Original Articles
Vol. 13 No. 2 (2025)
The effectiveness of kangaroo mother care in monitoring vital signs and preventing stunting risk in low-birth-weight infants
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 8 March 2024
Accepted: 20 September 2024
Accepted: 20 September 2024
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Low Birth Weight (LBW) infants have a greater risk of stunting and other non-communicable diseases. The highest causes of death were asphyxia and hypothermia. The Kangaroo Mother Care (KMC) method as a simple intervention is based on evidence-based, which can maintain stability and improve the physiological condition of the baby’s body. This study was to determine the effectiveness of the KMC method in monitoring vital signs and preventing stunting in LBW. The study employed a quasi-experimental preposttest one group design, using a KMC carrier designed in the shape of a backpack. The number of respondents was 38 infants, selected by consecutive sampling. Data analysis used the Wilcoxon test. Bivariate analysis with the application of the KMC method for 4 hours/day on average experienced an increase in body weight 15 gr/day (p=0.011), an average increase in body length ≥0.2 cm/day (p= 0.049), infants received breast milk during the application of the KMC method (p= 0.013) the three variables were p-value <α(0.05), based on the Wilcoxon test with the use of KMC backpacks on LBW showed a significant relationship to infant growth in risk prevention stunting with a value (p=0.000<0.05). The use of KMC backpacks for LBW is effective in maintaining the baby’s vital signs and can prevent the risk of stunting. The KMC backpack is recommended as a safe, easy, inexpensive and effective non-pharmacological therapy to prevent hypothermia and the risk of stunting.
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Safitri HO, Fauziningtyas R, Indarwati R, et al. Determinant factors of low birth weight in Indonesia: Findings from the 2017 Indonesian demographic and health survey. J Pediatr Nurs 2022;63:e102–e106. DOI: https://doi.org/10.1016/j.pedn.2021.10.005
Utami S, Susilaningrum R. Analysis of the causes of low birth weight infants in terms of nutritional status and maternal health history. J Ners 2022;17:131–137. DOI: https://doi.org/10.20473/jn.v17i2.38318
Fikadu T, Assegid S, Dube L. Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: a case-control study. BMC Public Health 2014;14:800. DOI: https://doi.org/10.1186/1471-2458-14-800
Has EMM, Efendi F, Wahyuni SD, et al. Stunting determinants among Indonesian children aged 0-59 month: Evidence from Indonesian family life survey (IFLS) 2014/2015. J Glob Pharma Technol 2020;12:815–825.
Lewa AF, Kusika SY, Muliani, et al. Risk factors of stunting events in child 6-23 months old in Biromaru Public Health Center Sigi. Enferm Clin 2020;30:131–135. DOI: https://doi.org/10.1016/j.enfcli.2019.10.056
Adair LS, Fall CHD, Osmond C, et al. Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: Findings from five birth cohort studies. Lancet 2013;382:525–534. DOI: https://doi.org/10.1016/S0140-6736(13)60103-8
Sampurna MTA, Handayani KD, Utomo MT, et al. Determinants of neonatal deaths in Indonesia: A national survey data analysis of 10,838 newborns. Heliyon 2023;9:e12980. DOI: https://doi.org/10.1016/j.heliyon.2023.e12980
Dhilon DA, Eldarita Fitri. Pengaruh Perawatan Metode Kangguru Terhadap Kenaikan Berat Badan Pada Bayi Berat Badan Lahir Rendah (BBLR) di RS Sekabupaten Kampar Tahun 2018. J Doppler Univ Pahlawan Tuanku Tambusai 2019; 3: 15–22.
Unicef. UNICEF Data: Monitoring the situation of children and women.
Dinkes Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah. Profil Kesehat Provinsi Sulawesi Teng 2021;1–377.
Nasiriani K, Dehghani K, Movahed Z, et al. A randomized controlled trial of kangaroo mother care versus conventional method on vital signs and arterial oxygen saturation rate in newborns who were hospitalized in neonatal intensive care unit. J Clin Neonatol 2015;4:26. DOI: https://doi.org/10.4103/2249-4847.151163
Sumiyati S, Wahyuningsih T, Lusiana A. Perawatan Metode Kanguru Pada Bayi Berat Lahir Rendah. J Sains Kebidanan 2020;2:26–9. DOI: https://doi.org/10.31983/jsk.v2i2.6425
Rahmatika QT, Aditya RS, Yusuf A, et al. We are facing some barriers: A qualitative study on the implementation of kangaroo mother care from the perspectives of healthcare providers. J Public Health Afr 2022;13:2412. DOI: https://doi.org/10.4081/jphia.2022.2412
Zahra SA, S ANR. Pengaruh Durasi Kangaroo Mother Care Terhadap Perubahan Tanda Vital Bayi. Diponegoro Med J (Jurnal Kedokt Diponegoro) 2018;7:1182–91.
Wahyuningrum AD, Arief YS, Fitryasari RPK, et al. Kangaroo Mother Care in Improving Thermoregulation of Premature Babies During the COVID-19 Pandemic: A Case Report. Kesmas 2023;18:84–87. DOI: https://doi.org/10.21109/kesmas.v18isp1.7038
Utami S, Huang MC. Health care providers’ perception, knowledge, barriers and practice of kangaroo care for preterm baby in Indonesia. J Neonatal Nurs 2019;25:205–208. DOI: https://doi.org/10.1016/j.jnn.2019.03.003
Muliani M, Lisnawati L. The Effect of Kangaroo Mother Care Method toward Weight Gain and Length of Stay among Low Birth Weight Baby. Int J Public Heal Sci 2018;7:91. DOI: https://doi.org/10.11591/ijphs.v7i2.12632
Ludington-Hoe SM. Kangaroo care as a neonatal therapy. Newborn Infant Nurs Rev 2013;13:73–75. DOI: https://doi.org/10.1053/j.nainr.2013.03.004
D. H. D. The effect of kangaroo mother care on stabilization of vital signs heart rate, respiratory rate and arterial saturation in low-birth-weight preterm babies. Int J Contemp Pediatr 2023;10:181–185. DOI: https://doi.org/10.18203/2349-3291.ijcp20230081
Nurlaila N, Riyanti E. Kebutuhan Gendongan dalam Perawatan Metode Kanguru pada Bayi Berat Lahir Rendah. J Kebidanan dan Keperawatan Aisyiyah 2021;16:260–73. DOI: https://doi.org/10.31101/jkk.1061
Ministry of Health of Ethiopia, Ministry of Health. Kangaroo Mother Care Technical and Implementation Guideline.
Palaha H, Singh I, Pathak S. Initiating kangaroo mother care in urban slums: a pilot intervention. MGM J Med Sci 2023;10:702–7. DOI: https://doi.org/10.4103/mgmj.mgmj_234_23
Pratik PP, Lakshminarayana SK, Devadas S, et al. Quality Improvement Study With Low-Cost Strategies to Reduce Neonatal Admission Hypothermia. Cureus 2023;15:e40301. DOI: https://doi.org/10.7759/cureus.40301
Joshi A, Londhe A, Joshi T, et al. Quality improvement in Kangaroo Mother Care: learning from a teaching hospital. BMJ Open Qual 2022;11:e001459. DOI: https://doi.org/10.1136/bmjoq-2021-001459
Bera A, Ghosh J, Singh AK, et al. Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn. Indian J Community Med 2014;39:245–9. DOI: https://doi.org/10.4103/0970-0218.143030
Tarekegn SM, Wagaw GB, Mekonen AM. Barriers and enablers for practicing kangaroo mother care in South Wollo Zone public hospitals East Amhara, Northeast Ethiopia. 2023; 1–11. DOI: https://doi.org/10.21203/rs.3.rs-3072715/v1
Bera A, Ghosh J, Singh AK, et al. Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: A controlled clinical trial. Acta Paediatr Int J Paediatr 2014;103:643–50. DOI: https://doi.org/10.1111/apa.12618
Park JJH, Siden E, Harari O, et al. Interventions to improve linear growth during exclusive breastfeeding life-stage for children aged 0-6 months living in low- and middle-income countries: a systematic review with network and pairwise meta-analyses. Gates Open Res 2020;3:1720. DOI: https://doi.org/10.12688/gatesopenres.13082.2
Akrom A, Hidayati T, Kencana OW, et al. Infection and undernutrition increase the risk of stunting among rural children. Int J Public Heal Sci 2022;11:920–6. DOI: https://doi.org/10.11591/ijphs.v11i3.21592
Safaah N, Yunitasari E, Efendi F, et al. Relationship between exclusive breastfeeding and stunting among children aged 2-5 years in Indonesia. Gac Med Caracas 2022;130:S1019–24. DOI: https://doi.org/10.47307/GMC.2022.130.s5.21
Hadi H, Fatimatasari F, Irwanti W, et al. Exclusive breastfeeding protects young children from stunting in a low-income population: a study from Eastern Indonesia. Nutrients 2021;13:4264. DOI: https://doi.org/10.3390/nu13124264
Swarnkar K, Vagha J. Effect of kangaroo mother care on growth and morbidity pattern in low birth weight infants. J Krishna Inst Med Sci Univ 2016;5:91–9.
Beal T, Tumilowicz A, Sutrisna A, et al. A review of child stunting determinants in Indonesia. Matern Child Nutr 2018;14:e12617. DOI: https://doi.org/10.1111/mcn.12617
Sari BM, Wardani RA, Arismawati DF. The effect of kanguru mother care method to change of body temperature in LBW ( low body weight ) babies. Int J Nurs Midwifery Sci 2018;131–6. DOI: https://doi.org/10.29082/IJNMS/2018/Vol2/Iss02/131
Bisanalli S, Nesargi S, Govindu RM, et al. Kangaroo Mother Care in Hospitalized Low Birth-Weight Infants on Respiratory Support: A Feasibility and Safety Study. Adv Neonatal Care 2019;19:E21–5. DOI: https://doi.org/10.1097/ANC.0000000000000666
Almeida C, Almeida A, Forti E. Effects of kangaroo mother care on the vital signs of low-weight preterm newborns. Rev Bras Fisioter 2009;11:1–5. DOI: https://doi.org/10.1590/S1413-35552007000100002
Parsa P, Karimi S, Basiri B, Roshanaei G. The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan City, Iran. Pan Afr Med J 2018;30:89. DOI: https://doi.org/10.11604/pamj.2018.30.89.14428
WHO Immediate KMC Study Group. 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;21:280. DOI: https://doi.org/10.1186/s13063-020-4101-1
Mazumder S, Upadhyay RP, Hill Z, et al. Kangaroo mother care: Using formative research to design an acceptable community intervention. BMC Public Health 2018;18:307. DOI: https://doi.org/10.1186/s12889-018-5197-z
Onyango S, Brentani A, Fink G. Kangaroo mother care for preterm infants and child development–evidence from São Paulo, Brazil. Early Child Dev Care 2021;0:1–9. DOI: https://doi.org/10.1080/03004430.2021.1885393
Sales IMM, Santos JDM, Rocha SS da, et al. Contributions of the nursing team in the second stage of the Kangaroo-Mother Care Method: Implications for hospital discharge of the newborn. Esc Anna Nery 2018;22:1–8. DOI: https://doi.org/10.1590/2177-9465-ean-2018-0149
Cho ES, Kim SJ, Kwon MS, et al. The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal-infant attachment, and maternal stress. J Pediatr Nurs 2016;31:430–438. DOI: https://doi.org/10.1016/j.pedn.2016.02.007
Ignacio RP, Villanueva-Uy MET. Kangaroo mother care versus incubator in transporting stable preterm neonates: a randomized controlled trial. Acta Med Philipp 2021;55:923–33. DOI: https://doi.org/10.47895/amp.v55i9.3766
How to Cite
The effectiveness of kangaroo mother care in monitoring vital signs and preventing stunting risk in low-birth-weight infants. (2025). Healthcare in Low-Resource Settings, 13(2). https://doi.org/10.4081/hls.2025.12462
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