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Original research
Innovative need-based low-cost kangaroo mother care (KMC) chair
  1. Ashish Jain1,
  2. Jerin C Sekhar2,
  3. Nisha Kumari3,
  4. Nidhi Jain1
  1. 1 Neonatology, Maulana Azad Medical College, New Delhi, India
  2. 2 Pediatrics, Maulana Azad Medical College, New Delhi, India
  3. 3 Pediatrics, Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India
  1. Correspondence to Dr Jerin C Sekhar, Pediatrics, Maulana Azad Medical College, New Delhi, India; drjerincsekhar{at}


Objectives Low birthweight neonates contribute substantially to mortality and morbidity. Their management in low-income countries is difficult due to shortage of skilled staff and limited resources. Kangaroo mother care (KMC) is an effective way of providing warmth, stimulation and protection against infection, thereby decreasing mortality. We intended to perform a need-based survey among mothers and to develop an economic and comfortable chair to facilitate and optimise KMC. We also evaluated the level of satisfaction among mothers using the developed chair.

Design Iterative product development.

Setting A tertiary teaching hospital having level 3 neonatal intensive care and KMC ward.

Methods An initial design for KMC chair was developed based on the structured response of 40 mothers to a need-based questionnaire. The prototype was reviewed by experts, including nursing staff, and a comfortable chair with minimum logistics was developed. A formative assessment of satisfaction was done using a questionnaire after introducing it in clinical practice.

Results 67.5% of mothers were satisfied with the head rest, inclination and height, while 72.5% were satisfied with the in-built KMC cloth and platform for placing utensils. 86.6% of nurses found the chair helpful to mothers; 83.3% were satisfied with the length of in-built KMC cloth; and 80% expressed their overall satisfaction in the KMC chair. 70% of nurses found the chair to facilitate safe position for the baby and to improve breast feeding.

Conclusion This innovative and need-based KMC chair would help mothers of different builds perform KMC comfortably. This might prolong the duration of KMC, thereby having beneficial effects on the neonate.

  • KMC chair
  • low birth weight
  • breast feeding
  • neonate
  • neonatal innovation

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  • Contributors AJ conceptualised the study, organised the manufacturing of the chair with the cottage industry and reviewed the manuscript. JCS and NK designed the questionnaires, formulated the data entry, reviewed the literature and prepared the manuscript. NJ interacted with the mothers and the staff for the satisfaction survey and also organised the tailoring of the chair. JCS is responsible for the overall content as guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.