Awareness and Experience of Kangaroo Mother Care for full term newborns: An interventional study at a rural maternity hospital in south Karnataka





Kangaroo mother care, skin to skin contact, full term newborns

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Original Article



Background: Kangaroo Mother Care (KMC) is early, continuous and prolonged skin-to-skin contact between mother and baby, with exclusive breastfeeding.  Besides preterm and low birth weight babies, even full-term healthy newborns benefit from KMC. Objective: to assess awareness and experience of KMC for full-term newborns among newly delivered mothers in a rural maternity hospital. Methods: Interventional study with interview schedule to capture awareness of KMC (25 scored items). After one hour of practicing KMC, post-intervention assessment of KMC experience (23 scored items) was done. Bivariate analysis performed to associate awareness and experience of KMC with socio-demographic and obstetric variables. Results: The 100 mothers in our study had low median KMC awareness score of 4(IQR=2,8) and were unaware of benefits of KMC.  Median KMC experience score was 21(IQR=19,22), indicating highly positive experience. Mothers reported feeling happy or relaxed, found it easier to breastfeed, easy to practice KMC, and wanted to continue KMC at home. Mothers with caesarean section were more likely to experience abdominal or back pain during KMC (P=0.037) and mothers with previous abortion/stillbirth were more likely to have fear of suffocating the baby during KMC (P=0.005). Conclusion: Though awareness of KMC was found to be low, overall experience of KMC was very positive. Mothers should be educated about benefits of KMC and given an opportunity to practice KMC in hospital. Full-term healthy newborns and their mothers should not be denied the numerous advantages of KMC. There is need to create KMC-friendly hospital culture and promote KMC for all newborns.

How to Cite

Johnson AR, Varghese C, Johnson AD, Vimala M, Vadassary RMJ, D’Souza AD, Joseph M. Awareness and Experience of Kangaroo Mother Care for full term newborns: An interventional study at a rural maternity hospital in south Karnataka. Indian J Community Health [Internet]. 2020 Sep. 30 [cited 2023 Feb. 3];32(3):518-26. Available from:


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Kangaroo Mother Care and optimal feeding of low birth weight infants. Operational Guidelines for programme managers and service providers. National Health Mission, Child Health Division, Ministry of Health and Family Welfare, Government of India, 2014. Available from:

Kangaroo Mother Care. Editorial. Journal of Tropical Paediatrics 1999;45:192-4. Available from:

Skin-to-skin contact. The Baby Friendly Initiative. UNICEF, 2019. Available from:

Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact formothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012 May16;5(5):CD003519. doi: 10.1002/14651858.CD003519.pub3. Update in: CochraneDatabase Syst Rev. 2016 Nov 25;11:CD003519. PMID: 22592691; PMCID: PMC3979156.[PubMed].

Safari K, Saeed AA, Hasan SS, Moghaddam-Banaem L. The effect of mother andnewborn early skin-to-skin contact on initiation of breastfeeding, newborntemperature and duration of third stage of labor. Int Breastfeed J. 2018 Jul16;13:32. doi: 10.1186/s13006-018-0174-9. PMID: 30026787; PMCID: PMC6048813.[PubMed]

Bera A, Ghosh J, Singh AK, Hazra A, Som T, Munian D. Effect of kangaroomother care on vital physiological parameters of the low birth weight newborn.Indian J Community Med. 2014 Oct;39(4):245-9. doi: 10.4103/0970-0218.143030.PMID: 25364150; PMCID: PMC4215507.[PubMed]

Kangaroo Mother Care. Module-3. World Health Organization Collaborating Centre for Training and Research in Newborn Care. All India Institute of Medical Sciences, New Delhi, 2014. Available from:

Souza AK, Tavares AC, Carvalho DG, Araujo VC. Weight gain in newborns submitted to skin-to-skin contact. Rev. CEFAC 2018;20:53-60. doi: 10.1590/1982-021620182018317 .

Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E,Kajeepeta S, Wall S, Chan GJ. Kangaroo Mother Care and Neonatal Outcomes: AMeta-analysis. Pediatrics. 2016 Jan;137(1):e20152238. doi:10.1542/peds.2015-2238. Epub 2015 Dec 23. PMID: 26702029; PMCID: PMC4702019.[PubMed]

India Newborn Action Plan. National Health Mission, Ministry of Health and Family Welfare, Government of India, 2014. Available from:

Frieden TR. Six components necessary for effective public health programimplementation. Am J Public Health. 2014 Jan;104(1):17-22. doi:10.2105/AJPH.2013.301608. Epub 2013 Nov 14. PMID: 24228653; PMCID: PMC3910052.[PubMed]

Tunçalp ?, Pena-Rosas JP, Lawrie T, Bucagu M, Oladapo OT, Portela A, MetinGülmezoglu A. WHO recommendations on antenatal care for a positive pregnancyexperience-going beyond survival. BJOG. 2017 May;124(6):860-862. doi:10.1111/1471-0528.14599. Epub 2017 Mar 9. PMID: 28190290.[PubMed]

Urmila KV, Ravikumar, Karunakaran U. Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of North Kerala, India. Int J Contemp Pediatr 2018;5:992-6.

Debnath DJ. Kakkar R. Modified BG Prasad Socio-economic Classification, Updated – 2020. Indian J Comm Health 2020;32:124-5.

Importance of Kangaroo Mother Care. Ministry of Women and Child Development. Government of India. Available from:

Trevethan R. Deconstructing and Assessing Knowledge and Awareness in PublicHealth Research. Front Public Health. 2017 Aug 7;5:194. doi:10.3389/fpubh.2017.00194. PMID: 28824900; PMCID: PMC5545880.[PubMed]..

Mathew G, Johnson AR, Sulekha T, Kumari R, Varghese A. Barriers to Childhood immunisation among women in an urban underprivileged area of Bangalore City, Karnataka, India: A qualitative study. Int J Community Med Public Health 2016;3:1525-30. doi:

Singh DR, Harvey CM, Bohara P, Nath D, Singh S, Szabo S, Karki K. Factorsassociated with newborn care knowledge and practices in the upper Himalayas.PLoS One. 2019 Sep 16;14(9):e0222582. doi: 10.1371/journal.pone.0222582. PMID:31525242; PMCID: PMC6746396.[PubMed]

Vilinsky A, Sheridan A. Hypothermia in the newborn – an exploration of its cause, effect and prevention. British J of Midwifery 2014;22:395-400.

Chisenga JZ, Chalanda M, Ngwale M. Kangaroo Mother Care: A review ofmothers?'experiences at Bwaila hospital and Zomba Central hospital (Malawi).Midwifery. 2015 Feb;31(2):305-15. doi: 10.1016/j.midw.2014.04.008. Epub 2014 May2. PMID: 24908188.[PubMed]

Johnson AR, Nisha C, Navya CJ, Treesa S, Lija S, Rodrigues RJ. Low birth weight and associated factors in a rural maternity hospital, Bangalore. Natl J Res Community Med 2014;3:260-265.

Muddu GK, Boju SL, Chodavarapu R. Knowledge and awareness about benefits ofKangaroo Mother Care. Indian J Pediatr. 2013 Oct;80(10):799-803. doi:10.1007/s12098-013-1073-0. Epub 2013 Jun 8. PMID: 23749416.[PubMed]

Gakuna MN, Maina D, Ongeso A. Experiences of Parents on Kangaroo Mother Care in the Neonatal Clinic at Kenyatta National Hospital. International Journal of Recent Innovations in Medicine and Clinical Research 2019;1:21–30. Available from:

Badr HA, Zauszniewski JA. Kangaroo care and postpartum depression: The roleof oxytocin. Int J Nurs Sci. 2017 Jan 5;4(2):179-183. doi:10.1016/j.ijnss.2017.01.001. PMID: 31406740; PMCID: PMC6626107.[PubMed]

Parmar VR, Kumar A, Kaur R, Parmar S, Kaur D, Basu S, Jain S, Narula S.Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) inChandigarh, India. Indian J Pediatr. 2009 Jan;76(1):25-8. doi:10.1007/s12098-009-0024-2. Epub 2009 Apr 18. PMID: 19390999.[PubMed]

Cattaneo A, Amani A, Charpak N, De Leon-Mendoza S, Moxon S, Nimbalkar S,Tamburlini G, Villegas J, Bergh AM. Report on an international workshop onkangaroo mother care: lessons learned and a vision for the future. BMC PregnancyChildbirth. 2018 May 16;18(1):170. doi: 10.1186/s12884-018-1819-9. PMID:29769056; PMCID: PMC5956892.[PubMed]