Pioneer inclusion of a father in the Kangaroo method at the Northen Maternal Hospital
Abstract
We present the clinical case of a preterm twins delivery, in which both newborns had low birth weight (<1200 g) and required admission to the neonatal intensive care unit (NICU). Following initial stabilization, skin-to-skin contact (kangaroo father care method) was initiated with active participation from both parents. Unprecedentedly within the institution and the province of Santiago de Cuba, the father assumed a full-time role as the primary kangaroo caregiver, representing the first documented case in the region with such paternal involvement. The clinical course of both infants was favorable and comparable, with no significant differences in weight gain or physiological response to skin-to-skin contact with either parent. The father's active participation ensured exclusive breastfeeding, reduced maternal stress, and optimized early bonding. This case represents a significant experience in the humanization of neonatal care, highlighting the importance of the paternal role in the hospital setting and in the early development of the newborn.
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1. Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Pediatrics. 2016[citado 12 /06/2025];137(1):e20152238.Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC4702019/
2. Cai Q, Chen DQ, Wang H, Zhang Y, Yang R, Xu WL, et al. What influences the implementation of kangaroo mother care? An umbrella review. BMC Pregnancy Childbirth. 2022[citado 17/06/2025];22(1):851. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9675107/
3. Darmstadt GL, Kirkwood B, Gupta S. WHO Global Position Paper and Implementation Strategy on kangaroo mother care call for fundamental reorganisation of maternal-infant care. Lancet. 2023[citado 12/06/2025];401(10390):1751-3. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(23)01000-0
4. Sivanandan S, Sankar MJ. Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis. BMJ Glob Health. 2023[citado 12/06/2025];8(6):e010728. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10254798/
5. Organización Mundial de la Salud. Recommendations on care of the preterm or low-birth-weight infant. Ginebra: OMS; 2022. [citado 12 /06/2025] Disponible en: https: https://iris.who.int/server/api/core/bitstreams/707c8feb-e4e4-4e5c-b029-b78202c67cc7/content
6. Mazumder S, Taneja S, Dube B, et al. Effect of community-initiated Kangaroo Mother Care on survival of low birthweight infants: a randomized controlled trial. N Engl J Med. 2019[citado 12/06/2025];380(6):507–17. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32223-8/abstract
7. Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2016[citado 12/06/2025];11(11):CD003519. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6464366/
8. Blomqvist YT, Rubertsson C, Kylberg E, Jöreskog K, Nyqvist KH. Kangaroo Mother Care helps fathers of preterm infants gain confidence in the paternal role. J Adv Nurs. 2012[citado12/06/2025];68(9):1988-96.Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2648.2011.05886.x
9. Organización Mundial de la Salud. Kangaroo mother care Implementation strategy for scale-up adaptable to different country contexts. Ginebra : WHO; 2023. [citado12/06/2025].Disponible en: https://iris.who.int/server/api/core/bitstreams/71660bad-f029-4d9e-a2a4-63d8c59a8ce1/content
10. Zhu Z, Wang X, Chen W, Pei S, Wang Q, Guan H, et al. 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. Front. Pediatr.2023[citado12/06/2025];11:1067183. Disponible en: https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1067183/full
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