“The World Health Organization guideline development process reached the conclusion immediate, continuous, uninterrupted skin-to-skin contact should be the standard of care for all mothers and all babies (from 1000 g with experienced staff if assistance is needed), after all modes of birth. Delaying non-essential routine care in favour of uninterrupted skin-to-skin contact after birth has been shown to be safe and allows for the progression of newborns through their instinctive behaviours.”
Skin-to-skin contact at birth is appropriate for all mothers throughout the world (Table S1 in Appendix S2).
Skin-to-skin contact at birth is appropriate for all babies throughout the world (Table S2 in Appendix S2).
|Immediately after birth|
Immediately after birth, the baby should be placed directly onto the mother’s bare chest/abdomen, before the cord is clamped (Table S3 in Appendix S2).
The naked newborn baby should be placed prone on the mother’s naked chest/abdomen (Table S4 in Appendix S2).
Skin-to-skin contact is appropriate after all modes of birth (Table S5 in Appendix S2).
|Postpone routine care|
Routine care such as weighing, eye care and screenings can be postponed safely for the first hour. Necessary care that can be done while on the mother’s body, such as assessment of vital signs and Apgar scoring, should be conducted during skin-to-skin contact (Table S7 in Appendix S2).
The baby and mother should be allowed a peaceful time during skin-to-skin contact, observed but undisturbed by family or staff (Table S6 in Appendix S2).
The naked baby remains skin-to-skin on the mother’s bare chest/abdomen. The baby should not be removed for routine care or transfer to another bed or ward (Table S8 in Appendix S2).
Skin-to-skin contact is safe and improves outcomes for mother and baby (Table S9 in Appendix S2).
Infant should be given the opportunity to progress through their instinctive behavioural stages: the birth cry, relaxation, awakening, activity, rest, crawling, familiarisation, breastfeeding and sleeping (Table S10 in Appendix S2).