<![CDATA[Introduction: Twin preterm neonates are infants delivered from a twin pregnancy prior to the completion of 37 weeks of gestation. Kangaroo Mother Care (KMC) is a recommended intervention for maintaining neonatal physiological stability through sustained skin-to-skin contact between the infant and the mother or another family member. Objective: This case report aims to describe the implementation of Kangaroo Mother Care in twin preterm neonates through a midwifery management approach. Methods: This report used a descriptive, single-case design applying midwifery management to Baby of Mrs. “Y,” twin preterm neonates residing in Kinandang Village, Bendo District, Magetan Regency. Data were obtained through interviews, observation, physical examination, and documentation review, and were processed following the stages of midwifery care: assessment, analysis, planning, implementation, and evaluation. Results and Discussion: Assessment findings indicated that both neonates required close monitoring of body temperature, respiratory pattern, feeding capacity, and general condition. Care activities comprised Shared Kangaroo Mother Care, monitoring of vital signs and growth parameters, infection-prevention measures, and family education on home-based care of preterm neonates. Over the course of observation, both infants maintained stable body temperature, showed progressive improvement in feeding ability, remained in good general condition, and the mother and family became able to perform KMC independently. Conclusion and Suggestion: Implementation of Kangaroo Mother Care through a midwifery management approach supported the physiological adaptation of twin preterm neonates, improved their feeding capacity, and strengthened family participation in ongoing neonatal care. Sustained KMC practice, regular follow-up, and continued family support are recommended to promote optimal growth and development of preterm infants. Keywords: Kangaroo Mother Care; infant; twins; preterm; case report]]>
