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
Abstract
Background and Objectives: The Kangaroo mother care (KMC) method is the best care method that can provide the newborn's skin normal contact with the mother's skin for all newborns, especially the premature or underweight. However, this method has not still become common in some countries and many hospitals in Iran. Thus, the present study aimed to determine the impact of KMC method on vital signs and arterial oxygen saturation of newborns compared to the incubator care method in order to facilitate this method. Materials and Methods: This clinical trial study was performed on 53 neonates who have been hospitalized in Neonatal Intensive Care Unit; they were randomly divided into two case and control groups. The KMC was conducted on newborns in the study group for an hour each day for 3 consecutive days. The vital signs including temperature, respiratory and heart rate per minute, and the arterial oxygen saturation rate were measured and recorded before, during and after caring process in both groups and then were compared and analyzed. Results and Conclusion: The results showed that the average temperature variations and the arterial oxygen saturation rate between the two groups had significant differences in 3 days of examining (P < 0/056, P = 0/00), but there were no significant differences in the mean heart and respiration rate between the two groups (P = NS). Thus, the Kangaroo care method is effective in the improvement and stabilizing of vital signs of newborns, and nurses can train this method to mothers.
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KC is a therapeutic skin-to-skin treatment in which a pediatric patient is held against a parent's chest in a manner that lowers mortality, stabilizes heart rate, temperature, and respiration rate, and decreases risks for infection.
“These same data can also inform effective methods for neonatal care such as KC, a therapeutic skin-to-skin “treatment”, in which a pediatric patient is held against a parent’s chest in a manner that lowers mortality, stabilizes heart rate, temperature, and respiration rate, and decreases the risks for infection14,15.”
From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [15]
Cites
Feldman, R., Eidelman, A. I., Sirota, L., & Weller, A. (2002) · PEDIATRICS · doi:10.1542/peds.110.1.16 · Cited by 634 · see citing works
Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates
Johnston, C. C., Stevens, B., Pinelli, J. M., Gibbins, S., Filion, F., Jack, A., Steele, S., Boyer, K., & Veilleux, A. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.11.1084 · Cited by 314 · see citing works
Charpak, N., Ruíz, J. G., Zita Figueroa de, C., & Charpak, Y. (2001) · PEDIATRICS · doi:10.1542/peds.108.5.1072 · Cited by 286 · see citing works
(2008) · PubMed · Cited by 208 · see citing works
Kangaroo mother care in very low birth weight infants
Ramanathan, K., Paul, V. K., Deorari, A. K., Taneja, U., & George, G. (2001) · The Indian Journal of Pediatrics · doi:10.1007/bf02722345 · Cited by 204 · see citing works
Cong, X. S., Ludington‐Hoe, S. M., McCain, G. C., & Fu, P. (2009) · Early Human Development · doi:10.1016/j.earlhumdev.2009.05.012 · Cited by 161 · see citing works
Bier, J. B. (1996) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1996.02170370043006 · Cited by 159 · see citing works
Lai, H.-L., Chen, C.-J., Peng, T.-C., Chang, F.-M., Hsieh, M.-L., Huang, H.-Y., & Chang, S.-C. (2006) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2005.04.008 · Cited by 156 · see citing works
Ludington‐Hoe, S. M., Anderson, G. C., Swinth, J. Y., Thompson, C., & Hadeed, A. J. (2004) · Neonatal Network The Journal of Neonatal Nursing · doi:10.1891/0730-0832.23.3.39 · Cited by 147 · see citing works
Acolet, D., Sleath, K., & Whitelaw, A. C. (1989) · Acta Paediatrica · doi:10.1111/j.1651-2227.1989.tb11055.x · Cited by 138 · see citing works
Effects of Skin-to-Skin Contact on Autonomic Pain Responses in Preterm Infants
Cong, X. S., Cusson, R. M., Walsh, S. J., Hussain, N., Ludington‐Hoe, S. M., & Zhang, D. (2012) · Journal of Pain · doi:10.1016/j.jpain.2012.02.008 · Cited by 127 · see citing works
Ludington‐Hoe, S. M., Morgan, K., & Abouelfettoh, A. (2008) · Advances in Neonatal Care · doi:10.1097/01.anc.0000324330.25734.b6 · Cited by 122 · see citing works
Energy conservation during skin-to-skin contact between premature infants and their mothers.
Ludington, S. M. (1990) · PubMed · Cited by 120 · see citing works
Early Skin‐To‐Skin Contact for Mothers and Their Healthy Newborn Infants
Moore, E. R. (2013) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/1552-6909.12177 · Cited by 119 · see citing works
Chwo, M., Anderson, G. C., Good, M., Dowling, D. A., Shiau, S.-H. H., & Chu, D. (2002) · Journal of Nursing Research · doi:10.1097/01.jnr.0000347592.43768.46 · Cited by 115 · see citing works
Feasibility of kangaroo mother care in Mumbai
Kadam, S., Binoy, S., Kanbur, W., Mondkar, J., & Fernandez, A. (2005) · The Indian Journal of Pediatrics · doi:10.1007/bf02760578 · Cited by 107 · see citing works
Sloan, N. L., Ahmed, S., Mitra, S. N., Choudhury, N., Chowdhury, M., Rob, U., & Winikoff, B. (2008) · PEDIATRICS · doi:10.1542/peds.2007-0076 · Cited by 104 · see citing works
Skin-to-Skin Contact Improves Gas Exchange in Premature Infants
Föhe, K., Kropf, S., & Avenarius, S. (2000) · Journal of Perinatology · doi:10.1038/sj.jp.7200378 · Cited by 100 · see citing works
Nguah, S. B., Wobil, P., Obeng, R., Yakubu, A., Kerber, K. J., Lawn, J. E., & Plange‐Rhule, G. (2011) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-11-99 · Cited by 90 · see citing works
Bauer, K., Pyper, A., Sperling, P., Uhrig, C., & VERSMOLD, H. T. (1998) · Pediatric Research · doi:10.1203/00006450-199808000-00018 · Cited by 81 · see citing works
Kangaroo Mother Care in Reducing Pain in Preterm Neonates on Heel Prick
Nimbalkar, S. M., Chaudhary, N., Gadhavi, K. V., & Phatak, A. G. (2012) · The Indian Journal of Pediatrics · doi:10.1007/s12098-012-0760-6 · Cited by 76 · see citing works
Cardiorespiratory stability of premature boys and girls during kangaroo care
Fischer, C. B., Sontheimer, D., Scheffer, F., Bauer, J., & Linderkamp, O. (1998) · Early Human Development · doi:10.1016/s0378-3782(98)00022-x · Cited by 66 · see citing works
Kangaroo Transport Instead of Incubator Transport
Sontheimer, D., Fischer, C. B., & Buch, K. E. (2004) · PEDIATRICS · doi:10.1542/peds.113.4.920 · Cited by 63 · see citing works
Gazzolo, D., Masetti, P., & Meli, M. (2000) · Acta Paediatrica · doi:10.1080/080352500750044098 · Cited by 58 · see citing works
Kangaroo mother care as compared to conventional care for low birth weight babies
Ali, S. M., Sharma, J. P., Sharma, R., & Alam, S. (2009) · DergiPark (Istanbul University) · Cited by 55 · see citing works
Translating research findings into practice – the implementation of kangaroo mother care in Ghana
Bergh, A., Manu, R., Davy, K., van Rooyen, E., Asare, G. Q., Awoonor‐Williams, J. K., Dedzo, M., Twumasi, A., & Nang‐Beifubah, A. (2012) · Implementation Science · doi:10.1186/1748-5908-7-75 · Cited by 51 · see citing works
Bradycardia and desaturation during skin-to-skin care: No relationship to hyperthermia
Bohnhorst, B., Gill, D., Dördelmann, M., Peter, C. S., & Poets, C. F. (2004) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2004.06.019 · Cited by 45 · see citing works
Trial of Repeated Analgesia with Kangaroo Mother Care (TRAKC Trial)
Campbell-Yeo, M. L., Johnston, C. C., Benoit, B., Latimer, M. A., Vincer, M., Walker, C., Streiner, D. L., Inglis, D., & Caddell, K. (2013) · BMC Pediatrics · doi:10.1186/1471-2431-13-182 · Cited by 42 · see citing works
Kangaroo Mother Care: Effect and perception of mothers and health personnel
Nirmala, P., Rekha, S., & Washington, M. (2006) · Journal of Neonatal Nursing · doi:10.1016/j.jnn.2006.07.008 · Cited by 41 · see citing works
First week kangaroo care in sick very preterm infants
Törnhage, C., Stuge, E., Lindberg, T., & Serenius, F. (1999) · Acta Paediatrica · doi:10.1080/080352599750030167 · Cited by 39 · see citing works
Eidelman, A. I. (2004) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2004.08.039 · Cited by 22 · see citing works
Miltersteiner, A. R., Miltersteiner, D. D. R., Rech, V. V., & Molle, L. D. (2003) · Revista Brasileira de Saúde Materno Infantil · doi:10.1590/s1519-38292003000400009 · Cited by 18 · see citing works
Charpak, N., Figueroa, Z., Ruíz, J. G., & Charpak, Y. (1997) · Pediatric Research · doi:10.1203/00006450-199704001-01157 · Cited by 18 · see citing works
Diniz, K. T., Cabral‐Filho, J. E., Miranda, R. M., Lima, G. M. S., & Vasconcelos, D. D. A. (2013) · BMC Pediatrics · doi:10.1186/1471-2431-13-79 · Cited by 11 · see citing works
Implications of Kangaroo Care for Growth and Development in Preterm Infants
Beal, J. A., & Wood, S. H. (2005) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/00005721-200509000-00014 · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Chung, H. U., Rwei, A. Y., Hourlier-Fargette, A., Xu, S., Lee, K., Dunne, E. C., Xie, Z., Liu, C., Carlini, A., Kim, D. H., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0792-9 · Cited by 482 · see citing works
Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants
McCall, E. M., Alderdice, F. A., Halliday, H. L., Vohra, S., & Johnston, L. J. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004210.pub5 · Cited by 471 · see citing works
Kangaroo mother care to reduce morbidity and mortality in low birthweight infants
Conde-Agudelo, A., & Díaz-Rossello, J. L. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002771.pub4 · Cited by 1,349 · see citing works
Mekonnen, A. G., Yehualashet, S. S., & Bayleyegn, A. D. (2019) · International Breastfeeding Journal · doi:10.1186/s13006-019-0206-0 · Cited by 139 · see citing works
Zengin, H., Suzan, Ö. K., Hür, G., Kolukısa, T., Eroğlu, A., & Cinar, N. D. (2023) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2023.04.010 · Cited by 49 · see citing works
Durmaz, A., Sezici, E., & Akkaya, D. D. (2023) · Midwifery · doi:10.1016/j.midw.2023.103771 · Cited by 28 · see citing works
Eissler, A. B., Zwakhalen, S. M. G., Stoffel, L., & Hahn, S. (2021) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2021.08.100 · Cited by 29 · see citing works
The Effect of Kangaroo Care on Breastfeeding and Development in Preterm Neonates
Küçükoğlu, S., Kurt, F. Y., Özdemir, A. A., & Ozcan, Z. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2021.02.019 · Cited by 25 · see citing works
Schmid, S. V., Arnold, C., Jaisli, S., Bubl, B., Harju, E., & Kidszun, A. (2024) · BMC Pediatrics · doi:10.1186/s12887-024-04758-3 · Cited by 17 · see citing works
Arslan, F. T., Akkoyun, S., Küçükoğlu, S., Koçoğlu, D., Konak, M., & Soylu, H. (2024) · Midwifery · doi:10.1016/j.midw.2024.104096 · Cited by 15 · see citing works
Shahbazi, F., Fattahi-Darghlou, M., Moslehi, S., Dabiri-Golchin, M., & Shahbazi, M. (2025) · PLoS ONE · doi:10.1371/journal.pone.0316674 · Cited by 13 · see citing works
dos Santos, A. P., & Sapucaia, C. O. (2021) · Revista Pesquisa em Fisioterapia · doi:10.17267/2238-2704rpf.v11i1.3399 · Cited by 12 · see citing works
Jafari, M., Farajzadeh, F., Asgharlu, Z., Derakhshani, N., & Asl, Y. P. (2019) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_310_18 · Cited by 11 · see citing works
Skin-to-skin therapy on high-frequency jet ventilation: A trauma-informed best practice
Varty, D., Minhas, K., Gillis, S., & Rourke, S. (2023) · Canadian Journal of Respiratory Therapy · doi:10.29390/001c.84446 · Cited by 5 · see citing works
Effect of Kangaroo mother care on physiological parameters in low birth weight neonates
Ranjan, A., & Malik, S. (2019) · International Journal of Contemporary Pediatrics · doi:10.18203/2349-3291.ijcp20190731 · Cited by 4 · see citing works
Experience of Mass Intrahospital Neonatal Transport: Impact on Vitals
Kumar, R., Wasim, S., Gupta, G., Mathur, S., & Kahlon, D. S. (2022) · Cureus · doi:10.7759/cureus.22785 · Cited by 3 · see citing works
Zekey, Z. B., Çelen, R., & Konak, M. (2026) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2026.07.005 · Cited by 2 · see citing works
Impact of Kangaroo Care on Premature Infants’ Vital Signs: A Retrospective Cohort Study
Nasehi, S., Maleki, M. R., Razzaghi, A., & Mojabi, S. H. (2025) · The Open Public Health Journal · doi:10.2174/0118749445392070250929000153 · Cited by 1 · see citing works
Pushpam, V. S. M., Evency.A., R., & Feby, G. (2026) · Journal of Neonatal Nursing · doi:10.1016/j.jnn.2026.101771 · Cited by 1 · see citing works
Mohamed, F. Z., & Aboelmagd, A. N. (2020) · International Journal of Research in Paediatric Nursing · doi:10.33545/26641291.2020.v2.i1a.27 · Cited by 1 · see citing works
Nazir, S., Mubashar, A., Naeem, B., Riaz, M., Aman, L., & Salman, N. (2023) · Pakistan Journal of Medical and Health Sciences · doi:10.53350/pjmhs2023172777 · Cited by 1 · see citing works
Muliani, M., Lisnawati, L., Hadina, H., Sarliana, S., Lewa, A. F., & Usman, H. (2025) · Healthcare in Low-resource Settings · doi:10.4081/hls.2025.12462 · Cited by 1 · see citing works
Kameliawati, F., & Diana, H. (2020) · Wellness And Healthy Magazine · doi:10.30604/well.97212020 · Cited by 1 · see citing works
Skin-to-skin Contact After Birth to Promote Newborns' Vital Stabilization: An Evidence-Based Project
Bricker, S., Johnson, R., & Stom, C. (2016)
Haque, T., Sangi, R., Raza, M. S., Shaikh, N. U. A., Jamro, S., Ahsan, A. K., & Chohan, M. N. (2022) · Journal of Pharmaceutical Research International · doi:10.9734/jpri/2022/v34i41b36274
Riani, S. E., & Lumprom, O. (2023) · Open Access Health Scientific Journal · doi:10.55700/oahsj.v4i1.36
Yenidoğan hemşirelerinin kanguru bakımı uygulamasındaki engeller: Sistematik derleme
Yıldız, N. U., & Balcı, S. (2023) · Sağlık ve Yaşam Bilimleri Dergisi · doi:10.33308/2687248x.202351298
Munafiah, D., Hastuti, W., Nurbaiti, N., & Novitasari, N. (2023) · PLACENTUM Jurnal Ilmiah Kesehatan dan Aplikasinya · doi:10.20961/placentum.v11i2.73214
Wasim, T., Raana, G. E., Jafree, S. R., Momina, A. U., Wasim, A. Z., Saifi, H. Z., Zunair, J., Iftikhar, T., & Fischer, F. (2024) · Research Square · doi:10.21203/rs.3.rs-4896494/v1
Schmid, S. V., Arnold, C., Jaisli, S., Bubl, B., Harju, E., & Kidszun, A. (2024) · Figshare · doi:10.6084/m9.figshare.25687408
Schmid, S. V., Arnold, C., Jaisli, S., Bubl, B., Harju, E., & Kidszun, A. (2024) · Zürcher Hochschule für Angewandte Wissenschaften digital collection (Zurich University of Applied Sciences) · doi:10.21256/zhaw-30553
Schmid, S. V., Arnold, C., Jaisli, S., Bubl, B., Harju, E., & Kidszun, A. (2024) · Figshare · doi:10.6084/m9.figshare.25687601
Chung, C. R., Yeo, H. J., Do, J. G., Na, Y., Choi, E., Kang, J., Kwon, J., Kim, H. J., Park, J., Lee, H., et al. (2026) · Acute and Critical Care · doi:10.4266/acc.006630
- Authors
- Nasiriani, K., Dehghani, K., Movahed, Z., & Dehghani, H.
- Affiliations
- Shahid Sadoughi University of Medical Sciences and Health Services (IR)
- Corresponding author
- Nasiriani, Khadijeh
- Venue
- Journal of Clinical Neonatology
- Published
- 2015
- Volume
- 4
- Issue
- 1
- Pages
- 26
- ISSN
- 1658-6093 (ISSN-L)
- 2249-4847
- OpenAlex
- W2037452802
- Cited by
- 33
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 1 · 2016: 2
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Neonatology (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- kangaroo mother care, neonatal intensive care, neonates, vital signs, arterial oxygen saturation, skin-to-skin contact, incubator care, body temperature, heart rate, respiratory rate, preterm infants, infant underweight
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