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Kangaroo care – outcomes — RACP Paediatrics MCQ

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EasyNeonatalKangaroo care – outcomesRACP Paediatrics

A stable premature infant (32 weeks, 1.5 kg) in the NICU is ready for developmental care interventions. What single intervention has the strongest evidence for improving multiple neonatal outcomes including mortality, infection, breastfeeding, and neurodevelopment?

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Correct answer: A — Kangaroo mother care

Kangaroo mother care (KMC, continuous or intermittent skin-to-skin contact with the parent) has the strongest evidence for improving neonatal outcomes. A landmark WHO trial (2021) showed KMC initiated immediately after birth reduced mortality by 25% in LBW infants. Benefits include improved thermoregulation, breastfeeding rates, bonding, and neurodevelopment, plus reduced infection and hospital stay.

Reference: WHO – 2022 – KMC Guidelines; RCH Melbourne – 2023 – Developmental Care CPG