Kangaroo hold baby
Kangaroo Care for Your Infant
Nationwide Children’s Hospital
Kangaroo care is a special way for you to hold your infant that gives the baby skin-to-skin contact (Picture 1). The baby wears only a diaper and is held close against your chest. Since your infant already knows you by your scent, touch, and the way your voice and heartbeat sound, he or she is most comfortable close to you. Both parents can do kangaroo care as often and as long as possible throughout your baby’s stay in the hospital.
Reasons to do kangaroo care
Kangaroo care is good for mom, dad, and baby in so many ways. Some of the ways kangaroo care can be good for your baby and for baby’s parents are:
- Mom makes more milk and has a better chance of breastfeeding
- Baby stays warmer and body temperature is better
- Baby has improved heart rate and breathing rate (vital signs)
- Baby has improved weight gain
- Baby cries less and has lower stress levels
- Baby has improved sleep
- Baby and parent bond more
- Baby has decreased pain and risk of infection
- Baby has better brain growth and development
When kangaroo care is done
- Kangaroo care may be started as soon as you are able. Please let your nurse or doctor know when you are ready to begin. If you are not certain, the nurse may help you try
to become more comfortable. If your baby has a breathing tube, read the instructions on page 3. -
Parents usually start kangaroo care once or twice a day for at least one hour each time or as long as it is tolerated by your baby. The longer you hold your baby, the better. Any amount of time is good, but it is best to try for at least 1 to 2 hours each day.
-
Avoid doing other things during kangaroo care, like fast rocking, talking on the phone, or watching TV. Kangaroo time is a quiet time to be enjoyed by you and your infant. Soft talking to your baby, singing a lullaby, or reading a book are good activities that help your baby brain grow.
Kangaroo care can be done at your baby's bedside while you sit in a chair. An adult bed can be brought in if needed. ; We provide curtains or screens for privacy.
To do kangaroo care, please follow these steps:
- Let your baby's nurses know when you will be coming so they can plan for it. You should plan to spend at least 1 hour doing kangaroo care.
- Shower before coming to the hospital. Check your chest for rashes or open wounds. If you have these, do not do kangaroo care until your skin has healed.
- Wear or bring a loose-fitting shirt or warm-up jacket that buttons or zips up the front.
- Do not smoke or use perfume or scented lotions before doing kangaroo care.
- Pump your breasts and use the toilet right before you start kangaroo care. You can also pump your breasts while doing kangaroo care if you are holding your baby for a long time, just ask your nurse for help.
- Your baby should be dressed in only a diaper. Mothers should remove their bra and dads should be bare-chested.
- The nurse will help you position your baby on your chest. Once your infant is on your chest, cover him or her with a blanket, then button or zip your shirt or a special kangaroo care wrap. This will help keep baby warm and in place.
- Make yourself comfortable. Sit back and raise the footrest on your recliner or prop your feet up. Enjoy this special time with your baby.
- It is safe for you to fall asleep while performing kangaroo care in the hospital when you are wearing the special wrap to keep your baby safe. However, you should never fall asleep while holding your baby at home.
Kangarooing or holding your baby with a breathing tube
If your baby has a breathing tube (Picture 2), there are specific instructions to follow. The breathing tube is very important to helping your baby heal. Any time your baby is moved, there is a chance that the tube could move and cause breathing problems.
Please follow these directions to keep your baby safe:
- You must ask your nurse before getting your baby in and out of the bed. The nurse or a respiratory therapist are the only people
who should move your baby. - If you are uncomfortable or need to change position during kangaroo care or holding, call
the nurse first for help. Make sure your call light is close before the nurse hands you your baby. - The nurse will be checking on your baby’s breathing tube often while you give kangaroo care. Do not be alarmed.
- Do not put your baby back into bed or reposition your baby by yourself.
If you have any questions, be sure to ask your doctor or nurse.
Kangaroo Care for Your Infant (PDF)
HH-I-191 7/97, Revised 8/18 | Copyright 1997, Nationwide Children’s Hospital
What is kangaroo care? | Pregnancy Birth and Baby
What is kangaroo care? | Pregnancy Birth and Baby beginning of content5-minute read
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Kangaroo care, otherwise known as skin-to-skin care, is a way that parents can hold their baby directly against their bare skin. It encourages bonding with your baby and helps support their emotional and physical development. Both a mother and their partner – as well as the baby – can benefit from kangaroo care.
What is kangaroo care?
Kangaroo care is when you hold your baby to your bare chest so your baby has direct skin-to-skin contact with you. The baby is held upright with their head to one side between the mother’s breasts or against the partner’s chest. One hand should support the baby’s head and the other over their bottom. Often, a blanket is placed over the top of the baby to help keep them warm.
When is kangaroo care used?
Many maternity hospitals encourage skin-to-skin contact straight after birth if the baby and mother are both stable. Kangaroo care can be given to babies who are full term, but it’s usually provided to babies who are premature and being cared for in a neonatal intensive care or special care unit.
Even babies who need breathing support and are on a ventilator receiving oxygen, can have kangaroo care. Ideally, kangaroo care happens straight after birth or within the first few days of birth.
Maternity care providers generally recommend that parents practise kangaroo care as soon and as frequently as possible, and for as long as the baby is well and stable. Babies of any age benefit from kangaroo care, but particularly in the time they’re being cared for in hospital.
How do babies benefit from kangaroo care?
Kangaroo care has a range of benefits and can:
- regulates a baby's heartbeat and breathing
- increases a baby’s weight gain and decreases the risk of mortality — this is especially important for premature babies
- improve oxygen saturation levels
- help to maintain body temperature
- supports longer periods of quiet, calm sleep
- help a baby access their mother’s breasts so breastfeeding is easier
- decrease a baby's perception of pain and reduce stress and crying — kangaroo care before heel prick blood collections and injections has been shown to reduce pain and distress for a baby
How do parents benefit from kangaroo care
Kangaroo care provides parents with many benefits, particularly in:
- boosting the bonding process and emotional attachment
- building confidence in handling their baby
- supporting early breastfeeding and milk production
- helping to support the baby’s brain development
What are the benefits of kangaroo care to partners?
Connection is the key benefit for partners. Skin-to-skin contact helps build an emotional connection and ease the sense of separation as well as boosting confidence in handling their baby.
Will hospital staff support me in providing kangaroo care?
Most maternity hospital staff are mindful of the benefits of kangaroo care and will do all they can to support you. If your baby’s condition is not stable or they are unwell and need to stay in their humidicrib so they can be more carefully monitored, it won’t be the right time for kangaroo care.
Planning kangaroo care around your baby’s other care needs and feeding times will help you both to get the most out of this special time of connection.
Sometimes the nursery will be busy and perhaps the staff aren’t able to support you. It will help to let them know that you’re keen to hold your baby as often as possible.
Ways to prepare for kangaroo care
It’s important that you are mindful and ‘present’ when you’re providing kangaroo care:
- Pick a time when you aren’t in a rush and can focus on the joy of holding your baby.
- Wear a shirt which easily opens down the front, or wear a front-opening hospital gown.
- It helps for a mother to remove her bra so the baby has free access to her breasts.
- Have a pillow or two for support - and make sure you have a blanket to place over your baby.
- Have tape handy to secure any tubing connected to your baby.
- Avoid using any strong perfumes, body wash or powders. It’s important your baby can smell you.
- Sit in a comfortable chair with arm rests and a high, supportive back. Ask for a footrest if you want one.
- Go to the toilet beforehand, have a drink beside you and focus on your own comfort as well.
- Speak gently to your baby as they’re transferred from their cot and tell them what’s happening.
- Be sensitive to your baby’s cues or signals - this will help you understand their feelings.
Checking your baby is ready for kangaroo care
Pick a time when you’ll both get the most benefit:
- Check with the staff before taking your baby out of their humidicrib. It’s important your baby is stable, particularly if they are ventilated and their oxygen levels are being monitored.
- You may need to wait until 2 staff are available to help you transfer your baby out of their humidicrib. You’ll need assistance transferring your baby to make sure any lines from your baby can reach you and the chair.
- Ask the staff to make sure all tubing, alarms and pumps are working as they need to.
- Take your baby’s clothing off so they’re only wearing a nappy.
- You may need to put a cap on your baby’s head to help them maintain their body temperature.
Sources:
Mater Mothers' Hospital (Skin to skin therapy for NCCU babies), Life's Little Treasures Foundation (Kangaroo care), Miracle Babies Foundation (Kangaroo Care), National Center for Biotechnology Information (Understanding kangaroo care and its benefits to preterm infants), The Royal Children's Hospital Melbourne (Skin to skin care for the newborn)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: November 2020
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sling or kangaroo, which is better?
Kangaroo backpacks are popular because they are easy to put on. Manufacturers recommend using kangaroo slings even for newborns. In fact, this should not be done, the best solution is a traditional sling. But the kangaroo can not even be called a full-fledged sling. A baby carrier for children should not only be convenient and comfortable, but most importantly, safe for the baby.
Let's look into all the features of the two types of carriers, determine the differences between a sling and a kangaroo. We also include an ergonomic backpack among the first ones.
1.
Duration of use of slings and baby carriers
Baby carriers can be used infrequently and for a short time, such carriers are suitable for relatively light children ( weighing up to 8 kg ). This is due to the fact that kangaroo unevenly distributes the mass of the baby over the body of an adult due to narrow straps, lack of additional support in the lumbar region or its inferior imitation. A baby in a kangaroo is literally suspended from the crotch. The adult's center of gravity shifts, the mother has to strain her back to maintain her balance. At the same time, the weight of the child falls on her shoulders, and the narrow straps press and rub the skin.
The sling can be used from birth up to 2-3 years old, with older babies whose weight has reached 16-25 kg . The sling evenly distributes the baby's body weight over the back and shoulders of an adult, the baby is well attracted to the mother with the help of the sling, so that a single center of gravity is formed. The sling panels spread over the shoulders and back do not press and do not cut into the body due to the larger area, in comparison with a kangaroo backpack. Thanks to this, the weight of even a heavy baby is almost imperceptible.
2. Physiological position of the child's legs
In a kangaroo, the legs are located unphysiologically : the main load falls on the baby's perineum. This is fraught with additional stress on the hip joints, which interferes with their proper development.
In an older child, dangling legs, among other things, also interfere with the mother while walking and cause concern for the baby himself (therefore, it is difficult and uncomfortable to carry more than 9 kg in a kangaroo for both an adult and a child).
In the sling, the baby's legs are positioned physiologically orthopedically correct. The immature hip joints of an infant should be bent at the knees and set apart to a comfortable angle for the child. This position is not only convenient when worn both in a sling and on the hands, but also serves as a prevention of hip dysplasia.
3. The "facing the world" position is harmful to the child and uncomfortable for the parent
The ability to carry the child in a "forward facing" kangaroo is often the main reason for choosing these carriers. However, this situation is not justified for children under 3-4 months old (at this age, the baby is not able to focus on objects far away, maximum 20-30 cm from his face) and is difficult to apply in practice after 5-6 months, when the child is already enough heavy - wearing it "facing the world" is noticeably more difficult than "facing mother".
Among other things, this position is not recommended by psychologists , because in this case the child's nervous system is overloaded with an unnecessary flow of information. Not to mention the fact that it is impossible for a child to sleep, and children sleep a lot in the first months of life.
In the mother-facing sling, the child has excellent visibility to the sides, but he can always hide on his mother's chest and sleep. And after 3 months. it can be worn on the hip and behind the back - a great alternative for active and inquisitive kids.
4. Easy to put on
The speed and ease of putting on the kangaroo backpack is really just apparent, because in addition to throwing it over your shoulders, you need to adjust all the straps and buckles. On average, the donning time is about 1 minute.
Ergonomic rucksack slips on as quickly as a kangaroo. Mastering the sling scarf is much easier than it seems, it takes about 1.5 minutes to wrap even for inexperienced slings. My-sling is a great alternative to a scarf for those mothers who are afraid of windings.
Wrapping up
Each difference between a baby carrier and a sling may not seem so significant, but together they form a set of qualities that make smart parents refuse carriers that are not recommended by professionals for newborns.
Sling outperforms baby carriers in a number of ways. This carrier is:
- more comfortable for baby and mother,
- physiological,
- safe.
Different baby carriers may differ from each other, some models have the possibility of expanding the back, but even in them the child's legs are located at most with the letter "P", not "M". And various hard helmets and pendants are simply dangerous for the baby!
Request a free consultation on choosing a sling for your baby!
Russian scientists have found out why mothers hold their babies on the left
Why mothers almost always hold their babies on the left and why kangaroos, whales and horses behave in a similar way, Egor Malashichev, Associate Professor of St Petersburg University, a participant in a unique study of the behavior of mammals, told Gazeta.Ru.
— How and when did you decide to study the peculiarities of the relative position of mother and cubs in the animal kingdom?
— Eight years ago, I suggested to student Karina Karenina to defend her master's thesis on white whales — to see which side of the mother their cubs swim, assuming that they should swim to the right.
— And why did you assume so?
— The fact is that the brain of mammals, and indeed of vertebrates in general, is arranged asymmetrically, different hemispheres work differently. It has long been known that the right hemisphere is more responsible for various social functions. There were works in which it was shown that fish usually attach themselves to a flock on the right in order to look at individuals of their own species with their left eye. In mammals, no one has studied such features. The only thing is that a clearly expressed asymmetry was noticed in a person when the mother carried the child on the left side.
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Many articles are devoted to this fact, it finds confirmation even in the analysis of icons.
Moreover, to explain this, about ten hypotheses were put forward: that the child feels a heartbeat and calms down, or that the mother is right-handed and therefore keeps her right hand free . .. By the way, the last hypothesis was the easiest to refute - it turned out that left-handers also hold children to the left, like right-handed. We were interested in a hypothesis published in the Lancet at 1986 year. Scientists have suggested that we are talking about eye communication: the right hemisphere of the mother through the left eye communicates with the right hemisphere of the child. Indeed, when a mother bends over a child, she sees more with her left eye than with her right, because her nose gets in the way.
Accordingly, mother and child look at each other more often with their left eyes than with their right ones, and communicate with their right hemispheres.
— And you decided to test this hypothesis on other animals?
Yes. We took mammals in which the eyes are located laterally, that is, they look strictly to the side, and you can always say that the cub is to the right or left of the mother. Then the error is minimal, especially when you consider that the foal or calf swims or runs a little behind the mother.
And secondly, the young of the selected animals must follow their mother, and one can always determine their position, that is, they actively choose one side or the other. In general, most mammals that swim or run in open spaces meet these criteria.
First we studied one species of whales, then another, then we studied ungulates, accumulated information year after year and came to the conclusion that at least 11 species of animals from different orders (walruses, horses, reindeer, saigas, musk oxen, beluga , killer whales, southern right whales, as well as two species of kangaroos) the same thing is observed - the cub always runs to the right.
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— How large was the experimental sample?
- There were two different types of observations. In the first, different pairs of mother and calf were recorded - when one, second, third pair passes by the observers once. In the second, animals were observed that can be distinguished by some signs, and we collected statistics on individual pairs. We studied 175 individual pairs of all species, and we encountered about 10,000 pairs that we met once, about a thousand observations on different animals.
But even this statistic could not be collected, since the asymmetry turned out to be so pronounced that any statistical criterion gave a positive value: the calf is on the right in 90 percent or more of the cases.
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Among beluga whales, we saw only one pair, in which the cub always swam not to the right, but to the left.
— And who builds mutual arrangement in a couple?
- We raised this question right away. It soon became clear that in a calm state, the position is determined by the cub. He tries to keep to the right, and if the female turns around sharply, then, for example, the calf dives and rebuilds to the other side. When we studied killer whales in Kamchatka, we noticed the following: if a boat swims up to a group of killer whales, they rearrange themselves and the observed asymmetry mixes up. If the distance to the boat is more than 100 m, then statistically there is asymmetry. If you come closer, it disappears, and if you come very close, then there is asymmetry again, but the opposite. And then we realized what was happening.
In a calm state, the female does not care about where the cub is, he follows her himself. When a boat approaches, the female moves to the right side to look at the cub with her left eye, takes responsibility for his fate and watches him. In other species, we also saw that in stressful situations, when the female runs away, she rearranges herself to the right.
The right hemisphere of animals recognizes images and works faster - perhaps this is the key point.
It may not recognize them very accurately, but quickly. The left can very scrupulously "consider" objects and images, but slowly. Therefore, the system "left eye - right hemisphere" is effective for this kind of interaction between animals.
Why does all this need to be seen? This helps him survive in nature - the cubs do not get lost and have a clearer connection with their mother.
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We proved that if the cub is on the right, it is less likely to get lost and find it faster.
- What parallels did you draw with people whose mother holds the child on the left?
— We found that in baby animals the left eye and the right hemisphere are leading in choosing how to look at the mother. In case of danger, the mother has the same asymmetry: she controls the child with her left eye, analyzing information with her right hemisphere. Man is a mammal.