Effect of Kangaroo Mother Care on Oxidative Stress and Bonding

Researcher will follow existing guidelines for shifting of infant from incubator to the mother's chest. The researcher will assist the mothers to have the baby from the incubator and to sit in the special KMC chair and bed. Urine will be collected from premature infants before and after KMC/Incubator care on third day of life by applying urine collection bag. This method is highly successful in collecting urine non-invasively. Collected urine is then placed in ice box till transportation to lab at University of Health sciences(UHS). and stored at -80 °C. After completion of data collection enzyme-linked immunosorbent assay ELISA kit of Oxidative stress biomarker (Allantoin) will be used for checking level of Allantoin in stored samples within a week. Mothers of both the KMC and control groups will be given the Mother-infant bonding scale (MIBS) self-rating instrument on 3rd Day postpartum before and after KMC and incubator care for bonding assessment.

Inclusion criteria

• For Pre-term Neonates:

• 24-36 weeks' gestation Premature infants
• Medically stable as determined by a Score of Neonatal Acute Physiology & Perinatal Extension (SNAPPE-II); pre-term neonates with score of less than 9.
• Both gender
• Weight 1.5kg to 2.499 kg

For Mothers of Pre-term Neonates:

• Medically stable Mothers.

Exclusion criteria

The criteria for exclusion will be as follows:

For Pre-term Neonates:

Those will be excluded who are with below given conditions:

• Require any kind of surgery.
• Intraventricular hemorrhage (IVH) > or equal to grade 3.
• On medication such as morphine, fentanyl, midazolam, muscle relaxants, phenobarbital.
• Severe cyanotic heart disease or severe RDS.
• Abdominal wall or intestinal anomaly or injury.
• Chromosomal Disorder
• Facial anomaly.

For Mothers of Pre-term Neonates:

• Mothers having Complications of delivery like Post partem hemorrhage.
• Any acute illness
• Complicated cesarean section