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Revista Colombia Médica
Universidad del Valle - Facultad de Salud
ISSN: 0120-8322
EISSN: 0120-8322
Vol. 40, No. 3, 2009, pp. 292-299
Bioline Code: rc09042
Full paper language: English
Document type: Research Article
Document available free of charge

Revista Colombia Médica, Vol. 40, No. 3, 2009, pp. 292-299

 en Kangaroo mother program: physical growth and morbidity in a cohort of children, followed from 40 weeks of postconceptional age until first year
Palencia, Diana; Mendoza, Carlos Julio; Torres, Javier & Echandía, Carlos Armando

Abstract


Introduction: Up to 40 weeks of postconceptional age, the kangaroo mother program at the Hospital Universitario del Valle has proved to be a safe alternative for premature babies’ management with a low birth weight.
Objectives: To evaluate the physical growth and morbidity in children followed since 40 weeks up to 1 year in the program.
Material and methods: A cohort study was performed in newborn infants admitted to the kangaroo mother program in the newborn unit at the Hospital Universitario del Valle, Cali, Colombia, with birth weight lower than 2000 g, from 40 weeks postconceptional age up to one year age, between August 2002 and July 2006. Information was collected about maternal age and morbidity, prenatal control, type of birth, gender, birth weight, gestational age, breastfeeding, thick motor development, physical growth, morbidity, readmissions, mortality and tests results.
Results: A total of 390 infants were admitted to the program, with a 61% of captation. 65% of theirs mothers did not have prenatal control. Before completing the 40 weeks, 5.3% were readmitted due to anaemia and apnoea. After 40 weeks, 13% were readmitted by bronchopneumonia and acute diarrhoea. Most of them were allocated in the reference percentiles for weight and size. Size had a better growth than weight. The cumulated low weight incidence for age at 13 months was 22%.
Conclusions: To increase the coverage of prenatal control program and to watch that the children receive prescribed iron and formulated folic acid.

Keywords
Kangaroo mother; Low birth weight; Under nutrition; Follow-up; Cohort.

 
 es Programa Madre Canguro: Crecimiento pondoestatural y morbilidad de una cohorte de niños seguidos desde las 40 semanas de edad postconcepcional hasta los 12 meses
Palencia, Diana; Mendoza, Carlos Julio; Torres, Javier & Echandía, Carlos Armando

Resumen

Introducción: Hasta las 40 semanas de edad postconcepcional, el programa madre canguro del Hospital Universitario del Valle, ha mostrado ser una alternativa segura para el manejo del prematuro con bajo peso al nacer.
Objetivos: Evaluar el crecimiento pondoestatural y la morbilidad en los niños seguidos desde las 40 semanas de edad postconcepcional hasta el año en el programa.
Materiales y métodos: Se evaluó la cohorte de niños que ingresaron al programa madre canguro en la unidad de recién nacidos del Hospital Universitario del Valle, Cali, Colombia, con peso Resultados: Ingresaron 390 lactantes al programa con una captación de 61%. En 65% de sus madres no hubo control prenatal. Antes de completar las 40 semanas, 5.3% se hospitalizaron por anemia y apneas; después de las 40 semanas, 13% por bronconeumonía y diarrea aguda. La gran mayoría se ubicó dentro de los percentiles de referencia para peso y talla. La talla tuvo un mejor crecimiento que el peso. La incidencia acumulada de peso bajo para la edad a los 13 meses fue 22%.
Conclusiones: Aumentar la cobertura del programa de control prenatal y vigilar que los niños reciban el hierro y el ácido fólico formulados

Palabras-clave
Madre Canguro; Bajo peso al nacer; Desnutrición; Seguimiento; Cohorte.

 
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Alternative site location: http://colombiamedica.univalle.edu.co

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