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An estimated 7.5 million low birth weight (LBW) babies (less than 2500 grams) are born annually, comprising 30 of Indias total live births.

Kangaroo Mother Care (KMC), a method promoting exclusive breastfeeding and skin-to-skin contact, has shown to decrease morbidity and mortality while producing protective effects lasting up to 20 years.

This observational study was conducted in 2015 at a level II NICU at Kalawati Saran Childrens Hospital in Delhi, India.

It followed mothers KMC practices from admittance to the hospital KMC ward to 4-weeks post hospital discharge (n60 mother-infant dyads).

Forty-six of the 53 mothers (86.8) who completed a 4-week post discharge home visit were still practicing KMC.

On average, KMC was practiced 3.3 hoursday and 5.1 daysweek.

The top two enablers reported by mothers were significantly correlated to increased KMC practice by mothers; receiving help with household chores and family members practicing skin-to-skin contact.

One mother explained, I told him husband it KMC feels good so he said then I will also do KMC (laughing).

He also really likes it, if the baby is separated from him he feels alone and so he likes that the baby should sleep on his chest.

Nearly half of the participants reported fathers or other family members practicing skin-to-skin contact at 2-weeks post discharge and 58 at 4-weeks post discharge.

These specific barriers were significantly, and negatively, related to the length of time KMC was practiced.

Strategies to increase familial support prior to hospital discharge may address these barriers and increase the duration infants experience skin-to-skin contact.

Future programs may increase the dissemination and adoption of KMC by specifically addressing enablers and barriers correlated to duration of home KMC.

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