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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| Veröffentlicht in: | Acta Paediatrica 2023-08, Vol.112 (8), p.1633-1643 |
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| container_title | Acta Paediatrica |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.1111/apa.16842 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_446035</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2812508050</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5292-d90a7c4a6f052be8c75ae08940217e84c49b78693ee85b6258890cf501e373da3</originalsourceid><addsrcrecordid>eNp10ctKHTEcBvAgLXq8LHyBEuimhY7mPhl3B7UXECptdRsymf8co3Mm02Sm4q6P0GfskzR2Tl0UzCIJ4cdHkg-hQ0qOaB7HdrBHVGnBttCCKkkLxlj5Ai2IJryQTPIdtJvSLSGMV0Jtox1eUqWE4Av05eud73___DWGPKW8xy70o3Ujtu0IEdc-jjcn-Ax-QBcG36-wxRES2OhusO0bPMSMvQO8mnwDne9hH71sbZfgYLPuoav3599OPxYXnz98Ol1eFE6yihVNRWzphFUtkawG7UppgehKEEZL0MKJqi61qjiAlrViUuuKuFYSCrzkjeV7qJhz0z0MU22G6Nc2Pphgvdkc3eUdGCEU4TL7d8_6M3-9NCGuzDQZSTkpeeZvZj7E8H2CNJq1Tw66zvYQpmSYpkzmH5Yk09f_0dswxT4_PisutOJSPKq3s3IxpBShfboBJeaxR5N7NH97zPbVJnGq19A8yX_FZXA8g3vfwcPzSWZ5uZwj_wC2zaeT</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2834863540</pqid></control><display><type>article</type><title>Skin‐to‐skin contact after birth: Developing a research and practice guideline</title><source>Wiley Online Library Open Access</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><source>SWEPUB Freely available online</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.16842</identifier><identifier>PMID: 37166443</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>best practice ; Birth ; breastfeeding ; guideline development ; implementation ; Infant mortality ; Neonates ; Skin ; skin-to-skin</subject><ispartof>Acta Paediatrica, 2023-08, Vol.112 (8), p.1633-1643</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5292-d90a7c4a6f052be8c75ae08940217e84c49b78693ee85b6258890cf501e373da3</citedby><cites>FETCH-LOGICAL-c5292-d90a7c4a6f052be8c75ae08940217e84c49b78693ee85b6258890cf501e373da3</cites><orcidid>0000-0003-3789-635X ; 0000-0001-8719-5717 ; 0000-0003-1575-131X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.16842$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.16842$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,776,780,881,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37166443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-513073$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:152662926$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Brimdyr, Kajsa</creatorcontrib><creatorcontrib>Stevens, Jeni</creatorcontrib><creatorcontrib>Svensson, Kristin</creatorcontrib><creatorcontrib>Blair, Anna</creatorcontrib><creatorcontrib>Turner‐Maffei, Cindy</creatorcontrib><creatorcontrib>Grady, Julie</creatorcontrib><creatorcontrib>Bastarache, Louise</creatorcontrib><creatorcontrib>Alfy, Abla</creatorcontrib><creatorcontrib>Crenshaw, Jeannette T.</creatorcontrib><creatorcontrib>Giugliani, Elsa Regina Justo</creatorcontrib><creatorcontrib>Ewald, Uwe</creatorcontrib><creatorcontrib>Haider, Rukhsana</creatorcontrib><creatorcontrib>Jonas, Wibke</creatorcontrib><creatorcontrib>Kagawa, Mike</creatorcontrib><creatorcontrib>Lilliesköld, Siri</creatorcontrib><creatorcontrib>Maastrup, Ragnhild</creatorcontrib><creatorcontrib>Sinclair, Ravae</creatorcontrib><creatorcontrib>Swift, Emma</creatorcontrib><creatorcontrib>Takahashi, Yuki</creatorcontrib><creatorcontrib>Cadwell, Karin</creatorcontrib><title>Skin‐to‐skin contact after birth: Developing a research and practice guideline</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>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.</description><subject>best practice</subject><subject>Birth</subject><subject>breastfeeding</subject><subject>guideline development</subject><subject>implementation</subject><subject>Infant mortality</subject><subject>Neonates</subject><subject>Skin</subject><subject>skin-to-skin</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>D8T</sourceid><recordid>eNp10ctKHTEcBvAgLXq8LHyBEuimhY7mPhl3B7UXECptdRsymf8co3Mm02Sm4q6P0GfskzR2Tl0UzCIJ4cdHkg-hQ0qOaB7HdrBHVGnBttCCKkkLxlj5Ai2IJryQTPIdtJvSLSGMV0Jtox1eUqWE4Av05eud73___DWGPKW8xy70o3Ujtu0IEdc-jjcn-Ax-QBcG36-wxRES2OhusO0bPMSMvQO8mnwDne9hH71sbZfgYLPuoav3599OPxYXnz98Ol1eFE6yihVNRWzphFUtkawG7UppgehKEEZL0MKJqi61qjiAlrViUuuKuFYSCrzkjeV7qJhz0z0MU22G6Nc2Pphgvdkc3eUdGCEU4TL7d8_6M3-9NCGuzDQZSTkpeeZvZj7E8H2CNJq1Tw66zvYQpmSYpkzmH5Yk09f_0dswxT4_PisutOJSPKq3s3IxpBShfboBJeaxR5N7NH97zPbVJnGq19A8yX_FZXA8g3vfwcPzSWZ5uZwj_wC2zaeT</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Brimdyr, Kajsa</creator><creator>Stevens, Jeni</creator><creator>Svensson, Kristin</creator><creator>Blair, Anna</creator><creator>Turner‐Maffei, Cindy</creator><creator>Grady, Julie</creator><creator>Bastarache, Louise</creator><creator>Alfy, Abla</creator><creator>Crenshaw, Jeannette T.</creator><creator>Giugliani, Elsa Regina Justo</creator><creator>Ewald, Uwe</creator><creator>Haider, Rukhsana</creator><creator>Jonas, Wibke</creator><creator>Kagawa, Mike</creator><creator>Lilliesköld, Siri</creator><creator>Maastrup, Ragnhild</creator><creator>Sinclair, Ravae</creator><creator>Swift, Emma</creator><creator>Takahashi, Yuki</creator><creator>Cadwell, Karin</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>ACNBI</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>DF2</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0003-3789-635X</orcidid><orcidid>https://orcid.org/0000-0001-8719-5717</orcidid><orcidid>https://orcid.org/0000-0003-1575-131X</orcidid></search><sort><creationdate>202308</creationdate><title>Skin‐to‐skin contact after birth: Developing a research and practice guideline</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5292-d90a7c4a6f052be8c75ae08940217e84c49b78693ee85b6258890cf501e373da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>best practice</topic><topic>Birth</topic><topic>breastfeeding</topic><topic>guideline development</topic><topic>implementation</topic><topic>Infant mortality</topic><topic>Neonates</topic><topic>Skin</topic><topic>skin-to-skin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brimdyr, Kajsa</creatorcontrib><creatorcontrib>Stevens, Jeni</creatorcontrib><creatorcontrib>Svensson, Kristin</creatorcontrib><creatorcontrib>Blair, Anna</creatorcontrib><creatorcontrib>Turner‐Maffei, Cindy</creatorcontrib><creatorcontrib>Grady, Julie</creatorcontrib><creatorcontrib>Bastarache, Louise</creatorcontrib><creatorcontrib>Alfy, Abla</creatorcontrib><creatorcontrib>Crenshaw, Jeannette T.</creatorcontrib><creatorcontrib>Giugliani, Elsa Regina Justo</creatorcontrib><creatorcontrib>Ewald, Uwe</creatorcontrib><creatorcontrib>Haider, Rukhsana</creatorcontrib><creatorcontrib>Jonas, Wibke</creatorcontrib><creatorcontrib>Kagawa, Mike</creatorcontrib><creatorcontrib>Lilliesköld, Siri</creatorcontrib><creatorcontrib>Maastrup, Ragnhild</creatorcontrib><creatorcontrib>Sinclair, Ravae</creatorcontrib><creatorcontrib>Swift, Emma</creatorcontrib><creatorcontrib>Takahashi, Yuki</creatorcontrib><creatorcontrib>Cadwell, Karin</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>SWEPUB Uppsala universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Uppsala universitet</collection><collection>SwePub Articles full text</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brimdyr, Kajsa</au><au>Stevens, Jeni</au><au>Svensson, Kristin</au><au>Blair, Anna</au><au>Turner‐Maffei, Cindy</au><au>Grady, Julie</au><au>Bastarache, Louise</au><au>Alfy, Abla</au><au>Crenshaw, Jeannette T.</au><au>Giugliani, Elsa Regina Justo</au><au>Ewald, Uwe</au><au>Haider, Rukhsana</au><au>Jonas, Wibke</au><au>Kagawa, Mike</au><au>Lilliesköld, Siri</au><au>Maastrup, Ragnhild</au><au>Sinclair, Ravae</au><au>Swift, Emma</au><au>Takahashi, Yuki</au><au>Cadwell, Karin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skin‐to‐skin contact after birth: Developing a research and practice guideline</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2023-08</date><risdate>2023</risdate><volume>112</volume><issue>8</issue><spage>1633</spage><epage>1643</epage><pages>1633-1643</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>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.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37166443</pmid><doi>10.1111/apa.16842</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-3789-635X</orcidid><orcidid>https://orcid.org/0000-0001-8719-5717</orcidid><orcidid>https://orcid.org/0000-0003-1575-131X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta Paediatrica, 2023-08, Vol.112 (8), p.1633-1643 |
| issn | 0803-5253 1651-2227 1651-2227 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_446035 |
| source | Wiley Online Library Open Access; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection; SWEPUB Freely available online |
| subjects | best practice Birth breastfeeding guideline development implementation Infant mortality Neonates Skin skin-to-skin |
| title | Skin‐to‐skin contact after birth: Developing a research and practice guideline |
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