52 Kangaroo Mother Care A Complete Guide for Mothers and Families Pre-requisites for discharge The mother and family must be aware of the danger signs to bring the baby immediately to the hospital immediately. Discuss how to: ► Care for the baby at home— when to bathe, traditional practices that are helpful (massage) and harmful (that need to be avoided, such as oil instillation in the nose/mouth) ► Early intervention therapy (including nurturing and responsive care) ► How to provide KMC at home; have a plan to aim at >20 hours/day of KMC. Continue to fill the KMC chart. The follow-up plan (when, where, and how often) should be clear to the family. Small babies need follow-ups weekly till they are at least 2 kgs. A small baby is at high risk of developmental problems and should be on a detailed developmental surveillance till 2-3 years. Baby should be transported home and for follow-up visits in the KMC position. KMC promotes early discharge, but frequent follow-up is essential. Pre-discharge counseling
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