Effect of kangaroo mother care in preterm versus term intra uterine growth restriction neonates


  • Devesh N. Joshi Department of Pediatrics, GMERS Medical College and Civil Hospital, Gandhinagar, Gujrat, India
  • Lalit Nainiwal Department of Pediatrics, GMERS Medical College and General Hospital, Gotri, Vadodara, Gujrat, India




Intra uterine growth restriction, Kangaroo mother care, Low birth weight, Preterm


Background: Low Birth Weight newborns are either Preterm or IUGR. These both have different morbidities and outcomes. KMC is an effective intervention for LBW infants. Here authors study the effectiveness of KMC in preterm babies and full term IUGR babies.

Methods: Prospective, Observational, comparative study in which 50 Preterm AGA and 50 Term IUGR included which are hemodynamically stable. effective KMC given and their daily weight gain were observed.

Results: Term IUGR having average birthweight is 2083.7±177.9 gm and discharge weight 2179.4±183.8 and preterm AGA are having average birthweight 1972.9±198.9gm and weight on discharge 1962.2±201.0. IUGR term newborns had mean weight loss for 0.90±1.05 days with mean weight loss of 17.94±28.8 grams with average weight loss of 0.9% followed by mean weight gain of 26.6±14.2 grams per day for mean 4.36±0.74 days. Preterm AGA shows weight loss for 3.54±1.5 days with mean weight loss of 98.06±80.83 grams and average 5.4% followed by mean weight gain of 20.4±8.9 grams 4.22±0.97 per day for mean 4.36±0.74 days. With average hospital stay of 5.26±1.2 and 7.76±1.51 days respectively for Term IUGR and Preterm AGA.

Conclusions: KMC helps in decreasing the morbidities, achieving physiological weight gain and early discharge in both IUGR term and preterm AGA new-borns but maintaining their physiological pattern of weight gain.


Ghai OP, Gupta P, Paul VK. Ghai Essential Pediatrics. 7th ed. CBS Publishers and Distributors; 2012:128.

Saha D. indiaspend. 2016. Available at: archive.indiaspend.com/cover-story/low-birth-weight-preterm-in-deliver-cause-most-newborn-death-in-india-45376. Accessed 25 September 2018.

World Health Organization. Thermal control of the newborn: a practical guide. Geneva: World Health Organization; 1993.

Shiau SH, Anderson GC. Randomized controlled trial of kangaroo care with full term infants: effects on maternal anxiety, breastmilk maturation, breast engorgement, and breast-feeding status. Paper presented at the International Breastfeeding Conference, Australia’s Breastfeeding Association, Sydney. 1997:23-25.

Robert M, Kliegmann S, Bonita F, Joseph W. Nelson Textbook of Pediatrics: First South Asia Edition. Elsevier Ind. 2015:822.

Gomella TL, Douglas M, Eyal FG. Neonatology: Management, Procedures, On call Problems, Diseases and Drugs. 7th ed. New York, Mc Graw Hill Education Publishers; 2013:36.

Singh M. Care of the new-born revised 8th ed. CBS Publishers and Distributors Private Limited; 2015:319.

Suman Rao PN, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: a randomized controlled trial. Ind Pediatr. 2008;45(1):17.

Ali SM, Sharma J, Sharma R, Alam S. Kangaroo mother care as compared to conventional care for low birth weight babies. Dicle Med J / Dicle Tip Magazine. 2009 Sep 1;36(3):155-60.

Subedi K, Aryal DR, Gurubacharya SM. Kangaroo mother care for low birth weight babies: a prospective observational study. J Nepal Paediatr Soci. 2009;29(1):6-9.

Udani RH, Kabra N, Nanavati RN, VR A. Kangaroo Mother Care (KMC): A cohort follow up study on impact of duration of KMC on mortality, morbidity, hospital stay and breastfeeding. J Neonatol. 2013 Mar;27(1):5-10.

Gupta M, Jora R, Bhatia R. Kangaroo mother care (KMC) in LBW infants-a western Rajasthan experience. Ind J Pediatr. 2007 Aug 1;74(8):747-9.

Evereklian M, Posmontier B. The impact of kangaroo care on premature infant weight gain. J Pediatr Nursing. 2017 May 1;34:e10-6.

Sharma D, Murki S, Oleti TP. Study comparing Kangaroo Ward Care with Intermediate Intensive Care for improving the growth outcome and cost effectiveness: randomized control trial. J Maternal-Fetal Neon Med. 2018 Nov 17;31(22):2986-93.

Ramanathan KP, Paul VK, Deorari AK, Taneja U, George G. Kangaroo Mother Care in very low birth weight infants. Ind J Pediatr. 2001 Nov 1;68(11):1019-23.

Narang A, Chaudhuri MK, Kumar P. Small for gestational age babies: Indian scene. Ind J Pediatr. 1997 Mar 1;64(2):221-4.

Srivastava AK, Agarwal VK, Gupta SK, Mehrotra SN. A longitudinal study of physical growth and morbidity pattern of small for date babies from birth to six months of age. Ind J Pediatr. 1978 Jan 1;45(1):1-0.

Prasad KN, Phaneendra Rao RS, Sujatha A. Birth weight pattern in Karnataka. Ind Pediatr. 1994 Jul 1;31:836-9.

Das BK, Mishra RN, Mishra OP, Bhargava V, Prakash A. Comparative outcome of low birth weight babies. Ind Pediatr. 1993 Jan;30(1):15-21.

Mohammadzadeh A, Farhat A, Jafarzadeh M, Hasanzadeh L, Esmaeli H. Advantages of kangaroo mother care in less than 2000 grams low birth weight neonates. Med J Islamic Repub Iran (MJIRI). 2011 May 10;25(1):11-5.

Jafari M, Bayat MM, Kermansaravi F. [The effect of kangaroo mother care on weight gain, stay length and controlling temperature of preterm neonates with low birth weight in neonatal intensive care units of selected hospitals in Mashhad. Medical]. Surg Nurs J. 2014;3(1):32-7.

Basiri B, Shokouhi M, Heydari Farah S. The effect of kangaroo mother care (KMC) duration on physical growth of low birth weight infants. Avic J Clin Med. 2014 Jun 15;21(1):8-15.

Singh M. Care of the newborn revised 8th ed (2017). CBS Publishers and Distributors Private Limited; 2015:301-309.






Original Research Articles