ArticleJournal of global health2018
Kangaroo mother care for clinically unstable neonates weighing ≤2000 g: Is it feasible at a hospital in Uganda?
Article in Journal of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Investigating the implementation of infection prevention and control practices in neonatal care across country income levels: a systematic review.Antimicrobial resistance and infection control · 2025Pooled it
- Barriers and facilitators of facility-based kangaroo mother care in sub-Saharan Africa: a systematic review.BMC pregnancy and childbirth · 2021Pooled it
- Barriers and facilitators to utilisation of KMC among preterm babies on CPAP.BMC health services research · 2026Article
- Holding hope: maternal experiences of kangaroo mother care within sociocultural contexts in Ethiopia.BMC pediatrics · 2026Article
- Tracing the threads: a system dynamics and network diffusion model of kangaroo care implementation in neonatal care.Implementation science communications · 2026Article
- Immediate kangaroo mother care: a narrative review of the benefits and barriers.World journal of pediatrics : WJP · 2026Review
- Neonatal units as physical spaces for newborn care delivery in Kenya: A qualitative study.International journal of nursing studies · 2025Article
- Pain management in preterm infants with necrotizing enterocolitis: an international expert consensus statement.European journal of pediatrics · 2025Article
- Kangaroo mother care among hospitalised neonates: evaluation of the validity of duration measurement methods compared to observation linked to the OMWaNA trial in Uganda.BMC pediatrics · 2025Observational
- Kangaroo mother care prior to clinical stabilisation: Implementation barriers and facilitators reported by caregivers and healthcare providers in Uganda.PLOS global public health · 2024Article
- Magnitude of kangaroo mother care practice and its associated factors in Tigray region, northern Ethiopia, 2019: cross-sectional study design.The Pan African medical journal · 2023Article
- Neonatal warming devices: What can be recommended for low-resource settings when skin-to-skin care is not feasible?Frontiers in pediatrics · 2023Review
- Clinical detection of 'cold stress' is overlooked: an online survey of healthcare workers to explore the gap in neonatal thermal care in low-resource settings.BMJ paediatrics open · 2022Article
- Quality improvement in Kangaroo Mother Care: learning from a teaching hospital.BMJ open quality · 2022Article
- Barriers and enablers to kangaroo mother care prior to stability from perspectives of Gambian health workers: A qualitative study.Frontiers in pediatrics · 2022Article
- KANGAROO MOTHER CARE: A QUALITATIVE STUDY ON THE PRACTICE AND EXPERIENCES OF MOTHERS OF PRETERM NEONATES IN A TERTIARY TEACHING HOSPITAL IN EASTERN UGANDA.International journal for research in health sciences and nursing · 2021Article
- Kangaroo mother care: EN-BIRTH multi-country validation study.BMC pregnancy and childbirth · 2021Observational
- Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers' voices and experiences.BMJ global health · 2021Article
- "It brought hope and peace in my heart:" Caregivers perceptions on kangaroo mother care services in Malawi.BMC pediatrics · 2020Article
- Development and validation of a simplified score to predict neonatal mortality risk among neonates weighing 2000 g or less (NMR-2000): an analysis using data from the UK and The Gambia.The Lancet. Child & adolescent health · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKangaroo mother care (KMC) for
methodsThis was a mixed-methods study. We recorded data including birthweight, chronological age, and treatments administered from medical charts, and calculated the percentage of clinically unstable neonates, defined as the need for ≥2 medical therapies in the first 48 hours of admission. We enrolled a sample of neonates meeting pre-defined instability criteria. Mothers were counselled to provide KMC as close to continuously as possible. We calculated the median duration of KMC per episode and per day. To explore acceptability, we conducted semi-structured interviews with parents and newborn unit care providers, and analysed data using the thematic content approach.
findingsWe included 254 neonates in the audit, 10 neonates in the feasibility sub-study, and 20 participants in the acceptability sub-study. Instability criteria were easily implementable, identifying 89% of neonates as unstable in the audit. The median duration of individual KMC episodes ranged from 115 to 134 minutes. The median daily duration ranged from 4.5 to 9.7 hours. Seventy-five percent of interviewees felt KMC could be used in neonates concurrently receiving other medical therapies. Barriers included lack of resources (beds/space, monitoring devices), privacy issues, inadequate education, and difficulties motivating mothers to devote time to KMC. Recommendations included staff/peer counselling, resources, family support, and community outreach.
conclusionsThere remains a need for an evidence-based approach to consistently define stability criteria for KMC to improve care. We found that KMC for unstable neonates weighing ≤2000g was feasible and acceptable at Jinja Hospital in Uganda. Randomised controlled trials are needed to demonstrate the effect of KMC on survival among unstable neonates in low-resource settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.