袋鼠妈妈护理：临床实践指南

A clinical practice guide Kangaroo mother care A clinical practice guide Kangaroo mother care: a clinical practice guide ISBN 978-92-4-011591-0 (electronic version)ISBN 978-92-4-011592-7 (print version) © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0IGO licence (CCBY-NC-SA3.0IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercialpurposes, provided the work is appropriately cited, as indicated below. In any use of this work, there shouldbe no suggestion that WHO endorses any specific organization, products or services. The use of the WHOlogo is not permitted. If you adapt the work, then you must license your work under the same or equivalentCreative Commons licence. If you create a translation of this work, you should add the following disclaimeralong with the suggested citation:“This translation was not created by the World Health Organization(WHO). WHO is not responsible for the content or accuracy of this translation. The original English editionshall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with themediation rules of the World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation. Kangaroo mother care: a clinical practice guide. Geneva: World Health Organization;2025. Licence:CCBY-NC-SA3.0IGO. Cataloguing-in-Publication (CIP) data.CIP data are available athttps://iris.who.int/. Sales, rights and licensing.To purchase WHO publications, seehttps://www.who.int/publications/book-orders. To submit requests for commercial use and queries on rights and licensing, seehttps://www.who.int/copyright. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, suchas tables, figures or images, it is your responsibility to determine whether permission is needed for thatreuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement ofany third-party-owned component in the work rests solely with the user. General disclaimers.The designations employed and the presentation of the material in this publicationdo not imply the expression of any opinion whatsoever on the part of WHO concerning the legal statusof any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers orboundaries. Dotted and dashed lines on maps represent approximate border lines for which there may notyet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they areendorsed or recommended by WHO in preference to others of a similar nature that are not mentioned.Errors and omissions excepted, the names of proprietary products are distinguished by initial capitalletters. All reasonable precautions have been taken by WHO to verify the information contained in this publication.However, the published material is being distributed without warranty of any kind, either expressed orimplied. The responsibility for the interpretation and use of the material lies with the reader. In no eventshall WHO be liable for damages arising from its use. Cover photos (clockwise): A health worker assists a mother in breastfeeding her newborn shortly afterbirth ©WHO / Khasar Sandag; A mother provides KMC to her two sons © Fundación Canguro / KangarooFoundation; A mother provides KMC to her baby who is receiving CPAP ©Stavanger University Hospital /Siren Retteda Editing and design by Inis Communication Contents ForewordvAcknowledgementsviAbbreviationsviiGlossaryviiiOverviewxKey updatesxi 1. Introduction to the guide2 1.1Context for updating Kangaroo mother care: a practical guide21.2Process of developing this guide21.3Intended audience21.4How this guide is intended to be used3 2. Understanding KMC6 2.1What is KMC?62.2Why KMC is important62.3Who should receive KMC?82.4Who can provide KMC?82.5Where KMC should be provided102.6How long should KMC continue?11 3. Implementing KMC: requirements for health facilities14 3.1Favourable health facility policies and protocols173.2Infrastructure173.3Equipment and supplies203.4Health facility records263.5Health workforce273.6Costs of care27 4. Providing KMC in health facilities30 4.1Antenatal preparation and counselling304.2Starting KMC in birthing areas324.3Continuing KMC in the health facility464.4Monitoring the initiation, duration and quality of KMC in the health facility 794.5Preparing for discharge for continued KMC at home81 5. Supporting mothers and families to practise KMC at home88 5.1Key requirements and considerations for KMC at home885.2Specific considerations for KMC started at home895.3Practical considerations for supporting effective KMC at home925.4Monitoring and follow-up96 A