Developmental Care

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Evidence-Based Developmental Care and Infant Fall Prevention



Kangaroo Care Swaddle Bath

Kangaroo Zak provides the safest, most effective and comfortable way to practise skin-to-skin care.

Researched-Based Best Bathing Practice in the NICU and Well-Baby Nursery: Swaddle Bathing

Primo-Lacto: a Closed System for Optimal Recovery of Colostrum.

Practise safe, effective and comfortable skin-to-skin (kangaroo care) and prevent infant fall by using Kangaroo Zak.

Monash Children’s Hospital Melbourne NICU is currently implementing Kangaroo Zak as a part of their safe and effective kangaroo care practise and infant fall prevention.

Kangaroo Zak provides the baby with the correct positioning, comfort and a sense of security while effectively removing the risk of slips and falls, and medical equipment to become displaced. It provides immediate access to the baby in an emergency and is the only device that allows the parents to hold babies of any size without using the hands.

Kangaroo Zak is made with natural fibres for a soft, strapless, thin, stretchy and breathable sleep belt that covers the parent’s torso and closes on a selected size with a zipper. There are no added layers, pouch, uneven wrap pressure, buttons or Velcro. The material is thin and light in colour so you can see positioning and fluids for maximum safety. Wear a front open gown over if extra warmth is required, still allowing quick emergency release. Some procedures can still take place by pulling or folding Kangaroo Zak up or down. Expressing and breastfeeding can also still take place. For optimal colostrum collection use Primo-Lacto.

Part of our extensive range of kangaroo care and evidenced based developmental care products, Kangaroo Zak gives the baby safe continuous skin-to-skin contact with the parent and promotes the deep sleep required for growth, development and healing of the brain. It provides a family-centred approach to developmental care for premature babies. Kangaroo Zak is available in two adjustable sizes, making six size options.

Size 1 adjusts to Small / Medium / Large. Size 2 adjusts to XL / 2XL / 3XL. Smaller size is available upon request.

Hospitals that use Kangaroo Zak for skin-to-skin include Loma Linda Children’s Hospital, Mayo Clinics, Albany Regional Medical Center, Parkland Hospital in Dallas, Wake Forest and Brenner in North Carolina, REX Healthcare, Monash Health Melbourne and many more!

Developmental care tools Kangaroo Zak and The Zaky are used in over 400 hospitals in more than 50 countries.

Breast-Warmers, the safe self-warming breastfeeding aid, can be worn for breast comfort and easily removed from Kangaroo Zak before placing baby skin-to-skin.

An Ergonomic Approach to NICU Kangaroo Care

Kangaroo Zak is designed for hospitalised babies in NICU and post-partum. It can only be used at home with adequate training and professional instruction.

The consistent use of the Kangaroo Zak care product can achieve the following results:

  • Support physiological stability and neurobehavioral organisation of preterm infants
  • Relieve maternal and infant stress
  • Support family centred developmental care
  • Improve outcome of maternal breastfeeding
  • Achieve all the advantages of Kangaroo Care in a safe, consistent and effective way

“Best Practice is Kangaroo Care as soon as possible, for as long as possible, and as uninterrupted as possible”  Nyqvist et al., 2010, May Acta Paediatrica

Get your Kangaroo Zak from Simple Solutions International today

From premature baby care products to parent orders and NICU medical care supplies, we can help you. Get your family-centred developmental care items, such as Kangaroo Zak, from Simple Solutions International today.

Kangaroo Care Sessions

Who can be kangarooed: If the baby is in condition to be moved or lifted to be weighed, s/he can be transferred to Kangaroo Care.

Time of holding: No less than one hour per session, and there is no maximum time – the more the better. Since a complete sleep cycle is one hour, it is NOT recommended that the babies are held on kangaroo if the parent cannot hold for at least that long (especially for small preemies as it may cause reverse effects). The stress of the transfer only is outweighed if the baby is held for at least one sleep cycle.

Rule of thumb: preemies are “Kangarooed” for 6 months and full-term babies within one minute from birth until the first feeding and as much as possible for 3 months.

Ideally it starts with Birth Kangaroo Care Birth Kangaroo Care Competency Checklist by the USIKC (United States Institute of Kangaroo Care)

To maximize effectiveness of Kangaroo Care sessions, parents and caregivers must have some basic knowledge and understanding of the practise. 

What parents need to know before holding baby Kangaroo Care

Learn the benefits of Kangaroo Care and to distinguish signs of stability of the baby and warning signs of instability (to stop the kangaroo session). Learn how to wear the Kangaroo Zak for standing and sitting transfer.

Kangaroo Zak can be opened just enough to allow the baby to sniff and explore the mother’s breasts, for breastfeeding/pumping, and numerous medical interventions while holding. Know that they may do the transfer alone, but ONLY after the training and approval of a medical professional.

Wear the Kangaroo Zak without anything underneath, with the zippers to the side.  Over it, wear comfortable clothing that easily opens in the front or a hospital gown. Remove jewellery that might come in contact with the baby. Refrain from using powder, lotion or perfume on the chest before doing skin-to-skin care. The baby needs to feel the parent’s natural scent.

For information about the complete Nurturing Technology, used in over 50 countries helping babies develop, visit Nurtured By Design website here.

Simple Solutions International Authorised Distributor for Nurtured By Design to hospitals and parents in Australia and New Zealand. The Zaky and Kangaroo Zak are Trademarks by Nurtured by Design. All Rights Reserved.

More Resources

World Health Organisation Kangaroo Mother Care: A Systematic Review of Barriers and Enablers

Kangaroo Zak Research Results published in Newborn & Infant Nursing Reviews, Standard of Care

Reducing Premature Infants’ Length of Stay and Improving Parents’ Mental Health Outcomes With the Creating Opportunities for Parent Empowerment (COPE) Neonatal Intensive Care Unit Program, A Randomized, Controlled Trial

For Finance Departments; Cost Model Evaluation of Kangaroo Care NICU Impacts – Jul17 Update

Safe criteria and procedure for kangaroo care with intubated preterm infants. J Obstet Gynecol Neonatal Nurs.

Twenty-year Follow-up of Kangaroo Mother Care American Academy of Pediatrics, Dec 2017

Skin-to-skin care in preterm infants receiving respiratory support: Royal Women’s Hospital VIC Australia

World Health Organisation and UNICEF Baby Friendly USA (BFHI) Guideline 2016   Includes Kangaroo Care

Results and Video Interview of a Kangaroo Care Implementation Quality Improvement Project in 4 hospitals in Portugal. The Sobreviver Project (Survive)






  • Supports family-centred care3,6       
  • Mimics compact environment of womb3
  • Decreases physiologic and motor stress1,3,4
  • Conserves energy1,3,4
  • Improves state control6
  • Enhances ability to feed after bath3,6
  • Decreases temperature loss1,3
  • Causes less crying6
  • Facilitates social interaction6
  • Should be routine in your hospital1,3,

Implementing Researched-Based Best Bathing Practice in the NICU and Well-Baby Nursery: Swaddle Bathing
neonatal INTENSIVE CARE Vol. 31 No. 1 n Winter 2018

TurtleTub is a tool to provide the family-centred, positive experiences that last beyond the NICU. TurtleTub swaddle bath engages the baby’s family and helps them care for their infant in a typical parenting activity, making bathing safe and easy while providing optimal infection control. TurtleTub is beneficial for pre-term, full-term and babies suffering from Neonatal Abstinence Syndrome (NAS)



  1. Ribs and high sides supports infant 
  2. Our fleece blanket has excellent thermal properties    
  3. Temperature strip designed for infant bathing
  4. Rinse cup stores conveniently
  5. Neutral PH mild TurtleTub baby wash    
  6. Convenient Pour Spout
  7. Smooth contours for easy cleaning
  8. Flow through design keeps water circulating around baby
  9. Stackable for easy storage
  10. Disposable liners for highest standard of infection control

A personal TurtleTub is ideally assigned for babies admitted for an extended period of time, with tub stored in the net bag together with personal accessories and labelled with ID. For shared TurtleTubs the best practise for infection control includes our disposable liners. This provides an economical option while offering the latest, safest and best swaddle bathing practise.

Hospital bath basins are frequently contaminated with multidrug-resistant human pathogens. American Journal of Infection Control 2012. Use TurtleTub with our liners to avoid infection.

Swaddle bathing using TurtleTub is an easy, safe and important activity for parents to care for their baby/babies in hospital. Family Centred Developmental Care has become the standard of care in leading international hospitals. Calm and effective swaddle bathing with TurtleTub is fast becoming routine for this practice.

Recommendations for involving the family in developmental care of the NICU baby Journal of Perinatology September 2015

Hospitals can save money by Reducing Premature Infants’ Length of Stay and Improving Parents’ Mental Health Outcomes With the Creating Opportunities for Parent Empowerment (COPE) Neonatal Intensive Care Unit Program: A Randomized, Controlled Trial Paediatrics October 2006 


TurtleTub Videos        Educational Slide Show         TurtleTub Instructions For Use       TurtleTub Brochure     

Swaddle Bathing Clinical Practise Guideline           TurtleTub in the news                       FAQ   

TurtleTub exclusively in Australia and NZ from Simple Solutions International. View our extensive range of medical equipment and hospital supply products, including Primo-Lacto Here.

Primo-Lacto: a closed system for optimal recovery of colostrum

Primo-Lacto improves colostrum collection by 75% and is the preferred method by mums and nurses/LCs over standard practice in hospitals. Maternal Life’s clinical pilot study was conducted at Sharp Mary Birch Hospital, John Muir Hospital, and Indiana Memorial Hospital of South Bend, USA

Primo-Lacto is suitable for all mothers who wish to express and collect colostrum. The system is easy to use, effective and hygienic, providing  optimal colostrum collection and delivery. This method of expressing and collecting can be managed by the parents and does not require time-consuming staff assistance; Creating Opportunities for Parent Empowerment (COPE) and is valuable family-centred care. Expressing colostrum, by a combination of hand expressing and pumping, assists in the establishment of successful breastfeeding. It is also beneficial to use Primo-Lacto if the mother can’t or won’t breastfeed but has colostrum to collect, being for well, sick or premature baby.

By using Primo-Lacto colostrum collection is improved by an amazing 75% when hand expressing, and as much as 45% when pumping, this is significant with tremendous, short and long term, health benefits for all babies.

Click image to learn more about Primo-Lacto and how to order from us at Simple Solutions International.