Effects of the kangaroo method on weight gain of premature newborns: An integrative review

Authors

DOI:

https://doi.org/10.62827/fb.v27i2.1145

Keywords:

Kangaroo-Mother Care Method; Premature; Weight Gain; Intensive Care.

Abstract

Introduction: Prematurity is recognized as one of the leading causes of neonatal mortality. Faced with this challenge, the Kangaroo Mother Care method is recognized as a crucial humanized practice that strengthens the mother-baby bond. Objective: To review the literature on the impact of Kangaroo Mother Care in Neonatal Intensive Care Units on the weight gain of premature infants. Methodology: This is an integrative literature review, based on the following databases: National Library of Medicine (PubMed), Physiotherapy Evidence Database (PEDro), and Scientific Electronic Library Online (SciELO). The search focused on the descriptors "kangaroo mother care" and "weight gain". Clinical trials and observational studies detailing the direct effects of Kangaroo Mother Care on the weight gain of premature infants admitted to Neonatal Intensive Care Units were included. Results: The findings demonstrate that Kangaroo Mother Care is effective in promoting significant weight gain, accelerating the recovery of birth weight. An improvement was observed in several physiological and behavioral parameters. The duration of skin-to-skin contact and the support offered to the mother were identified as determining factors in maximizing the effectiveness of the method. Conclusion: Kangaroo Mother Care is a safe and highly effective intervention, especially when it comes to weight gain in premature newborns. Its application contributes directly to growth, clinical stability and, vitally, to strengthening the emotional bond between mother and baby. Studies indicate that it should be widely encouraged and integrated into neonatal care.

Author Biographies

  • Lina Nogueira Pereira, Faculdade Sudamérica

    Faculdade Sudamérica, Cataguases, MG, Brasil

  • Renata Martins Rosa, Faculdade Sudamérica

    Faculdade Sudamérica, Cataguases, MG, Brasil

  • Mariana Souza Pinto, Faculdade Sudamérica

    Faculdade Sudamérica, Cataguases, MG, Brasil

References

Otoni AC, Grave MTQ. Avaliação dos sinais neurocomportamentais de bebês pré-termo internados em Unidade de Terapia Intensiva Neonatal [Internet]. Rev Ter Ocup Univ São Paulo. 2014 May-Aug [cited 2025 Oct 20];25(2):151-8. Available from: https://doi.org/10.11606/issn.2238-6149.v25i2p151-8. doi:10.11606/issn.2238-6149.v25i2p151-8.

Ramos HÂC, Cuman RKN. Fatores de risco para prematuridade: pesquisa documental [Internet]. Esc Anna Nery Rev Enferm. 2009 [cited 2025 Oct 20];13(2):297-304. Available from: https://doi.org/10.1590/S1414-81452009000200009. doi:10.1590/S1414-81452009000200009.

Oliveira AA, et al. Fatores associados ao nascimento pré-termo: da regressão logística à modelagem com equações estruturais [Internet]. Rev Bras Epidemiol. 2019 [cited 2025 Oct 20];22(Suppl 3):e190020. Available from: https://doi.org/10.1590/1980-549720190020.supl.3.doi:10.1590/1980 549720190020.supl.3.

Araújo PB, et al. Efeitos da prematuridade no desenvolvimento infantil [Internet]. Braz J Implantol Health Sci. 2024 [cited 2025 Oct 20];6(5):1135–45. Available from: https://doi.org/10.36557/2674-8169.2024v6n5p1135-1145. doi:10.36557/2674-8169.2024v6n5p1135-1145.

Loftin RW, Habli M, Snyder CC, Cormier CM, Lewis DF, DeFranco EA. Late preterm birth [Internet]. Rev Obstet Gynecol. 2010 [cited 2025 Oct 20];3(1):10-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876317/.

Forsythe ES, Allen PJ. Health risks associated with late-preterm infants: implications for newborn primary care [Internet]. Pediatr Nurs. 2013 [cited 2025 Oct 20];39(4):197-202. Available from: https://pubmed.ncbi.nlm.nih.gov/24027954/.

UNICEF; World Health Organization (WHO). Low birthweight: country, regional and global estimates [Internet]. Geneva: World Health Organization; New York: UNICEF; 2004 [cited 2025 Oct 20]. Available from: https://apps.who.int/iris/handle/10665/43184. ISBN: 9280638327.

Moraes AB. Baixo peso de nascidos vivos no Rio Grande do Sul, Brasil: uma análise estatística multinível [tese] [Internet]. Porto Alegre (RS): Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Programa de Pós-Graduação em Epidemiologia; 2007 [cited 2025 Oct 20]. Available from: http://hdl.handle.net/10183/10588.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção humanizada ao recém-nascido de baixo peso: Método Canguru: manual técnico [Internet]. 2. ed., 1. reimpr. Brasília (DF): Ministério da Saúde; 2013 [cited 2025 Oct 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/atencao_humanizada_metodo_canguru_manual_tecnico.pdf

Gesteira ECR, Sena RR, Prado PF, Oliveira VC, Lopes ACS. Método Canguru: benefícios e desafios experienciados por profissionais de saúde [Internet]. Rev Enferm UFSM. 2016 [cited 2025 Oct 20];6(4):580-91. Available from: https://doi.org/10.5902/2179769222291. doi:10.5902/2179769222291.

Kurniawati Y, Rustina Y, Budiati T. Peer support increases maternal confidence, Kangaroo Mother Care implementation and weight gain in LBW infants [Internet]. Compr Child Adolesc Nurs. 2019 [cited 2025 Oct 20];42(Suppl 1):252-60. Available from:https://doi.org/10.1080/24694193.2019.1594457. doi:10.1080/24694193.2019.1594457

Samra NM, El Taweel A, Cadwell K. Effect of intermittent Kangaroo Mother Care on weight gain of low birth weight neonates with delayed weight gain [Internet]. J Perinat Educ. 2013 [cited 2025 Oct 20];22(4):194-200. Available from: https://doi.org/10.1891/1058-1243.22.4.194. doi:10.1891/1058-1243.22.4.194.

Freitas JO, Camargo CL. Método Mãe-Canguru: evolução ponderal de recém-nascidos [Internet]. Acta Paul Enferm. 2007 [cited 2025 Oct 20];20(1):75-81. Available from: https://doi.org/10.1590/S0103-21002007000100013. doi:10.1590/S0103-21002007000100013.

Biswal A. A comparative study to assess the effect of oil massage vs Kangaroo Mother Care on changes in the physiological and neurobehavioural parameters among low birth weight babies [Internet]. Indian J Public Health Res Dev. 2015 [cited 2025 Oct 20];6(1):157-62. Available from: https://doi.org/10.5958/0976-5506.2015.00157.6. doi:10.5958/0976-5506.2015.00157.6

Cañadas DC, Carreño TP, Borja CS, Perales AB. Benefits of Kangaroo Mother Care on the physiological stress parameters of preterm infants and mothers in neonatal intensive care [Internet]. Int J Environ Res Public Health. 2022 [cited 2025 Oct 20];19(7183):1-15. Available from: https://doi.org/10.3390/ijerph19127183. doi:10.3390/ijerph19127183.

Bueno-Pérez I, Martín-Vázquez C, Martínez-Angulo P, Calvo-Ayuso N, García-Fernández R. Impact of the Kangaroo Mother Care method on weight gain in premature newborns: systematic review [Internet]. BMC Pediatr. 2025 [cited 2025 Oct 20];25(365):1-8. Available from: https://doi.org/10.1186/s12887-025-05597-6. doi:10.1186/s12887-025-05597-6.

Surandran S, Nagendra K. Impact of duration of Kangaroo Mother Care on growth in preterm and low birth weight neonates: a prospective cohort study [Internet]. Int J Contemp Pediatr. 2023 [cited 2025 Oct 20];10(5):680–4. Available from: https://doi.org/10.18203/23493291.ijcp20231143. doi:10.18203/23493291.ijcp20231143.

Ouyang X, Ye X, Liu X, Zhang H, Huang S, Fan Y, Lin Y. Effects of Kangaroo Mother Care combined with nurse-assisted mindfulness training for reducing stress among mothers of preterm infants hospitalized in the NICU: a randomized controlled trial [Internet]. BMC Pediatr. 2024 [cited 2025 Oct 20];24(628). Available from: https://doi.org/10.1186/s12887-024-05075-5. doi:10.1186/s12887-024-05075-5.

Sinha B, Sommerfelt H, Ashorn P, Mazumder S, Taneja S, More D, et al. Effect of community-initiated Kangaroo Mother Care on postpartum depressive symptoms and stress among mothers of low-birth-weight infants: a randomized clinical trial [Internet]. JAMA Netw Open. 2021 [cited 2025 Oct 20];4(4):e216040. Available from: https://doi.org/10.1001/jamanetworkopen.2021.6040. doi:10.1001/jamanetworkopen.2021.6040.

Koreti M, Gharde PM. A narrative review of Kangaroo Mother Care (KMC) and its effects on low birth weight babies [Internet]. Cureus. 2022 [cited 2025 Oct 20];14(11):e31948. Available from: https://doi.org/10.7759/cureus.31948. doi:10.7759/cureus.31948.

Narciso LM, Beleza LO, Imoto AM. The effectiveness of Kangaroo Mother Care in hospitalization period of preterm and low birth weight infants: systematic review and meta-analysis [Internet]. J Pediatr (Rio J). 2022 [cited 2025 Oct 20];98(2):117-25. Available from: https://doi.org/10.1016/j.jped.2021.06.004. doi:10.1016/j.jped.2021.06.004.

Farias L, Gomes R. Assistência da fisioterapia em UTI neonatal: uma revisão bibliográfica [trabalho de conclusão de curso]. Brasília (DF): Centro Universitário de Brasília – UniCEUB; 2010

Vasconcelos G, Almeida R, Bezerra A. Repercussões da fisioterapia na unidade de terapia intensiva neonatal. Fisioter Mov. 2011;24(1):65-73. doi:10.1590/S0103-51502011000100008.

Marchi BS, Pereira SA, Rodovanski GP, Moran CA. Aplicação do método canguru em diferentes posturas. J Parana Pediatr. 2021;22(1):1–6. doi:10.5935/1676-0166.20210003.

Published

2026-03-26

How to Cite

Effects of the kangaroo method on weight gain of premature newborns: An integrative review. (2026). Fisioterapia Brasil, 27(2), 3220-3231. https://doi.org/10.62827/fb.v27i2.1145

Most read articles by the same author(s)