Background:Premature newborns from all over the world spend the first few weeks of their lives in the neonatal intensive care unit (NICU), where they endure numerous intrusive treatments and an unnatural atmosphere. The present study was conducted to assess effect of Kangaroo Mother Care (KMC) on neonatal outcome. Materials & Methods:70 pretermneonates with gestational age between 28 - 37 weeks and hypotrophic newborns with a birth weight < 10th percentile for gestational agewas selected. Socio-demographic characteristics of mothers, and characteristics of newborns were recorded. Results: Out of 70 neonates, 42 were male and 28 females. Marital status was married in 54 and single in 16. Level of education was primary in 45, secondary in 17 and graduate in 8. Parity was primiparous in 32, pauciparous in 31 and multiparous in 7 cases. Number of newborns were unique in 65, and twins in 5. The difference was significant (P< 0.05). Delivery was caesarean section in 18 and through lower track in 52 cases. Outcome was stop of tracking in 14, follow-up to 24 months in 36, lost to follow-up in 11, abandonment of care in 2, deaths in 2 and ongoing monitoring in 5 cases. Conclusion: An alternate strategy for increasing the survival of preterm and underweight babies is the mother-kangaroo approach.