PDSA cycle number | Plan | Do | Study | Act |
1 | Ensuring privacy for mothers | Segregation of mothers putting KMC to a separate area in each ward | Total average KMC duration=6.9 hours/baby/day | Separate areas marked out in each ward for mothers putting KMC |
2 | Documentation of KMC duration | Ensuring that all mothers have KMC chart | Total average KMC duration= 8.5 hours/baby/day | KMC chart routinely given to all mothers |
3 | Motivation of mothers for KMC | Combining KMC chart with weight chart | Total average KMC duration= 9.5 hours/baby/day | KMC chart routinely combined with weight chart for all mothers |
4 | Identifying non-compliance | Documentation of KMC duration in case sheet | Total average KMC duration= 10.3 hours/baby/day | Documentation of KMC duration in case sheets adopted as a routine |
5 | Quality assurance | Ensuring availability of KMC chairs | Total average KMC duration= 11.1 hours/baby/day | KMC chairs are made available to all mothers putting KMC in our unit |
6 | Ensuring comfort to mothers and decreasing stress | Opening of M-NICU and family centred care unit | Total average KMC duration= 13.1 hours/baby/day | Postnatal mothers who are not very sick, are admitted in M-NICU and routine obstetric care is provided |
7 | Ensuring KMC education to mothers | KMC education videos in local language | Total average KMC duration= 15.2 hours/baby/day | KMC education videos are shown routinely to mothers of all LBW babies. |
8 | Ensuring maternal comfort during prolonged KMC | KMC slings for mothers | Total average KMC duration= 16.6 hours/baby/day | We educated the mothers about benefits of using slings for prolonged KMC |
KMC, Kangaroo mother care; M-NICU, mother–neonatal ICU.