Could early kangaroo care save more tiny newborns?
NCT ID NCT02811432
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether starting kangaroo mother care (skin-to-skin contact) early, before babies are stable, reduces death within 7 days compared to standard incubator care. Over 2,200 low birth weight infants (700-2000g) at four Ugandan hospitals took part. The goal was to see if early skin-to-skin care could lower mortality by 25%.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- kangaroo mother care (skin-to-skin contact)
- What this could lead to
- If successful, this could show that starting skin-to-skin care early saves more lives in low birth weight babies, especially in resource-limited settings.
- What could go wrong
- This is a completed trial, but results may not apply to all hospitals or settings. The intervention requires caregiver commitment, and benefits may vary by infant condition.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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2,221 people
The number who actually took part.
- Started
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Oct 2019
- Finished
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Sep 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 hour to 48 hours
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Liveborn at Jinja Hospital, Masaka Hospital, Entebbe Hospital, or Iganga Hospital * Singleton or twin pregnancy * Birthweight ≥700g and ≤2000g * Chronological age 1-48 hours at time of screening * Alive at time of recruitment * Parent/caregiver able and willing to provide KMC * Parent/caregiver willing to attend follow-up visit * Indication for KMC "uncertain" according to WHO guideline concerning clinical stability: pragmatically defined as receiving ≥1 therapy: oxygen, CPAP, IV fluids, therapeutic antibiotics, phenobarbital Exclusion criteria * Outborn * Result of triplet or higher order multifetal pregnancy * Indication for KMC "certain" according to WHO guidelines: pragmatically defined as clinically well neonates receiving none of the above therapy-based criteria * Severely life-threatening instability defined as SpO2 \<88% in oxygen AND ≥1 of: * Respiratory rate \<20 or \>100 breaths/min * Apnoea requiring bag-mask ventilation * HR \<100 or \>200 bpm * Severe jaundice requiring immediate management * Active neonatal seizures * Major congenital malformation * Parent does not provide written informed consent to participate in trial * Mother or neonate enrolled in another MRC/UVRI research project
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Entebbe
Entebbe, Uganda
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Iganga District Hospital
Iganga, Uganda
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Jinja Regional Referral Hospital
Jinja, Uganda
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Masaka Regional Referral Hospital
Masaka, Uganda
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