Effect of Kangaroo Care in Preterm Infants on Breast Milk Volume

Main Article Content

Tipawan Daramas
Jariya Wittayasooporn
Chalinda Khamsripon


The purpose of this quasi-experimental design research was to compare breast milk volume of the mothers of preterm infants received kangaroo care with those who received usual nursing care. The samples consisted of 32 mothers and premature infants. The samples were purposively selected and divided into control group and experimental group. Research tools were 1) general information questionnaire, 2) pain assessment, 3) self-stress assessment and 4) breast milk recording form. Data were analyzed by descriptive statistics and independent t-test. The result of the study revealed that the average of breast milk volume of the mothers receiving kangaroo care was 4,544.20 (S.D. = 1519.77) while that of those receiving normal nursing care was 2,616. 25 ml (S.D. = 844.36). When milk volume was compared, the average amount of breast milk of the mothers receiving kangaroo care was higher than that of the mothers receiving usual nursing care with statistical significance (p < .001).


Download data is not yet available.

Article Details

How to Cite
Daramas T, Wittayasooporn J, Khamsripon C. Effect of Kangaroo Care in Preterm Infants on Breast Milk Volume. J Royal Thai Army Nurses [Internet]. 2020Aug.30 [cited 2020Oct.21];21(2):120-8. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/192241
Research Articles


1. World Health Organization. Born too soon: The global action report on preterm birth. World Health Organization, Geneva. 2012.

2. Chandradey A, Mannan A, Saha L, Hossain I, & Shahidullah M. Magnitude of problems of prematurity nation and global perspective: A review. Bangladesh Journal Child Health. 2012; 36: 146-152.

3. National Statistical Office Ministry of information and communication technology. Key Statistic of Thailand 2012. Bankok. Thailand; 2012.

4. McCabe ERB, Carrino GE, Russell RB, & Howse JL. Fighting for the next generation: US prematurity in 2030. American Academy of Pediatrics. 2014; 134: 1193-1199.

5. Kumar C, Sharma D, & Pandita A. Late preterm and early term neonates: A new group of high risk newborn in neonatology with varied complications. Journal of neonatal biology. 2014; 3: 108-112.

6. Ericson J, Flacking R, Hellström-Westas L, & Eriksson M. Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 year. BMJ Open 2016; 6: 1-9.

7. Sharon P, Melinda B, & Donna G. Breastfeeding the preterm infant. In S. Patole (Ed), Nutrition for the preterm neonate. Australia, WA: Springer science andbusiness mediaDordrecht; 2013.

8. Trainapakul C, et al. Effect of milk ejection performance of postpartum mothers after breasts massage and compression with mini hot bag and herbal compress. Journal of Nursing and Education. 2010; 3: 75-91. (in Thai)

9. Yimyam S. Galactagogue Herbs. Nursing Journal. 2018; 45(1): 133-145. (in Thai)

10. Boonchalerm P, Prasopkittikun T, Sangperm P. Effects of the Mother-preterm Infant Preparation Program on Breastfeeding Self-efficacy and Sucking Quality. J Nurs Sci. 2012; 30: 61-71. (in Thai)

11. Puapornpong P, Aimjirakul K, Relactation. Chomtho S, Dumrongwongsiri O. Clinical practice of breastfeeding. Bangkok: Beyond enterprise; 2016. (in Thai)

12. Chaiobhas P, Rotjananirunkit N, Boonprasert C. The effect of whole milk supplement on breast milk volume in 48 hour postpartum mothers in Ramathibodi Hospital. Ramathibodi Nursing Journal, 2009; 15: 25-35. (in Thai)

13. Hurst NM, Valentine CJ, Renfro L, Burn P. & Ferlic L. Skin-to-skin holding in the neonatal intensive care unit influences maternal milk volume. Journal of Perinatology, 1997; 17(3): 213-217.

14. Almeida DH, Venancio IS, Sanches MTC, & Onuki D. The impact of kangaroo care on exclusive breast feeding in low birth weight newborns. Jornal de Pediatria, 2010; 86: 250-254.

15. Sangsawang R, Punthmatharith B, Prateepchaikul L. Effect of Kangaroo care on father-premature infant bonding. Thai journal of Nursing Council. 2010; 25: 100-110. (in Thai)

16. Moberg MU. & Petersson. Oxytocin, a medication of anti-stress, well-being, social interaction, growth and healing. 2003.

17. Ludington-Hoe SM. Kangaroo care as a neonatal therapy. Newborn and Infant Nursing Reviews, 2013; 13: 73-75.

18. MaCaferry M. & Pasero C. Assment underlying clomplexities, miscomception and practical tool. (35-92). Missouri: Mosby. 1999.

19. Wongphinit U, Sinsuksai N, Yusamran C. Personal Factors, Social Support and Effective Suckling at Discharge in Predicting Exclusive Breastfeeding at one Month Among First-Time Mothers. Journal of The Royal Thai Army Nurses, 2016; 17: 88-95. (in Thai)

20. Sanbunsong P, Maliwan W. Quality breastfeeding: Factors influencing breastfeeding and the role of the midwife. Pathumthani University Academic Journal. 2016; 8: 235-47. (in Thai)

21. Phahawattakon W. Breastfeeding guideline in the postpartum period. Preechapanich; Bangkok 155-169. 2011. (in Thai)