Developmental Care & Preemie

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Practice safe, effective and comfortable skin-to-skin and prevent infant falls. 

Zaky 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 care

Zaky ZAK, previously known as 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.

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. This practise reduces pain for the baby!

The Zaky 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.


Nursing Inserts Breast-Warmers Silk & Wool, the safe self-warming breastfeeding aid, can be worn for breast comfort and easily removed from Zaky ZAK/Kangaroo Zak before placing baby skin-to-skin. Parents SHOP HERE for your baby and breastfeeding needs.

The developmental care tool The Zaky ZAK  is used in over 400 hospitals in more than 50 countries.

Download Westmead Hospital NSW Nov 2019 Kangaroo Care Policy here. NICU recommends parents purchase a Zaky ZAK (Kangaroo Zak)

Monash Children’s Hospital Melbourne has recently implemented Zaky ZAK as a part of their safe and effective skin-to-skin practise and infant fall prevention.Other hospitals that use Zaky ZAK (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 and many more!




Skin-To-Skin Care Sessions


Parent cleansing paramount prior to skin-to-skin care ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL
Minneapolis, June 14, 2018 – Neonatal intensive care units increasingly encourage meaningful touch and skin-to-skin care – aka “kangaroo care” – between parents and premature babies to aid the babies’ development. But a Michigan children’s hospital practicing skin-to-skin care noticed an unwanted side effect in 2016 – a spike in Staphylococcus aureus (SA) infections among newborns.
Hospital staff hypothesized that the two events were connected and implemented a three-part intervention in the small-baby unit that effectively reduced SA infections, according to new research presented at the 45th Annual Conference of the Association for Professionals in Infection Control and Epidemiology (APIC).

The three interventions introduced to curb SA infections were: increased awareness of
1. Hand hygiene
2. Mandatory education of staff around SA
3. Implementation of parent skin cleansing prior to skin-to-skin care.

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.

Zaky Zak (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 Zaky ZAK (Kangaroo Zak) without anything underneath, with the zippers to the side.  Over it, wear clean 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.
An Ergonomic Approach to NICU Skin-To-Skin Care . The consistent use of The Zaky ZAK (Kangaroo Zak)  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 

We also offer Kangaroo Care Chairs, a range for every hospital budget.
Contact us for information about chairs in NICU and the Maternity Ward.

More Resources

1. World Health Organisation Kangaroo Mother Care: A Systematic Review of Barriers and Enablers
2. Kangaroo Zak Research Results published in Newborn & Infant Nursing Reviews, Standard of Care
3. Reducing Premature Infants’ Length of Stay and Improving Parents’ Mental Health Outcomes With the Creating Opportunities for
4. Parent Empowerment (COPE) Neonatal Intensive Care Unit Program, A Randomized, Controlled Trial
5. For Finance Departments; Cost Model Evaluation of Kangaroo Care NICU Impacts – Jul17 Update
6. Safe criteria and procedure for kangaroo care with intubated preterm infants. J Obstet Gynecol Neonatal Nurs.
7. Twenty-year Follow-up of Kangaroo Mother Care American Academy of Pediatrics, Dec 2017
8. Skin-to-skin care in preterm infants receiving respiratory support: Royal Women’s Hospital VIC Australia
9. World Health Organisation and UNICEF Baby Friendly USA (BFHI) Guideline 2016   Includes Kangaroo Care
10. Results and Video Interview of a Kangaroo Care Implementation Quality Improvement Project in 4 hospitals in Portugal.
The Sobreviver Project with Mary Coughlin
11. Recommendations for involving the family in developmental care of the NICU baby Journal of Perinatology September 2015
12. 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
13. Parent cleansing paramount prior to skin-to-skin care ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL EurekAlert PUBLIC RELEASE 
From premature baby care products to parent orders and NICU medical care supplies, we can help you.Select your family-centred developmental care items, such as Kangaroo Zak care products, from Simple Solutions International today.

Beibamboo. Award-winning design for the comfort of your baby in NICU

Caring for babies in a hospital environment, who have life saving IV-tubes and cannulae attached to them can be difficult and time consuming as well as painful for the child. When using regular baby wear, these wires have to be removed by trained medical staff before changing.Our hospital range has a fully opening design that takes these essential tubes and wires into account.

Using our hospital range will mean that parents themselves can perform simple everyday tasks like changing their child’s clothes or nappies, thus bonding with and actively caring for their child. This not only frees up the hospital staff’s time, but has also been proven to speed up the baby’s recovery. (Mount Sinai Hospital, Toronto)

Beibamboo the award winning, smart design practically eliminates the risk of preventable infection, as every time a cannulae or other device is removed from a baby and then re-attached, the risk of infection grows. Our designs minimise this risk as the clothing is designed considering the devices, keeping them in place.

Very few seams Ÿ| No irritating labels inside |Ÿ Smart adjustable sizes for longer usage.
Hospitals Contact us to see this range. Parents SHOP HERE

  • Folding mitts prevent baby’s from hurting themselves with their own sharp nails, and stops them from accidentally removing or fiddling with vital medical equipment.
  • Designed in collaboration with NICU staff.
  • Made using a super soft bamboo/organic cotton mix.
  • All items are available in five different ribbon- and label colours.

NICU and Newborn Clothing       


I am proud that my premature clothing range is currently being used at neonatal wards in major Finnish hospitals. My love towards my own child inspires me to always do my best. My aim is always to put a child’s comfort first.”
Nina Ignatius, Founder, CEO Winner, 2013 of “40 women over Forty” as mentioned by Forbes.