Emphasise the role of kangaroo mother care in stabilisation of vitals and weight gain pattern in low birth weight babies inside neonatal intensive care unit

Shwetal M. Bhatt, Khushboo N. Mehta, Ankita Maheshwari, Priyanka C. Parmar


Background: Kangaroo mother care (KMC) is routinely practiced in post-natal wards for care of stable low birth weight (LBW) infants. Objectives of the study were conducted to emphasize on the role of KMC in vitals stabilization and weight gain in LBW babies inside neonatal intensive care unit (NICU).

Methods: Cross-sectional analytical quantitative study.

Results: A total of 80 babies (48 males and 32 females) were enrolled and given KMC inside NICU. Mean birth weight was 1330 grams. Mean gestational age was 33 weeks (range 30-38 weeks). KMC was initiated within 72 hours of life in majority of babies (71%). Though 65% of them required oxygen support via prongs, KMC was started in them, with monitoring of vitals. No episode of apnea was observed during KMC sessions. Mean duration of KMC was 6 days (3-14 days). Heart rate dropped by 3-4 beats per minute (150+2.12 to 146+1.63, Respiratory rate decreased from 53+3.9 to 49+2.7, Oxygen saturation improved by 2-3% (93+0.42 to 96+0.71). Temperature rose from 36.78+0.01 to 37.07+0.02. P value for all vitals was 0.0001, which is considered significant (<0.05). Average weight gain was 76 grams during the average 6 days of KMC inside NICU, (p value=0.0001).  

Conclusions: KMC was found to be effective for stabilization of vitals in NICU, early initiation and upgradation of feeding, early achievement of weight gain pattern, and early shift to postnatal ward by mother’s side. Also, no adverse effects were noted on the babies.


Preterm, KMC, Vitals stabilization, Weight gain

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Samra NM, Taweel A El, Cadwell K. Effect of Intermittent Kangaroo Mother Care on Weight Gain of Low Birth Weight Neonates With Delayed Weight Gain. J Perinat Educ. 2013.

Whitelaw A, Heisterkamp G, Sleath K, Acolet D, Richards M. Skin to skin contact for very low birthweight infants and their mothers. Arch Dis Child. 1988.

Charpak N, Ruiz JG, Zupan J, Cattaeno A, Figueroa Z, Tessier R, et al. Kangaroo Mother Care: 25 Years after. Acta Paediatr Int J Paediatr. 2005.

Parmar VR, Kumar A, Kaur R, Parmar S, Kaur D, Basu S, et al. Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) in Chandigarh, India. Indian J Pediatr. 2009.

Ramanathan K, Paul VK, Deorari AK, Taneja U, George G. Kangaroo mother care in very low birth weight infants. Indian J Pediatr. 2001.

Suman Rao PN, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: A randomized controlled trial. Indian Pediatr. 2008.

Kadam S, Binoy S, Kanbur W, Mondkar JA, Fernandez A. Feasibility of kangaroo mother care in Mumbai. Indian J Pediatr. 2005.

Gupta M, Jora R, Bhatia R. Kangaroo Mother Care (KMC) in LBW infants - A western Rajasthan experience. Indian J Pediatr. 2007.

Bergman NJ, Linley LL, Fawcus SR. Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200- to 2199-gram newborns. Acta Paediatr Int J Paediatr. 2004.

Ludington-Hoe SM, Anderson GC, Simpson S, Hollingsead A, Argote LA, Rey H. Birth-related fatigue in 34-36-week preterm neonates: rapid recovery with very early kangaroo (skin-to-skin) care. J Obstet Gynecol Neonatal Nurs. 1999.

World Health Organization, Saving Newborn Lives, American Academy of Pediatrics, JHPIEGO, Kangaroo Foundation, National Neonatology Forum. Essential Newborn Nursing for Small Hospitals In resource restricted countries. 2004:1-127.

Christensson K, Cabrera T, Christensson E, Uvnäs–Moberg K, Winberg J. Separation distress call in the human neonate in the absence of maternal body contact. Acta Pædiatrica. 1995.

Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2016.

Ferber SG, Makhoul IR. The Effect of Skin-to-Skin Contact (Kangaroo Care) Shortly after Birth on the Neurobehavioral Responses of the Term Newborn: A Randomized, Controlled Trial. Pediatrics. 2004.

Nimbalkar SM, Chaudhary NS, Gadhavi K V., Phatak A. Kangaroo mother care in reducing pain in preterm neonates on heel prick. Indian J Pediatr. 2013.