Effectiveness Of The Combination Of Kangaroo Mother Care (Kmc) And Prone Position On Increasing Body Weight Of Low Birth Weight (Lbw) Babies
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Keywords

Kangaroo mother care
Prone positioning
Low Birth Weight
Neonates Visit
NICU

How to Cite

Triana, K. Y., Ari Sukmandari , N. M., & Lilik Lestari, M. P. (2026). Effectiveness Of The Combination Of Kangaroo Mother Care (Kmc) And Prone Position On Increasing Body Weight Of Low Birth Weight (Lbw) Babies. Jurnal Kesehatan Manarang, 12(2), 123–131. https://doi.org/10.33490/jkm.v12i2.1594

Abstract

The first month of life is the most vulnerable phase for neonates to survive. Neonates must make various physiological adjustments in order to survive as well as possible to reduce the high incidence of morbidity and mortality of newborns. Various efforts have been made to minimize the negative impact of premature birth and LBW, such as Kangaroo Mother Care (KMC). However, it is felt that the application of KMC alone is still not optimal for shortening hospital days. Thus, a combination intervention is needed that can further optimize the health services provided. The aim of this research is to determine the effectiveness of the combination of Kangaroo Mother Care (KMC) and Prone Positioning interventions on weight gain in babies with LBW.

The research method used in this research is a quantitative method with a quasi-experimental approach. Sampling was carried out using a consecutive sampling technique involving 40 samples divided into intervention and control groups. This study used measurement instruments, namely digital baby scales weight. The results of this study showed that there was a difference between the two groups in the increase in weight of LBW babies, where a more significant increase was seen in the intervention group (p value : 0,001). Thus, combination intervention can be an option that is easy to implement to achieve optimal growth in neonates.

 

https://doi.org/10.33490/jkm.v12i2.1594
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References

Babuyeh, T., Farhadi, R., Zahed Pasha, Y., & Haghshenas Mojaveri, M. (2018). The impacts of prone position on the blood oxygen saturations and heart rates of preterm infants under the mechanical ventilation. Caspian Journal of Pediatrics, 4(2), 298–302.

Badr, E., Mabrouk, H., & El- Shater, M. (2022). Effect of Kangaroo Mother Care and Prone Position on Feeding Intolerance, Physiological Parameters, and Comfort among Preterm Neonates. Egyptian Journal of Nursing and Health Sciences, 3(2), 31–54. https://doi.org/10.21608/ejnhs.2022.261786

Baton, S. M. M., Villanueva-Uy, M. E. T., & De Leon-Mendoza, S. (2021). Effectiveness of Kangaroo Mother Care in Intubated Preterm Neonates 28 to 36 Weeks Gestational Age, Weighing 600 to 2000 Grams at Birth: A Randomized Controlled Trial. Acta Medica Philippina, 55(9), 954–961. https://doi.org/10.47895/AMP.V55I9.3751

Cândia, M. F., Osaku, E. F., Leite, M. A., Toccolini, B., Costa, N. L., Teixeira, S. N., De Macedo Costa, C. R. L., Piana, P. A., Da Silva Cristovam, M. A., & Osaku, N. O. (2014). Influência do posicionamento em prona sobre o estresse no recém-nascido prematuro avaliada pela dosagem de cortisol salivar: um estudo piloto. Revista Brasileira de Terapia Intensiva, 26(2), 169–175. https://doi.org/10.5935/0103-507X.20140025

Conde-Agudelo, Agustin; Diaz-Rossello, J. L. (2016). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews, 8. https://doi.org/DOI10.1002/14651858.CD002771.pub4

Cunningham, C., Moore, Z., Patton, D., O’Connor, T., & Nugent, L. E. (2018). Does Kangaroo care affect the weight of preterm/low birth-weight infants in the neonatal setting of a hospital environment? Journal of Neonatal Nursing, 24(4), 189–195. https://doi.org/10.1016/j.jnn.2017.10.001

Deviana, M., Pramono, N., & Suwondo, A. (2020). Combination of Polyethylene Terephthalate Nesting and Prone Position at the Standard Box Care to the Vital Signs and Length of Stay on the Low Birth Weight Babies. GHMJ (Global Health Management Journal), 4(1), 21–26. https://doi.org/10.35898/ghmj-41579

Dinas Kesehatan Pemerintah Provinsi Bali. (2020). Profil Kesehatan Provinsi Bali.

Estimation, U. N. I. G. for C. M. (2020). Levels & trends in child mortality: Report 2020. NY: United Nations Children’s Fund.

Gavhane, S., Eklare, D., & Mohammad, H. (2016). Long term outcomes of kangaroo mother care in very low birth weight infants. Journal of Clinical and Diagnostic Research, 10(12), SC13–SC15. https://doi.org/10.7860/JCDR/2016/23855.9006

Kumbhojkar, S., Mokase, Y., & Sarawade, S. (2016). Kangaroo Mother Care ( KMC ): An Alternative to Conventional Method of. International Journal of Health Sciences and Research, 6(3), 36–42.

Lumbanraja, S. N. (2016). Influence of maternal factors on the successful outcome of kangaroo mother care in low birth-weight infants: A randomized controlled trial. Journal of Neonatal-Perinatal Medicine, 9(4), 385–392. https://doi.org/10.3233/NPM-161628

Mazumder, S., Taneja, S., Dube, B., Bhatia, K., Ghosh, R., Shekhar, M., Sinha, B., Bahl, R., Martines, J., Bhan, M. K., Sommerfelt, H., & Bhandari, N. (2019). Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. The Lancet, 394(10210), 1724–1736. https://doi.org/10.1016/S0140-6736(19)32223-8

Mishra, P., Rai, N., Mishra, N. R., & Das, R. R. (2017). Effect of Kangaroo Mother Care on the breastfeeding, morbidity, and mortality of very low birth weight neonates: A prospective observational study. Indian Journal of Child Health, 4(3), 379–382. https://doi.org/10.32677/ijch.2017.v04.i03.025

Muliani, M., & Lisnawati, L. (2018). The Effect of Kangaroo Mother Care Method toward Weight Gain and Length of Stay among Low Birth Weight Baby. International Journal of Public Health Science (IJPHS), 7(2), 91. https://doi.org/10.11591/ijphs.v7i2.12632

Nakamura, T., & Kihara. (2013). Nested and swaddled positioning support in the prone position facilitates sleep and heart rate stability in very low birth weight infants. Research and Reports in Neonatology, 11. https://doi.org/10.2147/rrn.s41292

Narciso, L. M., Beleza, L. O., & Imoto, A. M. (2021). The effectiveness of Kangaroo Mother Care in hospitalization period of preterm and low birth weight infants: systematic review and meta-analysis. Jornal de Pediatria, 000(xxx). https://doi.org/10.1016/j.jped.2021.06.004

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.) (11th ed.). Philadelphia, PA: Wolters Kluwer.

Prawesti, A., Emaliyawati, E., Mirwanti, R., & Nuraeni, A. (2019). The Effectiveness of Prone and Supine Nesting Positions on Changes of Oxygen Saturation and Weight in Premature Babies. Jurnal Ners, 14(2), 138–144. https://doi.org/10.20473/jn.v14i2.7755

Ranjan, A., & Malik, S. (2019). Effect of Kangaroo mother care on physiological parameters in low birth weight neonates. International Journal of Contemporary Pediatrics, 6(2), 791–795. https://doi.org/DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20190731

Riset Kesehatan Dasar. (2018). Hasil Utama Riset Kesehatan Dasar 2018. Kementrian Kesehatan RI Badan Penelitian dan Pengembangan Kesehatan.

Sarli, D., Oresti, S., Said, F. M., & Runia, C. N. (2021). Pronation Position of Oxygen Saturation, Respiratory and Pulse Frequency in Low Birth Weight Babies. Jurnal Mitra Kesehatan, 4(IAHSC), 54–60. https://doi.org/10.47522/jmk.v1iiahsc.112

Sukamti, M. S., Oktalia, J., Antarsih, N. R., & Aticeh, I. S. (2020). Kangaroo Mother Care at Low Birth Weight. Asian Journal of Applied Sciences, 8(1), 56–60. https://doi.org/10.24203/ajas.v8i1.6077

Torabian, H., Alinejad, S., Bayati, A., Rafiei, F., & Khosravi, S. (2019). Comparison of the effects of supine and prone positions on oxygen saturation and vital signs in premature infants: A crossover clinical trial. Iranian Journal of Neonatology, 10(2), 30–36. https://doi.org/10.22038/ijn.2019.32928.1465

Triana, K.Y, Ani, N.L.P.M, Dewi, D. P. . (2022). Perbedaan Efektivitas Durasi Penerapan Kangaroo Mother Care (KMC) Terhadap Peningkatan Berat Badan Bayi BBLR. Jurnal Kesehatan Medika Udayana, 08(01), 23–28. https://doi.org/https://doi.org/10.47859/jmu.v8i01.199

WHO Immediate KMC Study Group. (2021). Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight. New England Journal of Medicine, 384(21), 2028–2038. https://doi.org/10.1056/nejmoa2026486

World Health Organization (WHO). (n.d.). Newborns: improving survival and well-being. 2020.

World Health Organization (WHO). (2022). Newborn Mortality.

World Health Organization Regional Office for South-East-Asia. (2019). Strategic framework for improving newborn health in the WHO South-East Asia Region 2019–2025.

Xie, X., Chen, X., Sun, P., Cao, A., Zhuang, Y., Xiong, X., & Yang, C. (2021). Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants. American Journal of Perinatology, 38(8), 791–795. https://doi.org/10.1055/s-0039-3402717

Zhu, Z., Wang, X., Chen, W., Pei, S., Wang, Q., Guan, H., & Zhu, G. (2023). The efficacy of Kangaroo-Mother care to the clinical outcomes of LBW and premature infants in the first 28 days: A meta-analysis of randomized clinical trials. Frontiers in Pediatrics, 11(February), 1–8. https://doi.org/10.3389/fped.2023.1067183

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Copyright (c) 2026 Komang Yogi Triana, Ni Made Ari Sukmandari , Made Pande Lilik Lestari