Evidence map›Paper›PMID 41238995›Full record

ReviewWorld journal of pediatrics : WJP2026

Immediate kangaroo mother care: a narrative review of the benefits and barriers.

Ni Nyoman Berlian Aryadevi, Rosita Saumi Imanta Putri, Heidi Indraswara Satari, Putri Maharani Tristanita Marsubrin

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In one paragraph

Review in World journal of pediatrics : WJP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ni Nyoman Berlian AryadeviFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Rosita Saumi Imanta PutriFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Heidi Indraswara SatariFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Putri Maharani Tristanita MarsubrinDepartment of Child Health, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, 10430, Indonesia. putristanita2806@yahoo.com.ORCID 0000-0002-5680-6244

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmediate kangaroo mother care, a continuous skin-to-skin contact initiated within 24 hours after birth, often before full clinical stabilization, has emerged as a recommended approach to improve outcomes in preterm and low-birth-weight neonates. Unlike delayed kangaroo mother care, which begins after clinical stabilization, immediate kangaroo mother care promotes early exclusive breastfeeding and early discharge with follow-up support, which has been endorsed by the World Health Organization following evidence of reduced morbidity and mortality. This narrative review synthesizes the current literature comparing immediate kangaroo mother care to delayed kangaroo mother care across implementation practices, benefits, and challenges to inform future recommendations for optimizing kangaroo mother care delivery and consistency in neonatal care.

methodsA comprehensive search across Medline (PubMed), Scopus, EuropePMC, and Google Scholar up to June 2024 was conducted. Studies comparing immediate and delayed kangaroo mother care in premature or low-birth-weight infants reporting on at least one of the major clinical outcomes or implementation barrier were included. Review quality was assessed via the Scale for the Assessment of Narrative Review Articles.

resultsEvidence from the included trials, including five major randomized controlled trials conducted in low- and high-resource settings, revealed that immediate kangaroo mother care significantly reduces 28-day neonatal mortality, the risk of hypothermia, and the incidence of sepsis. Immediate kangaroo mother care improves exclusive breastfeeding and growth outcomes in infants, and has shown benefits not only for infants but also for their mothers. It also demonstrated greater cost-effectiveness, especially in low-resource settings. While immediate kangaroo mother care is associated with numerous benefits, its implementation remains constrained by several barriers, including sociocultural, medical, logistical, and financial factors.

conclusionsWhile immediate kangaroo mother care offers substantial potential to improve neonatal outcomes, addressing the barriers in implementing immediate kangaroo mother care is essential.

Indexed as

Kangaroo-Mother Care MethodFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureTime FactorsCost-effectivenessImmediate kangaroo mother careLow birth weightNeonatal carePreterm infants

Identifiers

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Registered trials

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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.