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Aim <p>To describe Kangaroo Mother Care (KMC) practice in the community (cKMC) two months after discharge from the Neonatal Intensive Care Unit (NICU). in South Indian mother-LBW infants.</p> Method <p>A prospective study enrolling 420 dyads at discharge from the NICU with follow-up on cKMC practice two months after discharge. Factors associated with cKMC were explored using logistic regression.</p> Result <p>Among the 420 enrolled, 2 (0.5%) infants died, and 12 (2.9%) were lost to follow-up. Of the remaining families, 25% (101) never practiced cKMC, effective practice was done by 19% (77). Infant birth weight ≥ 1.5&#xa0;kg (OR: 3.1, 95% CI 1.8, 5.3) was associated with higher odds of practicing cKMC, while being born at term (OR: 0.5, 95% CI 0.3, 0.8) and mothers’ weight &gt; 45&#xa0;kg (OR: 0.3, 95% CI 0.1–0.7) was associated with lower odds of practicing cKMC. Continued KMC practice 48&#xa0;h before discharge was associated with higher odds (OR: 3.4, 95% CI 1.8–6.2), while absence of father’s support was associated with lower odds (OR: 0.6, 95% CI 0.3, 1.0) of effective cKMC.</p> Conclusion <p>The continuum of cKMC after discharge from the NICU was inadequate. Factors associated with cKMC practice should be considered when planning interventions to improve cKMC practices.</p>

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Exploring community kangaroo mother care practices among NICU graduates: a prospective cohort study in South India

  • 期刊论文

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  • 发表日期：

    2026年6月20日

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  • Sathya Jeganathan,
  • Catherine Schwinger,
  • Tor A. Strand,
  • Ravishankar Veerasamy,
  • Ingrid Kvestad

摘要

Aim

To describe Kangaroo Mother Care (KMC) practice in the community (cKMC) two months after discharge from the Neonatal Intensive Care Unit (NICU). in South Indian mother-LBW infants.

Method

A prospective study enrolling 420 dyads at discharge from the NICU with follow-up on cKMC practice two months after discharge. Factors associated with cKMC were explored using logistic regression.

Result

Among the 420 enrolled, 2 (0.5%) infants died, and 12 (2.9%) were lost to follow-up. Of the remaining families, 25% (101) never practiced cKMC, effective practice was done by 19% (77). Infant birth weight ≥ 1.5 kg (OR: 3.1, 95% CI 1.8, 5.3) was associated with higher odds of practicing cKMC, while being born at term (OR: 0.5, 95% CI 0.3, 0.8) and mothers’ weight > 45 kg (OR: 0.3, 95% CI 0.1–0.7) was associated with lower odds of practicing cKMC. Continued KMC practice 48 h before discharge was associated with higher odds (OR: 3.4, 95% CI 1.8–6.2), while absence of father’s support was associated with lower odds (OR: 0.6, 95% CI 0.3, 1.0) of effective cKMC.

Conclusion

The continuum of cKMC after discharge from the NICU was inadequate. Factors associated with cKMC practice should be considered when planning interventions to improve cKMC practices.