Skin‐to‐skin contact after birth: Developing a research and practice guideline

Aim Skin‐to‐skin contact immediately after birth is recognised as an evidence‐based best practice and an acknowledged contributor to improved short‐ and long‐term health outcomes including decreased infant mortality. However, the implementation and definition of skin‐to‐skin contact is inconsistent...

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Bibliographic Details
Published in:Acta Paediatrica 2023-08, Vol.112 (8), p.1633-1643
Main Authors: Brimdyr, Kajsa, Stevens, Jeni, Svensson, Kristin, Blair, Anna, Turner‐Maffei, Cindy, Grady, Julie, Bastarache, Louise, Alfy, Abla, Crenshaw, Jeannette T., Giugliani, Elsa Regina Justo, Ewald, Uwe, Haider, Rukhsana, Jonas, Wibke, Kagawa, Mike, Lilliesköld, Siri, Maastrup, Ragnhild, Sinclair, Ravae, Swift, Emma, Takahashi, Yuki, Cadwell, Karin
Format: Article
Language:English
Subjects:
best practice
Birth
Breast Feeding
breastfeeding
Female
guideline development
Humans
implementation
Infant
Infant Mortality
Infant, Newborn
Medicin och hälsovetenskap
Mothers
Neonates
Parturition
Pregnancy
Skin
skin-to-skin
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Summary:Aim Skin‐to‐skin contact immediately after birth is recognised as an evidence‐based best practice and an acknowledged contributor to improved short‐ and long‐term health outcomes including decreased infant mortality. However, the implementation and definition of skin‐to‐skin contact is inconsistent in both practice and research studies. This project utilised the World Health Organization guideline process to clarify best practice and improve the consistency of application. Methods The rigorous guideline development process combines a systematic review with acumen and judgement of experts with a wide range of credentials and experience. Results The developed guideline received a strong recommendation from the Expert Panel. The result concluded that there was a high level of confidence in the evidence and that the practice is not resource intensive. Research gaps were identified and areas for continued work were delineated. Conclusion 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.
ISSN:0803-5253
1651-2227
1651-2227
DOI:10.1111/apa.16842