Sahoo Purnima, Panda Santosh K, Das Niyati
Pediatrics, Kalinga Institute of Nursing Sciences, Kalinga Institute of Industrial Technology (KIIT) Deemed To Be University, Bhubaneswar, IND.
Neonatology, Kalinga Institute of Medical Sciences, Kalinga Institute of Industrial Technology (KIIT) Deemed To Be University, Bhubaneswar, IND.
Cureus. 2025 May 31;17(5):e85140. doi: 10.7759/cureus.85140. eCollection 2025 May.
Kangaroo mother care (KMC), which includes skin-to-skin contact (SSC) and exclusive breastfeeding, has become a widely recognized and cost-effective method for improving the health and survival of preterm and low-birth-weight (LBW) infants. This review explores the evolution of implementing early KMC, its integration into neonatal intensive care units (NICUs), and the barriers hindering its widespread adoption. The benefits of early KMC include better temperature regulation, improved breastfeeding, stronger parent-infant bonding, and reduced mortality. However, many hospitals and communities still face challenges, including a lack of awareness, limited training among healthcare staff, cultural resistance, and inadequate infrastructure. To overcome these obstacles, this review emphasizes the importance of supportive policies, parental education, and ongoing training for healthcare providers. It also discusses the need for practical models and implementation strategies to help expand early KMC programs at both the local and national levels. Drawing on global experiences and new data from countries that have successfully scaled up early KMC, this review presents a vision in which families play a central role in caring for their newborns from birth. Making early KMC available to all who need it, both in hospitals and in the community, is essential for improving newborn survival and achieving global health targets, including the Sustainable Development Goals. This review calls for stronger collaboration among researchers, policymakers, and healthcare workers to establish early KMC as a standard practice in newborn care worldwide.
袋鼠式护理（KMC），包括皮肤接触（SSC）和纯母乳喂养，已成为一种广泛认可且具有成本效益的方法，用于改善早产儿和低体重（LBW）婴儿的健康和存活率。本综述探讨了早期实施袋鼠式护理的演变过程、其在新生儿重症监护病房（NICU）中的整合情况以及阻碍其广泛采用的障碍。早期袋鼠式护理的益处包括更好的体温调节、改善母乳喂养、加强母婴联结以及降低死亡率。然而，许多医院和社区仍然面临挑战，包括缺乏认识、医护人员培训有限、文化阻力以及基础设施不足。为克服这些障碍，本综述强调支持性政策、家长教育以及对医护人员持续培训的重要性。它还讨论了需要实用的模式和实施策略，以帮助在地方和国家层面扩大早期袋鼠式护理项目。借鉴全球经验以及成功扩大早期袋鼠式护理规模的国家的新数据，本综述提出了一种愿景，即家庭在从出生起照顾新生儿方面发挥核心作用。让所有有需要的人，无论是在医院还是在社区，都能获得早期袋鼠式护理，对于提高新生儿存活率和实现包括可持续发展目标在内的全球健康目标至关重要。本综述呼吁研究人员、政策制定者和医护人员加强合作，将早期袋鼠式护理确立为全球新生儿护理的标准做法。
