ArticleBMC public health2020
Barriers and facilitators of kangaroo mother care adoption in five Chinese hospitals: a qualitative study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Diverse Parental Experiences of Kangaroo Care in Neonatal Units Across Healthcare Systems: A Meta-Synthesis.Journal of advanced nursing · 2026Pooled it
- Barriers and enablers of community-based Kangaroo Mother Care (cKMC) practice: a mixed methods systematic review.BMC pregnancy and childbirth · 2025Pooled it
- What influences the implementation of kangaroo mother care? An umbrella review.BMC pregnancy and childbirth · 2022Pooled it
- Enablers and challenges of family-centred care for preterm infants in a tertiary health facility in Northern Nigeria: perspective of parents and health workers - a qualitative study.BMJ paediatrics open · 2026Article
- Parenting Stress, Parenting Self-Efficacy and Dyadic Coping in Parents of Preterm Infants in China: A Dyadic Analysis.Nursing open · 2026Observational
- Tracing the threads: a system dynamics and network diffusion model of kangaroo care implementation in neonatal care.Implementation science communications · 2026Article
- Postpartum Health in Mothers of Preterm Infants in the NICU: Needs, Service Utilization, and Care Gaps-A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Classification and influencing factors of parent activation among parents of preterm infants at a NICU in China: a latent profile analysis.Frontiers in pediatrics · 2026Article
- Skin-to-skin contact in neonatal intensive care units: a narrative review of implementation challenges and strategies within infant- and family-centered care.Frontiers in pediatrics · 2026Review
- Neonatal units as physical spaces for newborn care delivery in Kenya: A qualitative study.International journal of nursing studies · 2025Article
- Kangaroo Method Care: Benefits, Proponents and Barriers: A Narrative Review.Iranian journal of public health · 2025Review
- Exploring factors influencing the uptake of Kangaroo mother care: key informant interviews with healthcare workers.BMC pregnancy and childbirth · 2025Article
- Article
- Developmental-Centered Care in Preterm Newborns: Scoping Review.Children (Basel, Switzerland) · 2025Review
- Review
- Exploring postpartum women's experiences, perspectives, and expectations in maternal health care at a Chinese maternity care center: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Barriers and facilitators to the implementation of the kangaroo mother care in NICUs of high-income and low- and middle-income countries: a scoping review.Frontiers in public health · 2025Review
- Journey Mapping of Chinese Women Undergoing Termination Due to Fetal Abnormalities: A Thematic Content Analysis Based on Social Media Diaries.International journal of women's health · 2025Article
- Parental perceptions and experiences of kangaroo care for preterm infants in neonatal intensive care units in China: a qualitative study.BMC pregnancy and childbirth · 2024Article
- Parents' and neonatal healthcare professionals' views on barriers and facilitators to parental presence in the neonatal unit: a qualitative study.BMC pediatrics · 2024Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 3 countries.
Funding
Abstract
backgroundKangaroo mother care (KMC) has been proved to be a safe and cost-effective standard of care for preterm babies. China hasn't adopted the KMC practice widely until recently. We aim to assess barriers and facilitators of KMC adoption in neonatal intensive care units (NICUs) and postnatal wards in China.
methodsWe conducted clinical observations and semi-structured interviews with nurses, physicians, and parents who performed KMC in seven NICUs and postnatal wards housed in five hospitals in different provinces of China between August and September 2018. The interviews provided first-hand stakeholder perspectives on barriers and facilitators of KMC implementation and sustainability. We further explored health system's readiness and families' willingness to sustain KMC practice following its pilot introduction. We coded data for emerging themes related to financial barriers, parent- and hospital-level perceived barriers, and facilitators of KMC adoption, specifically those unique in the Chinese context.
resultsFive hospitals with KMC pilot programs were selected for clinical observations and 38 semi-structured interviews were conducted. Common cultural barriers included concerns with the conflict with traditional postpartum confinement (Zuo-yue-zi) practice and grandparents' resistance, while a strong family support is a facilitator for KMC adoption. Some parents reported anxiety and guilt associated with having a preterm baby, which can be a parental-level barrier to KMC. Hospital-level factors such as fear of nosocomial infection and shortage of staff and spaces impeded the KMC implementation, and supportive community and peer group organized by the hospital contributed to KMC uptake. Financial barriers included lodging costs for caregivers and supply costs for hospitals.
conclusionsWe provided a comprehensive in-depth report on the multi-level KMC barriers and facilitators in China. We recommend policy interventions specifically addressing these barriers and facilitators and increase family and peer support to improve KMC adoption in China. We also recommend that well-designed local cultural and economic feasibility and acceptability studies should be conducted before the KMC uptake.
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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.