The implementation barriers and understanding the circumstances of KMC were identified in 25 developing countries. The researchers presented several themes which caregivers express as negative aspects of KMC including: discomfort in placing the infant on the bare chest, a perceived lack of privacy, difficulty in maintaining thermal control, and cultural differences related to diapering (Charpak and Gabriel Ruiz-Pelaez, 2006; Settle et al., 2002).