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Revista de Salud Pública

Print version ISSN 0124-0064

Abstract

MONTEALEGRE-POMAR, Adriana; SIERRA-ANDRADE, Alina P.  and  CHARPAK, Nathalie. The Kangaroo Mother Care Program of Yopal, Colombia: an opportunity to keep track of preterm infants. Rev. salud pública [online]. 2018, vol.20, n.1, pp.10-16. ISSN 0124-0064.  http://dx.doi.org/10.15446/rsap.v20n1.67974.

Objective

In Colombia, the incidence of prematurity and low birth weight (LBW) is 12.8%. To describe a standardized follow-up until 12 months of 1138 premature and/or LBW included in the Yopal KMCP (2014 -2015).

Materials and Methods

Prospective cohort.

Results:

the patients are from the subsidized health care system (Colombia government), 58.2% live in the city and 24.6% at more than two hours from the city; 80.6% of parents are stable couples and 78.9% are employed; 69% of mothers started prenatal control from the first trimester. The most frequent obstetric pathologies were urinary tract infection and pre-eclampsia; 97% of deliveries were in the hospital; 55% by caesarean section. Majority of infants were late preterm; 13.3% passed through the Neonatal Intensive Care Unit (NICU) with 27% ventilated and 5.9% oxygen-dependent at discharge. At 6 months more than 50% had exclusive breastfeeding. Ophthalmology screening was performed in 54% (4.6% retinopathy), optometry in 72% and audiology in 70% (4.7% with hearing deficit). At 12 months 4.4% had abnormal neurological exam and 95% complete vaccines schedule. Lost to follow up was 35% and mortality 0.4%.

Conclusion

It is important to implement KMCP in intermediate and isolated cities to ensure a high-risk follow-up for all LBW and / or premature babies, to detect somatic, sensory or neuro-psychomotor development anomalies and to perform timely interventions.

Keywords : Infant; premature; infant; low birth weight; follow-up studies; kangaroo-mother care method (source: MeSH, NLM).

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