Evaluating Maternal Discharge Readiness in Kangaroo Mother Care
Claire Gooding1, Tina Lavin2, Elise van Rooyen3
1School of Population and Global Health, University of Western Australia, Crawley, Western Australia. Correspondence to: Claire Gooding, School of Population and Global Health, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia. claire.gooding@uwa.edu.au.
Indian Pediatrics
|January 28, 2021
Summary
Most mothers practicing continuous kangaroo mother care (KMC) felt ready for hospital discharge. This study developed a tool to measure readiness, finding high reported readiness among 200 mothers in South Africa.
Area of Science:
- Neonatal care
- Maternal health
- Healthcare quality assessment
Background:
- Continuous kangaroo mother care (KMC) is a vital practice for preterm and low-birth-weight infants.
- Assessing maternal readiness for discharge is crucial for successful post-hospital care.
- Tertiary settings present unique challenges for KMC implementation and discharge planning.
Purpose of the Study:
- To develop and validate a tool to measure hospital discharge readiness for mothers practicing continuous kangaroo mother care (KMC).
- To assess the discharge readiness levels of mothers in a tertiary KMC unit.
- To identify factors influencing maternal discharge readiness in the KMC context.
Main Methods:
- Adaptation and pilot testing of a 22-item questionnaire.
- Administration of the survey to 200 mothers in a South African KMC unit (2017-2018).
- Categorization of mothers into 'ready' or 'less ready' based on self-reported confidence and readiness.
Main Results:
- A significant majority (88.0%, n=168) of mothers were categorized as ready for discharge.
- Mothers categorized as 'less ready' reported lower overall scores and lower scores across all four questionnaire domains (P<0.05).
- The mean score for the 22-item readiness tool was 9.4 (SD 0.7).
Conclusions:
- The study indicates high self-reported discharge readiness among mothers practicing continuous KMC in a tertiary setting.
- The developed tool shows potential for assessing maternal readiness in KMC units.
- Further research is recommended to validate these findings across diverse healthcare settings.
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