Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review

DOI: https://doi.org/10.33024/minh.v8i3.869

Authors

  • Endah Dessirya Fakultas Ilmu Keperawatan Universitas Indonesia
  • Kusnul Hasanah Fakultas Ilmu Keperawatan Universitas Indonesia
  • Yeni Rustina Fakultas Ilmu Keperawatan Universitas Indonesia
  • Happy Hayati Fakultas Ilmu Keperawatan Universitas Indonesia
  • Mega Hasanul Huda Fakultas Ilmu Keperawatan Universitas Indonesia

Kangaroo Mother Care (KMC) Neonatal Parents

Abstract

Background: The transition of premature infants from the intrauterine to the extrauterine environment is a complex and challenging adaptation process for infants and their mother. Empowering parents through education and support is crucial in navigating these challenges.

Propose: To review parental empowerment through early kangaroo care a holistic approach to neonatal health.

Method: Systematic review research according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This literature research uses seven electronic databases, namely PubMed, Proquest, Sciencedirect, Wiley Online, Emerald insight, Sage Journals, and JSTOR. The data search began on September 30, 2024, using the keywords "parent" or "mother" or "maternal" and "infant" or "preterm" and "early" or "immediately" and "skin-to-skin" or "kangaroo-mother-care". The literature criteria used were full texts that discussed prematurity (newborns with a gestational age of <37 weeks), mothers who performed early KMC, parents who performed early KMC, the outcomes measured in this study were infant outcomes (morbidity, mortality, physiological status, weight, and length of stay) and maternal outcomes (exclusive breastfeeding, maternal mental health), and this study used a randomized control design. This study is registered with PROSPERO (CRD42025633170).

Results: The search process identified 318 articles. Further screening resulted in a final sample of 7 articles. The review results showed that early KMC has benefits for both mothers and infants. Benefits of early KMC for mothers include increased exclusive breastfeeding, reduced depression, and increased maternal self-satisfaction in caring for preterm infants. Furthermore, in preterm infants, early KMC has been shown to improve physiological stability, weight gain, reduce mortality, morbidity, infections, weight gain, and reduce length of hospitalization.

Conclusion: Early implementation of KMC not only provides clinical benefits for preterm infants, but also contributes to improved maternal mental health. These findings support the promotion of KMC as a standard intervention in neonatal intensive care units to optimize short- and long-term outcomes for mothers and preterm infants.

Downloads

Download data is not yet available.

References

Bharadwaj, S. K., & Iqbal, F. (2024). Role of kangaroo mother care in modulating microbiome and enhancing neonatal outcomes: A comprehensive review. Journal of Neonatal Nursing.

Brotherton, H., Gai, A., Kebbeh, B., Njie, Y., Walker, G., Muhammad, A. K., & Lawn, J. E. (2021). Impact of early kangaroo mother care versus standard care on survival of mild-moderately unstable neonates< 2000 grams: A randomised controlled trial. EClinicalMedicine, 39.

Chiu, S. H., & Anderson, G. C. (2009). Effect of early skin-to-skin contact on mother–preterm infant interaction through 18 months: Randomized controlled trial. International journal of nursing studies, 46(9), 1168-1180.

Cho, E. S., Kim, S. J., Kwon, M. S., Cho, H., Kim, E. H., Jun, E. M., & Lee, S. (2016). The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of pediatric nursing, 31(4), 430-438.

Conde‐Agudelo, A., Belizán, J. M., & Diaz‐Rossello, J. (2012). Cochrane Review: Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Evidence‐Based Child Health: A Cochrane Review Journal, 7(2), 760-876.

Feng, X., & Zhang, Y. (2024). Effects of mother–infant skin‐to‐skin contact on mother–infant relationship and maternal psychology feelings: A qualitative study. Nursing Open, 11(6), e2181.

Jańczewska, I., Wierzba, J., Jańczewska, A., Szczurek-Gierczak, M., & Domżalska-Popadiuk, I. (2023). Prematurity and low birth weight and their impact on childhood growth patterns and the risk of long-term cardiovascular sequelae. Children, 10(10), 1599.

Jayaraman, D., Mukhopadhyay, K., Bhalla, A. K., & Dhaliwal, L. K. (2017). Randomized controlled trial on effect of intermittent early versus late kangaroo mother care on human milk feeding in low-birth-weight neonates. Journal of Human Lactation, 33(3), 533-539.

Kirca, N., & Adibelli, D. (2021). Effects of mother–infant skin‐to‐skin contact on postpartum depression: A systematic review. Perspectives in Psychiatric Care, 57(4).

Linnér, A., Westrup, B., Rettedal, S., Kawaza, K., Naburi, H., Newton, S., & Bergman, N. (2023). Immediate skin-to-skin contact for low birth weight infants is safe in terms of cardiorespiratory stability in limited-resource settings. Global Pediatrics, 3, 100034.

Mianaei, S. J., Karahroudy, F. A., Rassouli, M., & Tafreshi, M. Z. (2014). The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iranian journal of nursing and midwifery research, 19(1), 94-100.

Nagai, S., Andrianarimanana, D., Rabesandratana, N., Yonemoto, N., Nakayama, T., & Mori, R. (2010). Earlier versus later continuous Kangaroo Mother Care (KMC) for stable low‐birth‐weight infants: a randomized controlled trial. Acta Paediatrica, 99(6), 826-835.

Pados, B. F., & Camp, L. (2024). Physiology of human lactation and strategies to support milk supply for breastfeeding. Nursing for Women's Health, 28(4), 303-314.

Pathak, B. G., Sinha, B., Sharma, N., Mazumder, S., & Bhandari, N. (2023). Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis. Bulletin of the World Health Organization, 101(6), 391.

Polizzi, C., Perricone, G., Morales, M. R., & Burgio, S. (2021). A study of maternal competence in preterm birth condition, during the transition from hospital to home: an early intervention program’s proposal. International journal of environmental research and public health, 18(16), 8670.

Rasalan-Fermin, R. F., Imperial, L., & de Ocampo, F. S. (2021). Effect of Kangaroo Mother Care plus Touch Therapy versus Kangaroo Mother Care Alone on the Low-Birth-Weight Infant’s Growth and Physiologic Responses: Randomized Controlled Trial. Acta Medica Philippina, 55(9).

Worku, B., & Kassie, A. (2005). Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. Journal of tropical pediatrics, 51(2), 93-97.

World Health Organization. (2012). Born too soon: the global action report on preterm birth. Retrieved from: https://www.who.int/publications/i/item/9789241503433

World Health Organization. (2020). Impact of continuous Kangaroo Mother Care initiated immediately after birth (iKMC) on survival of newborns with birth weight between 1.0 to< 1.8 kg: study protocol for a randomized controlled trial. Trials, 2020, 21: 1-13. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/32188485/

World Health Organization. (2021). Kangaroo mother care started immediately after birth critical for saving lives, new research shows. Retrieved from: https://www.who.int/news/item/26-05-2021-kangaroo-mother-care-started-immediately-after-birth-critical-for-saving-lives-new-research-shows

Downloads

Published

2025-05-15

How to Cite

Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review. (2025). MIN, 8(3), 283-293. https://doi.org/10.33024/minh.v8i3.869