A stable 1.6 kg neonate born at 33 weeks is hemodynamically well, feeding by nasogastric tube, and free of ventilatory support. The mother is willing and able to stay with the baby. Which intervention is recommended for this infant?
- A Radiant warmer care until the baby reaches 2 kg
- B Double-walled incubator care until discharge
- C Kangaroo mother care with continuous skin-to-skin contact and exclusive breastfeeding ✓
- D Discharge home immediately since weight exceeds 1.5 kg
Correct answer: C. Kangaroo mother care with continuous skin-to-skin contact and exclusive breastfeeding
Explanation
Kangaroo mother care, meaning continuous prolonged skin-to-skin contact with exclusive breastfeeding, is recommended for stable low birth weight babies, typically those who are hemodynamically stable and do not require ventilatory support. It improves thermoregulation, breastfeeding rates, weight gain, and survival, and shortens hospital stay. Incubators or radiant warmers are alternatives when the mother is unavailable or the baby is unstable, and stability rather than a fixed weight governs eligibility.
Reference: Nelson Textbook of Pediatrics, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.