Evidence · Randomised trial
Effectiveness of kangaroo mother care before clinical stabilisation versus standard care among neonates at five hospitals in Uganda (OMWaNA): a parallel-group, individually randomised controlled trial and economic evaluation.
- Delivery room and stabilisation
- Developmental care and positioning
- Family-integrated care
- Medical
- Nursing
- Postnatal and transitional care
- Preterm stabilisation
- Thermoregulation
Summary
The OMWaNA trial is a multicentre randomised controlled trial with economic evaluation across five Ugandan hospitals. It compared kangaroo mother care started before clinical stabilisation with standard incubator or radiant heater care in neonates weighing 700-2000 g. Early initiation of KMC did not reduce all-cause mortality at 7 or 28 days but was found to be cost-effective from provider and societal perspectives. The findings are relevant to low-birthweight care, particularly in resource-limited settings in sub-Saharan Africa.
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- Open (Creative Commons)
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