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Kangaroo Mother Care (KMC) is a method for caring for low birth weight or premature babies, involving continuous skin-to-skin contact (like a kangaroo's pouch), exclusive breastfeeding, and support, proven to reduce infant mortality, improve growth, stabilize temperature, and enhance bonding for both baby and parents. It's recommended as standard care for small newborns, even sick ones, by the WHO, reducing risks of infection and hypothermia, and promoting better feeding and parent-baby attachment.
Key Components of KMC
Skin-to-Skin Contact (SSC): Holding the baby upright against the bare chest of a parent or caregiver for as long as possible, often using a sling or wrap.
Exclusive Breastfeeding: Providing breast milk only (or expressed milk if needed), which is vital for nutrition and immunity.
Support: Ensuring family, health workers, and systems support the mother-baby dyad.
Benefits of KMC
For Infants:
Stabilizes heart rate, breathing, and temperature.
Reduces infections and risk of death.
Improves weight gain and growth.
Promotes successful breastfeeding.
For Parents:
Strengthens bonding and attachment.
Increases parental confidence.
Reduces maternal anxiety and postpartum hemorrhage.
How it Works
Starting: KMC should begin as soon as the baby is clinically stable after birth, even for sick or preterm infants.
Duration: Aim for as much continuous contact as possible (4+ hours daily), with many advocating for 9-12+ hours.
Who Can Provide: Mothers, fathers, partners, and other family members can provide KMC, offering relief and shared bonding.
When Not to Do SSC: Avoid if skin has rashes, cuts, or cold sores; avoid smoking before or during KMC.
Implementation
Health systems should facilitate mother-baby togetherness.
Mothers can learn to express milk for feeding when needed.
Family support and acceptance are crucial for success

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