Study note
PediatricsNewborn Care

Duration and practical delivery of kangaroo mother care

THE CONTEXT
Kangaroo mother care (KMC)* is introduced gradually, with progression toward continuous skin-to-skin contact.

Duration and progression

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Skin-to-skin contact should start gradually in the nursery, with a smooth transition from conventional care to continuous KMC.
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Increase skin-to-skin contact gradually up to 24 hours daily, interrupted for changing diapers.
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Avoid sessions shorter than one hour because frequent handling may be stressful for the baby.
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KMC can continue in the postnatal ward after transfer from the NICU.

Examples of delivery

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The illustrated examples include mothers and fathers providing KMC, using a front-open gown and shawl or a KMC jacket.
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The examples also show twins receiving KMC and KMC during oxygen therapy, ventilation, and CPAP support.
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