Background: Ambient temperature in the mountains of lower Himalaya in Solan falls below 10 °C during the month of October to March and frequently goes below 00 C in peak winter days in December and January. Though central airconditioning and heating systems are available, the obstetric and postnatal wards have large windows and doors with frequent outages of electric supply that powers the heating system. Thus, predisposing the neonates for hypothermia, especially in term healthy neonates who have been co-rooming with their mothers as part of routine care. Objective: To test the hypothesis that incidence of hypothermia can be reduced by initiating Kangaroo Mother Care (KMC) within 1 hour of birth in term neonates in winter months of lower Himalayas by checking temperature at 1 hour, 6 hour and at the time of discharge. Methods: Randomised controlled trial was conducted over 120 term newborns (60 control group + 60 intervention group). KMC was started in intervention group at 1 hour of life and axillary temperature, heart rate, respiratory rate and SpO2 was measured at 1 hour, 6 hours and at discharge. Results: The proportion of neonates in control group with mild hypothermia at 6 hours of life was 26.6% and moderate hypothermia was 3.3%. Severe hypothermia was not seen in either of study groups. No case of mild, moderate or severe hypothermia was seen in interventional group.Mean axillary temperature at 6 hours of life was higher in intervention group and was statistically significant