MATERIAL ATTACHMENT

A. Definition of Kangaroo Method

The kangaroo method is an early and continuous treatment method with a
skin-to-skin touch between mother and premature baby or LBW (Low Birth
Weight) in a kangaroo-like position (Hadi, 2005).
The principle of the kangaroo method is the substitution of newborn care
in incubators with mothers such as kangaroo mothers who hold their babies in
order to withstand stable and optimal infant temperatures (36.5˚C - 37.5˚C).

B. Benefits of Kangaroo Method

1. Improve the emotional relationship between mother and child
2. Stabilizes body temperature (36.5˚C - 37.5˚C), heart rate (120-160x/
min), and infant breathing (40-60x/ min).
3. Improve baby's growth and weight better
4. Reduce stress on mother and baby
5. Fixed the emotional state of mother and baby
6. Increase breast milk production
7. Reduces risk of infection during hospitalization
8. Shorten hospital stay

C. Baby Criteria for Kangaroo Method

1. Babies weighing ≤ 2000 grams
2. There are no accompanying disorders or diseases
3. Reflexes and suction and swallow conditions are good
4. The development during the incubator is good
5. Parental readiness and participation are strongly supportive of success
D. Procedures of the Kangaroo Method
1. Give baby hats, diapers, and warmed socks first. When the temperature is
cold, the baby may be wearing a sleeveless cotton shirt that opens on the
front, so that the baby's chest can stick on the breast of the mother (skin to
skin).
2. Place the baby in the mother's chest, in an upright position, directly to the
mother's skin and make sure the baby's head is fixed on the mother's
chest. Position the baby with the elbow and leg flexed (like a toad), head
tilted to the right or to the left and slightly to look up.
3. Mothers can also wear clothes with a larger size of the mother's body and
the baby is placed between the mother's breast, the clothes can envelop the
baby and the mother use scarf wrapped around the mother's stomach so the
baby does not fall.
4. If the mother's clothes can not support the baby, an elastic towel or cloth
may be used to keep the baby's body from falling off. If less cover the
baby's body can be added with a blanket.
5. Mothers can still move freely, can be free to move despite standing,
sitting, walking, eating, and chatting. At bedtime, the position of the
mother half-sitting or by putting some pillows under the mother's back.
6. If mother needs rest, can be replaced by father or other family member.
7. In the implementation need to note the readiness of mother, baby, infant
position, baby monitoring, breastfeeding and maternal and infant hygiene.