Effect of Kangaroo mother care on maternal attachment behavior before hospital discharge


Katayoun Vakilian 1 , * , Frouzan Khatami Doost 1 , Mahboubeh Khorsandi 1

1 Instructor Department of Midwifery, Arak University of Medical Sciences, Arak, Iran.

How to Cite: Vakilian K, Khatami Doost F, Khorsandi M. Effect of Kangaroo mother care on maternal attachment behavior before hospital discharge, Hormozgan Med J. 2007 ; 11(1):e89108.


Hormozgan Medical Journal: 11 (1); e89108
Published Online: October 17, 2006
Article Type: Research Article
Received: September 14, 2005
Accepted: October 17, 2006


Introduction: Kangaroo mother care (KMC) was first suggested in 1978 by Dr.
Edgar Ray in Bogota, Colombia. It was developed initially as caring for low birth
weight infants. Quantitative studies on the effect of KMC on maternal attachment
behavior is few. It is specially true about different maternal behavior in various
cultures. This study was done to evaluate KMC on attachment behaviors
(affectionate, care giving , proximity) of Iranian primiparous mothers with term
infants, shortly after birth.
Methods: This is a randomized trial that was done in one of Tehran's training
hospitals. 90 samples were selected randomly and were divided to case and control
groups. In the case group, newborn was let to have contact with mother's nude body.
Newborn's nude body (without blanket or sheet) had contact with mother's skin for
15-20 minutes. The mother was asked to touch and breast-feed her baby after birth.
But in the control group, the routine hospital procedure was undertaken.
Results: The result showed that there is difference between affectionate behaviors
including looking (P<0.01), talking (P<0.02), proximity behaviors (close
contact with mothers, P<0.001) and embracing the newborn. There was also a
significant difference in the attachment behaviors in 2 groups. However,
regarding care taking behavior, this difference was not significant .
Conclusion: Therefore, immediate contact as a kangaroo method between mother
and newborn has a positive effect on attachment behavior and should be carried
out in early hours post partum. Midwives who are the first care giver for mother
and newborn, should be concerned about this (skin to skin) contact and increase
the time of contact.



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