Kangaroo Method Care: Benefits, Proponents and Barriers: A Narrative Review
-
. Aslinda
,
Masni .
,
Veni Hadju
,
Kadek Ayu Erika
,
Apik Indarty Moedjiono
,
Shanti Riskiyani
,
Abdul Salam
Abstract
Babies with low birth weight (LBW) are the highest contributor to neonatal mortality rates. Kangaroo care is an effective, cost-effective nursing action recommended by WHO for the care of premature and LBW babies which can reduce neonatal morbidity and mortality. However, the scope of kangaroo care practice is still low. Various databases such as Scopus, PubMed, ProQuest, Google Scholar, and Science Direct have been used as research sources. The time span for the articles accessed ranged from 2014 to 2024. The benefits of kangaroo care can improve the growth of premature and LBW babies, increase breastfeeding, improve the physiological function of babies, reduce infant mortality rates and reduce stress of mothers of premature and LBW babies. Supporting factors for kangaroo care are government support and health service providers, community and socio-cultural support, knowledge and awareness of mothers and inhibiting factors are lack of infrastructure and health facilities, socio-economic and cultural problems, challenges for mothers of LBW babies and lack of knowledge and awareness of various related parties. Kangaroo method care is beneficial for babies and mothers of LBW babies and there are supporting and inhibiting factors in its implementation. This aimed to increase the coverage of kangaroo method care implementation so as to optimize the growth of LBW babies.
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4. Bovu A, Yirga A, Melesse S, et al (2024). The Impact of Socio-Economic, De-mographic, and Geographic Factors on the Mortality of Children Under the Age of Five in Kenya, 2022. Iran J Public Health, 53(11):2462-2472.
5. Hailegebriel TD, Bergh AM, Zaka N, et al (2021). Improving the implementation of Kangaroo mother care. Bull World Health Organ, 99(1):69-71.
6. World Health Organization (2003). Kan-garoo Mother Care. Switzerland.
7. Ramdin T, Radomsky M, Raxendis C, et al (2021). A Review of Very-Low-Birth-Weight Infants Admitted to the Kanga-roo Mother Care Unit in Johannesburg, South Africa. Cureus, 13(12):e20428.
8. Muttau N, Mwendafilumba M, Lewis B, et al (2022). Strengthening Kangaroo Mother Care at a tertiary level hospital in Zambia: A prospective descriptive study. PLoS One, 17(9):e0272444.
9. Jagadish AS, Benakappa A, Benakappa N, et al (2020). A randomized control trial of hypothermia alert device in low_birth_weight newborns and the effect on kangaroo mother care and weight gain. International Journal of Con-temporary Pediatrics, 7(1):52-56.
10. Kumbhojkar S, Mokase Y, Sarawade S (2016). Kangaroo Mother Care (KMC): An Alternative to Conventional Meth-od of Care for Low-Birth-Weight Ba-bies. International Journal of Health Sciences & Research, 6:36-42.
11. Charpak N, Tessier R, Ruiz JG, et al (2022). Kangaroo mother care had a protective effect on the volume of brain structures in young adults born preterm. Acta Paediatr, 111(5):1004–14.
12. Kurniawati, Rustina Y, Budiati T (2019). Peer Support Increases Maternal Con-fidence, Kangaroo Mother Care Im-plementation and Weight Gain in LBW Infants. Compr Child Adolesc Nurs, 42(sup1):252-260.
13. Rehman MO ur, Hayat S, Gul R, et al (2020). Impact of intermittent kangaroo mother care on weight gain of neonate in nicu: Randomized control trial. J Pak Med Assoc, 70(6):973–977.
14. Mehrpisheh S, Doorandish Z, Farhadi R, et al (2022). The Effectiveness of Kan-garoo Mother Care (KMC) on attach-ment of mothers with premature in-fants. Eur J Obstet Gynecol Reprod Biol X, 15:100149.
15. Canadas DC, Carreno TP, Borja CS, et al (2022). Benefits of Kangaroo Mother Care on the Physiological Stress Pa-rameters of Preterm Infants and Moth-ers in Neonatal Intensive Care. Int J Environ Res Public Health, 19(12): 7183.
16. Steenhoo A, McGann C, Abigail Mapatha L, (2022). A comparison of weight gain between HIV exposed uninfected and HIV unexposed uninfected infants who received KMC at Chris Hani Baragwa-nath Academic Hospital. Front Pediatr, 10:933968.
17. Mishra P, Rai N, Mishra NR, et al (2017). Effect of Kangaroo Mother Care on the breastfeeding, morbidity, and mor-tality of very low birth weight neonates: A prospective observational study. In-dian J Child Health (Bhopal), 4(3):379–82.
18. Sohail R, Rasul N, Naeem A, et al (2019). Kangaroo mother care: Need of the day. BMJ Case Rep, 12(12): e228402.
19. El-Farrash RA, Shinkar DM, Ragab DA, et al (2020). Longer duration of kangaroo care improves neurobehavioral per-formance and feeding in preterm in-fants: a randomized controlled trial. Pediatr Res, 87(4):683–8.
20. Madiba S, Sengane M (2021). Tube Feed-ing Practices and Transition to Breast-feeding Experiences of Mothers of Preterm Infants at a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa. Glob Pediatr Health, 8:2333794X211037032.
21. Sinha B, Sommerfelt H, Ashorn P, et al (2022). Effect of community-initiated kangaroo mother care on breastfeed-ing performance in low birthweight in-fants: A randomized clinical trial. Ma-tern Child Nutr, 18(4): e13419.
22. Souza RC de, Wolkers PCB, Pereira LA, et al (2022). The possible mediating rela-tionship promoted by the self-efficacy of breastfeeding associated with the Kangaroo Method on indicators of ex-clusive breastfeeding. J Pediatr (Rio J), 98(5):540–544.
23. Mekonnen AG, Yehualashet SS, Bayleyegn AD (2019). The effects of kangaroo mother care on the time to breastfeed-ing initiation among preterm and LBW infants: A meta-analysis of published studies. Int Breastfeed J, 14:12.
24. Zhang B, Duan Z, Zhao Y, et al (2020). In-termittent kangaroo mother care and the practice of breastfeeding late pre-term infants: results from four hospi-tals in different provinces of China. Int Breastfeed J, 15(1):64.
25. Parsa P, Karimi S, Basiri B, et al (2018). The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan city, Iran. Pan Afr Med J, 30:89.
26. Eksirinimit T, Punthmatharith B, Bansopit N, et al (2023). Effects of Kangaroo Care on body temperature of prema-ture infants and maternal satisfaction at Maharaj Nakhon Si Thammarat hospital, Thailand. Journal of Neonatal Nursing, 29(2):302–6.
27. Miranda RM, Cabral Filho JE, Diniz KT, et al (2022). Effect of Kangaroo Posi-tion on microcirculation of preterm newborns: a controlled randomized clinical trial. J Pediatr (Rio J), 98(2):196–203.
28. Collados-Gómez L, Esteban-Gonzalo L, López-López C, et al (2021). Lateral kangaroo care in hemodynamic stabil-ity of extremely preterm infants: Pro-tocol study for a non-inferiority ran-domized controlled trial cangulat. Int J Environ Res Public Health, 19(1):293.
29. Jamehdar M, Nourizadeh R, Divband A, et al (2022). KMC by surrogate can have an effect equal to KMC by mother in improving the nutritional behavior and arterial oxygen saturation of the pre-term infant: results of a controlled randomized clinical trial. BMC Pediatr, 22(1):242.
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| Files | ||
| Issue | Vol 54 No 11 (2025) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v54i11.20379 | |
| Keywords | ||
| Low birth weight babies Supporters Inhibitors Kangaroo care method | ||
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How to Cite
1.
Aslinda ., . M, Hadju V, Erika KA, Moedjiono AI, Riskiyani S, Salam A. Kangaroo Method Care: Benefits, Proponents and Barriers: A Narrative Review. Iran J Public Health. 2025;54(11):2313-2324.
