Lifesavers · No. 21

Kangaroo mother care

Carrying a small or premature baby skin-to-skin, and starting right after birth, could save up to 150,000 more newborns every year, with no incubator required.

150,000 lives — additional newborn lives a year that immediate kangaroo mother care could save, on top of the gains from conventional care

A WHO estimate tied to starting kangaroo mother care immediately after birth. Conventional post-stabilization care already cuts mortality by 40% in hospitalized low-birthweight infants.

Credited to
Kangaroo mother care was devised in 1978 by paediatrician Edgar Rey Sanabria in Bogota, Colombia, as a response to overcrowded incubators.
When
1978

How it saves lives

A premature or low birthweight baby struggles to stay warm, feed and breathe steadily. Held upright against a parent's bare chest, the baby borrows the adult's body heat, hears a familiar heartbeat, and breastfeeds more easily, and its own breathing and heart rate settle. It sounds almost too simple to matter, but for a fragile newborn those stable basics are the difference between coping and crashing, and it works even where there are no incubators at all.

The story

Kangaroo mother care began in Bogota in 1978, not as a gentle idea but out of desperation: too many babies, not enough incubators, and high death rates. Doctors tried keeping small babies warm against their mothers' skin instead, and survival improved. Decades of evidence have since made it standard advice. In 2021 a WHO trial showed the timing mattered even more than anyone thought: starting kangaroo care immediately after birth, rather than waiting for the baby to stabilise, could save up to 150,000 more lives a year. It is one of the rare lifesavers that costs nothing and belongs to the parents, not the machine.

From the record

Starting kangaroo mother care immediately after birth has the potential to save up to 150,000 more lives each year.

World Health Organization Kangaroo mother care started immediately after birth critical for saving lives, 2021

Asked often

Does kangaroo mother care save lives?

Yes. The World Health Organization estimates that starting kangaroo mother care immediately after birth could save up to 150,000 more newborn lives each year, on top of the survival gains already seen with conventional kangaroo care.

What is kangaroo mother care?

It is the care of a small or premature baby held skin-to-skin against a parent's chest, usually the mother's, combined with support for breastfeeding. It keeps the baby warm and stable and works even without an incubator, which makes it especially valuable in low-resource settings.

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