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Tailored Training

The United States Institute for Kangaroo Care provides speakers who can deliver exciting, evidence-based content in an enthusiastic way to professional audiences.  The following lectures are commonly given, and can be combined to present a full day’s worth of continuing education content. Grand Rounds for physicians and nurses can also be arranged, as can most any type of speaking request.  Please contact us at to request dates, duration, topics, speakers, and costs tailored to your needs.  Here is a sample of the courses that are offered:

Lectures for KC with Preterm Infants:

1.  Care of Late Preterm Infant and Role of Kangaroo Care (by Dr. Ludington or Ms. Morgan, NNP)
Reviews the major clinical problems, explains the physiology of each problem (i.e. respiratory, hyperbilirubinemia, feeding difficulties, thermoregulation), conventional treatments, and how KC can help assist in treatment of each problem

2.  Developmental Care, Brain Oxygenation and Kangaroo Care (by Dr. Ludington)
Reviews the 4 main developmental care theories, physiology of how kangaroo care contributes to all 5 dimensions of developmental care,relates KC effects on limbic brain, stress, co-regulation with mother, relates fundamentals of sleep, brain oxygenation improvements with Kangaroo Care, and 24/7 KC as practiced in Europe to benefit short term and long term developmental outcomes as well as epigenetic changes with KC. The 2 new paradigms for developmental care in the future are discussed (non-separation and family as primary care providers in the NICU).

3.  Neonatal Neurointensive Care
(by Dr. Ludington or Ms. Morgan, NNP)
Effects of KC on brain development, maturation, complexity and sleep organization and neurotransmitters and c-afferent nerves is discussed.  Relates effects of nursing care procedures on brain oxygenation, cerebral blood flow, cerebral pressures, and cerebral activation. Basic interpretation of bedside brain monitoring graphs (amplitude EEG) is taught.

4.  Single Family Room NICU: Structure and Outcomes
(by Dr. Ludington or Ms. Morgan, NNP)
Identifies elements of  an exemplary single family (accommodating singletons, twins, multiples in one room) NICU and relates family, infant, and nursing staff outcomes of single family NICU rooms.

5.  Kangaroo Care - Ergonomics perspective and how to improve kangaroo care participation and implementation
(by Yamile C. Jackson, PhD, PE)
Relates Kangaroo Care and Ergonomic environment, plus identification of roadblocks to implementation, how to talk to parents, and how to improve kangaroo care rates in NICUs and Post Partum Units.

Lectures for KC with healthy term infants

6.  Kangaroo Care for Full Term Infants
(by Dr. Ludington)
Discusses the existing separation practice and contrasts this with the Ecological Habitat for healthy term infants. A review of benefits of KC to breastfeeding, glucose levels, thermoregulation, weight gain, pain relief, co-regulation with mother, completion of the 9 stages of breast crawl and review of 2011 NRP guidelines’ interpretation, improvements in cognitive status at 3, 6, & 12 months, interactions with mom, maternal recovery and depression, and long term outcomes of the care given in the first two hours of birth. Paternal/surrogate/sibling KC is presented. Videos of KC with vaginal and cesarean births are shown and guidelines for SAFE KC are provided as is a discussion of SLEEP during KC and the Back To Sleep Program.

7.  Step-by-step procedure for KC at birth
(by Dr. Ludington)
Demonstrates the step-by-step procedure for conducting safe kangaroo care immediately after delivery for vaginal and cesarean born infants. Injections in KC are demonstrated. Assessment of the infant (i.e. Apgars and critical monitoring) during KC is reviewed as is observation of the 9 stages of the breast crawl and how staff can meet Step 4 requirements of the Baby Friendly Hospital Initiative. Resources for teaching parents and dealing with reluctance and refusals are discussed.

Lectures for Kangaroo Care with both Preterm and Healthy Term Infants

8.  Foundations of Kangaroo Care
(by Dr. Ludington)
Introduction to KC: origins in Bogota, how Dr. Ludington built the evidence of physiologic stability, decreased apnea and irregular breathing, decreased infection, improved sleep, improved bonding, end-of-life assistance, and funny notes about preterm and full term studies. This is the best motivational talk to create a passion for and commitment to KC. 

9. Kangaroo Care for Jill and Joey
(by Dr. Ludington or Ms.Morgan NNP)
Present national recommendations for KC’s use in breastfeeding, pain relief, sleep, and neonatal resuscitation areas and how KC practice should be structured to meet each recommendation for preterm and term infants.(Slightly different than National Guidelines and Recommendations Talk below)

10.  How Kangaroo Care Works to Improve Breastfeeding Outcomes (Sensory Components & Neurobiology of KC)
(by Dr. Ludington)
Presents the physiologic mechanisms for Kangaroo Care’s dramatic impact on breast feeding by reviewing sensory inputs, neurobiology of the skin, and brain neurotransmitters

11. National Guidelines and Recommendations for KC
(by Dr. Ludington or Ms.Morgan NNP)
Explains levels of evidence and how studies become recommendations or mandates. Reviews published national recommendations for KC from Amer. Academy of Pediatrics, Amer. College of Obstetricians and Gynecologists, the US Centers for Disease Control, the Joint Commission, Neonatal Resuscitation Program, NIH Sleep and Pain Initiatives, etc. to support KC’s implementation.

12.  What You Need to Know: Some Basic for Health Professionals
(by Dr. Ludington)
Basics of KC effects on full term and preterm infants, highlighting breastfeeding in full term infants with video of breast crawl and 9 stages of the breast crawl, sleep and brain maturation in preterm infant, simultaneous KC for multiples, and KC’s role in reducing maternal depression

13.  Sleeping on the Job: Maternal and Infant Sleep and Safety during KC
A review of the physiologic basis of and evidence regarding maternal and infant sleep during KC and reconciling this sleep with the Back to Sleep Program, the elements of safe positioning to prevent sudden infant collapse, and prevention of falls during ambulatory and bed-based KC
Skin to Skin contact educational video (English subtitles)
Institute of Neonatology, Belgrade, Serbia.
The kangaroo wrap used is the Kangaroo Zak, by Nurtured by Design

C-Section Birth Kangaroo Care, Breastfeeding

Kangaroo Care from UofL Health Care on Vimeo.
"Jumping into Kangaroo Care"

UNICEF Tanzania

The natural caesarean: a woman-centered technique Comment by S. Ludington: "the baby should have a head cap on him. Should not be positioned on its side but in a frog-like position for optimal warmth. The naked baby should not carried uncovered to a warmer for weighing. Some babies don't cry with the shot given during KC, and this one does probably because he is not in the correct KC position."
 Kangaroo Carrying Devices (in alphabetical order)
Note: The USIKC does not endorse any organization, products, etc., or is responsible for the accuracy of the content.  This page is for information only. 
Dr. Elise Van Rooyen makes a carrying device that is used in all northern province hospitals of South Africa. It is machine washable, wraps easily, comes with good instructions.

Kam Care Design This company makes wraps for carrying the infant in KMC and these wraps are used throughout Sweden. The owner is Karin Holmgren, and the address of the company is Lagerhyddsvagen 2, Hus 38, S-752 37 Uppsala, Sweden. Phone is +46(0)76 834 23 32 or +46(0)76-811 00 63.


Kanga-Carrier by Nils Bergman is a carrying device that includes a blouse, books, and other items available from his website


Kangaroo Zak is ergonomically designed for safety, comfort, and easy access to the baby in NICUs and Post Partums and is the winner of several design awards. Recommended by NIDCAP trainers internationally.

-It has two sizes: Size 1 (adjusts S/M/L - size of mother's blouse) or Size 2 (fits XL, 2XL, 3XL).
-The Kangaroo Zak was designed by Yamile Jackson, a PhD in ergonomics and human factors engineering and certified Kangaroo Caregiver, who had a premature infant named Zachary (hence the name of her products). Yamile also invented and sells The Zaky, the hand-shaped evidence-based and ergonomic device that virtually replaces all developmental care devices when the baby is on the bed/incubator. Products sold globally.

KanGuru wraps, pouches, and incubator transfer units. Wraps cover the mother’s entirely so she can continue the infant in KC and infant can go to breast to feed without being moved and without having mother exposed, no matter how many people come to visit her or interrupt. Wraps come in micropreemie size (with extra support for small infant’s head), preemie (1000-2500 grams or 2-5 pounds), and full-term size (5-8 pounds).
Contact Susan Sczentmikllosky 330-527-2623
  Kanguruproducter, is a little pouch for preemies from Scandinavia. Address is 4570 Hjortshog, 260 34 Morarp Telephone: 042/23 50 22 (kvallstid), postgiro: 456 98 80-0
  NüRoo Baby provides fashionable Kangaroo Care products purposefully designed to advance full-term babies, while providing mom with coverage, safety and mobility.  (401)241-6477.

Precious Image Creations, Inc.  Designs and develops clothing in the USA for moms to hold their babies skin-to-skin, breastfeed and/or pump and be hands free. They have a full line of clothes to assist mom in a nurturing lifestyle for her newborn.
or call 770-979-4320.

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