The effect kangaroo method early after birth in attachment behaviour of mother after one and 3 month of child birth

kangaroo mother care (kmc)was first suggested in 1978 by Dr.edgar ray in bogota, Colombia. It was developed initially as caring for low birth weight infants. few studies have reported the use of kmc with term infants and mothers behavior attachment. In a recent reviews, it was concluded that kmc after birth has a positive effect on long term breast feeding, infants deep sleep, and development of cognitive behavior. But there is a few research about effecting on mothers attachment behavior. We planned this study, that analyzed the effect kangaroo mother care immediately after birth on attachment behavior in primipara mothers With their term new born. This is a clinical random trial that was carried out in one of the training of Tehran hospitals. Samples were selected by non randomization method that was calculated as 90 primpara mothers. Women were assigned in allocated randomization in two groups, case and control by blocks A and B. Between Two groups there weren’t any difference by age, newborn weight, wanted pregnancy, education, time of labor. For the case group, the child was brought to mother immediately after the birth and let it be held for 15-20 minute in bare contact with skin of her/his mother. mother was offered touch her newborn and newborn sucked each breast for 5 minutes. But in control group, the hospitals routine procedure was done. After that, In home visit during 1 and 3 month, Researcher observed and registered mothers behaviors by using the mothers attachment behavior checklist during the first lactation session in continous periods for 15 minutes. The data were collected by spss soft ware and analyzed by descriptive (mean, SD, percent) and deductive (student-t,X2)statistics. Data showed that total mean attachment behaviour wsa significant(p=0.000). there were significant difference in affectionate behaviour in fondling(p=0.004),talking(p=0.001),smiling(p=0.001),cradle movement(p=0.001), Also total mean proximity behaviour after one month childbirth was significant between two groups(p=0.001),After 3 month of child birth the most affectionate behaviour was looking at infant(p=0.003), further more fondling(p=0.001),kissing(p=0.01), smiling(p=0.001), cradle movement(p=0.001) were significant. Proximity behaviour after 3 month showed the most behaviour is cuddling (p=0.03),carry in arms(p=0.04). also attachment behaviuor after 3 month was significant(p=0.001), The result showed that there is difference between affectionate (looking P<01) and talking(p<0.02) and proximity behaviors close contact with mother and total attachment behaviors of mothers in case and (P=0.006) control groups (P<0.05).However, regarding care taking behavior, this difference was not significant. Therefore, it could be said that, kangaroo method is effective method in mother attachment behavior in long time period and this is better that is done at early hours post partum period. Midwives who are the first care giver for mother and newborn, be sensitive and implement it longer after birth.