Kangaroo Mother Care: 25 years after

  title={Kangaroo Mother Care: 25 years after},
  author={Nathalie Charpak and Juan Gabriel Ruiz and Jelka Zupan and Adriano Cattaneo and Zita Figueroa and Réjean Tessier and Martha H. Cristo and Gene Cranston Anderson and Susan M Ludington and Socorro Mendoza and Mantoa Mokhachane and Bogale Worku},
  journal={Acta P{\ae}diatrica},
The components of the Kangaroo Mother Care (KMC) intervention, their rational bases, and their current uses in low‐, middle‐, and high‐income countries are described. KMC was started in 1978 in Bogotá (Colombia) in response to overcrowding and insufficient resources in neonatal intensive care units associated with high morbidity and mortality among low‐birthweight infants. The intervention consists of continuous skin‐to‐skin contact between the mother and the infant, exclusive breastfeeding… 

The evolution of the science of kangaroo (mother) care (skin‐to‐skin contact)

Kangaroo Care, also referred to as Kangaroo Mother Care or Skin‐to‐Skin Contact, has been and continue to be investigated for its effects on a plethora of infant, maternal and family outcomes.

Effects of intermittent kangaroo care on maternal attachment, postpartum depression of mothers with preterm infants.

It was determined that mothers who received intermittent kangaroo care had higher scores that can be interpreted as higher maternal attachment than others and the postpartum depression scores did not differ between experimental and control group.

Practical application of kangaroo mother care in preterm infants: clinical characteristics and safety of kangaroo mother care

Interestingly, at the same PMA, preterm infants in the lower at-birth GA group showed an advanced maturation of thermoregulation compared with those in the higher GA group, suggesting accelerated skin maturation in more premature infants.

Investigation of early kangaroo care applied newborns who had invasive interventions in delivery room with COMFORTneo Behavior Scale

It was found that the early kangaroo care applied during invasive interventions of newborns is an effective method in increasing baby's comfort who born at delivery room.


It is apparent that knowledge and attitude, among health-care professionals, is optimum, however, there is lots of scope for filling a few gaps to improve practices and training workshops are required to bring in behavior change among doctors.

Perception of Stress and Styles of Coping with It in Parents Giving Kangaroo Mother Care to Their Children during Hospitalization in NICU

KMC and direct skin-to-skin contact of the parent with the baby was associated with a higher level of parental stress only initially and decreased with time and KMC frequency, and task oriented coping was the most common coping strategy in the study group.

Barriers and enablers for practicing kangaroo mother care (KMC) in rural Sindh, Pakistan

Background More than 2.5 million newborns die each year, accounting for 47% of children dying worldwide before their age of five years. Complications of preterm birth are the leading cause of death

A Review of Very-Low-Birth-Weight Infants Admitted to the Kangaroo Mother Care Unit in Johannesburg, South Africa

KMC is a cost-effective alternative to conventional care for very-low-birth-weight infants in limited-resource countries, with evidence of increased weight gain, less rates of complications of prematurity and low overall mortality.

Barriers and facilitators to kangaroo mother care implementation in Cote d’Ivoire: a qualitative study

The challenges to implement Kangaroo Mother Care in Cote d’Ivoire with unique and specific barriers to implementation are highlighted and researchers and decision makers are recommended to respectively design strategies and adopt intervention that specifically address barriers and facilitators to a better uptake of KMC.

What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC.



Current knowledge of Kangaroo Mother Intervention.

This work discusses different modalities of kangaroo care reported in developed and in developing countries and also describes in some detail the components of the whole KMI program.

A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age.

These results support earlier findings of the beneficial effects of KMC on mortality and growth and use of this technique would humanize the practice of neonatology, promote breastfeeding, and shorten the neonatal hospital stay without compromising survival, growth, or development.

Kangaroo Mother Care and the Bonding Hypothesis

The infant's health status may be a more prominent factor in explaining a mother's more sensitive behavior, which overshadows the kangaroo-carrying effect, and KMC should be viewed as a means of humanizing the process of giving birth in a context of prematurity.

Rey-Martinez Kangaroo Mother Program: an alternative way of caring for low birth weight infants? One year mortality in a two cohort study.

In spite of major baseline differences between studied cohorts, the survival of LBW infants in Bogotá is similar between the KMI and the "traditional care", and questions remain about quality of life, especially regarding weight gain and neurodevelopment.

Mother-newborn contact in a randomized trial of kangaroo (skin-to-skin) care.

The data suggest that hospital and social supports for families are needed to facilitate early initiation of SS, prolonged periods of mother-infant SS contact, and reduction of maternal stress.

Comparison of skin-to-skin (kangaroo) and traditional care: parenting outcomes and preterm infant development.

It is speculated that kangaroo care has both a direct impact on infant development by contributing to neurophysiological organization and an indirect effect by improving parental mood, perceptions, and interactive behavior.

A Retrospective, Comparative Study Using the Kangaroo Method as a Complement to the Standard Incubator Care

The Kangaroo group was: younger when first taken out of incubator; had greater weight gain per week; needed less incubator care; had a shorter average length of hospital stay and was more frequently breastfed upon discharge.

The ‘Kangaroo-Method’ for Treating Low Birth Weight Babies in a Developing Country

The results of introducing the ‘kangaroo method’ (constant nursing of the baby skin to skin on the mother's chest), as the exclusive means of treating low birth weight (LBW) babies is reported, in