT TEACHING- AV-AIDS EVALUVA- EVALUVA-
NO OBJECTIVE LEARNING TION TION
ACTIVITY EXPECTED GROUP
1 2 min Define KMC Definition Teacher: Group will be
Kangaroo mother care is care of preterm infants explaining able to define
carried skin-to-skin with the mother. It is a powerful, Students : KMC
easy-to-use method to promote the health and well- listening
being of infants born preterm as well as full-term.

2 5 min Explain Clothing for the mother Teacher: Group will be

the KMC procedure The mother can wear whatever she finds illustrating able to explain
comfortable and warm in the ambient temperature, Students : KMC
provided the dress accommodates the baby, i.e. questioning procedure and
keeps him firmly and comfortably in contact with practice it.
her skin. Special garments are not needed unless
traditional ones are too tight.

Clothing for the baby

When the ambient temperature is 22-24C, the baby
is carried in kangaroo position naked, except for the
diaper, a warm hat and socks (Fig.3). When the
temperature drops below 22C, baby should wear a
cotton, sleeveless shirt, open at the front to allow the
face, chest, abdomen, arms and legs to remain in
skin-to-skin contact with the mothers chest and
abdomen. The mother then covers herself and the
baby with her usual dress.

Kangaroo position
Place the baby between the mothers breasts in an
 upright position, chest to chest. Secure him with the
binder. The head, turned to one side, is in a slightly
extended position. The top of the binder is just under
babys ear. This slightly extended head position
keeps the airway open and allows eye-to-eye contact
between the mother and the baby. Avoid both
forward flexion and hyperextension of the head. The
hips should be flexed and extended in a frog
position; the arms should also be flexed.

Caring for the baby in kangaroo position

Babies can receive most of the necessary care,
including feeding, while in kangaroo position. They
need to be moved away from skin-to-skin contact
only for:
changing diapers, hygiene and cord care;
clinical assessment, according to hospital
schedules or when needed

Breast feeding
KMC facilitates the initiation and establishment of
breastfeeding in small infants. Hand expression is
the simplest way to express breast milk. It needs no
appliances, so a woman can do it anywhere at any
time
Monitoring
Make sure babys neck position is not too flexed or
extended, airway is clear, breathing is regular, color
is pink and temperature is maintained.

3 2 min Estimate the duration Duration of KMC Teacher: Group will be

 of KMC Skin-to-skin contact should start gradually, with a explaining able to
smooth transition from conventional care to Students : understand the
continuous KMC. Sessions that last less than 60 questioning duration of
minutes should, however, be avoided because KMC.
frequent changes are too stressful for the baby. The
length of skin-to-skin contacts gradually increases to
become as continuous as possible, day and night,
interrupted only for changing diapers, especially
where no other means of thermal control are
available.

4 1 min Enlist the persons Persons who can give KMC Teacher: Group will be
who can provide When mother is not available ,other family member explaining able to enlist
KMC such as grand ma, father, or any other relative can Students : the providers
provide KMC. listening of KMC.

5 2 min List out the benefits Benefits of KMC

of KMC Teacher: Group will be
early, continuous and prolonged skin-to-skin explaining able to
contact between the mother and the baby Students : understand the
exclusive breastfeeding (ideally) listening benefits of
it is initiated in hospital and can be KMC.
continued at home
small babies can be discharged early
it is a gentle, effective method that avoids
the agitation routinely experienced in a busy
ward with preterm infants

6 2min Enumerate post Post Discharge follow up

discharge follow up. Ensure follow-up for the mother and the baby, either Teacher: Group will be
at your facility or with a skilled provider near the explaining able to
babys home. The smaller the baby is at discharge, Students : understand
the earlier and more frequent follow-up visits he will listening need of follow
need. If the baby is discharged in accordance with up after
the above criteria, the following suggestions will be discharge.
valid in most circumstances:
two follow-up visits per week until 37 weeks of
post-menstrual age.
one follow-up visit per week after 37 weeks.
SUMMERY

In this health talk we dealt with kangaroo mother care, procedure, duration , needs , and follow up to be practiced in this procedure.

CONCLUSION

By this health talk I came to know more about KMC and its needs.I would like to thank the subject coordinator for the same.

REFERENCES

Baskett TF. Kangaroo mother care. Essential Management of Obstetrics and new born care. 3rd ed. Bristol, England: Clinical Press;
1999. 196-201.

Sentilhes L, Vayssire C, Deneux-Tharaux C, et al. Postpartum hemorrhage: guidelines for clinical practice in new born care: in
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198:12-21.

Cunningham FG, Gant NF, Leveno KJ, et al, eds. Preterm infants. William. pediatrics. 21st ed. New York, NY: McGraw-Hill; 2001. 320-
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Rogers J, Wood J, McCandlish R, Ayers S, Truesdale A, Elbourne D. Active verses passive management of preterms: the
Hinchingbrookerandomised controlled trial. Lancet. 1998 Mar 7. 351(9104):693-9.

Prendiville WJ, Elbourne D, McDonald S. KMC. Cochrane Database Syst Rev. 2000. CD000007.

Jackson KW Jr, Allbert JR, Schemmer GK, Elliot M, Humphrey A, Taylor J. A randomized controlled trial comparing KMC and warmth
of a radiant warmer. Am J Obstet Gynecol. 2001 Oct. 185(4):873-7.