SKIN-TO-SKIN CONTACT AFTER BIRTH- THE IMPACT ON PROMOTING MATERNAL AND NEONATAL HEALTH AND CREATING MOTHER-INFANT RELATIONSHIP - REVIEW OF CURRENT LITERATURE
Abstract
Introduction and Purpose: Skin-to-skin contact after birth is a low-cost procedure which can bring numerous benefits for the mother-infant dyad. This unique moment can lead to improvement of infant's health outcomes and enhance mother's well-being, as well as to creating a strong, irreplaceable parent-child bond. The aim of this review is to emphasize the importance of physical contact between mother and child after delivery in medical practice and highlight the necessity for creating a safe envinroment for women to have an uninterrupted skin to skin contact with their newborns.
Current Knowledge: It has been demonstrated that skin-to-skin contact has an impact on newborn's health. Most importantly, it has been proven to lower mortality rates in resource-limited environment. Furthermore, skin-to-skin contact improves the development of the infant’s adaptive mechanisms, positively influences the establishment of their microbiota, and reduces stress while modulating the infant’s reactivity towards the parent. Mothers also receive multiple benefits from this procedure, including a reduced risk of perinatal hemorrhage, enhanced mood, and notably, increased success in breastfeeding, which itself brings major advantages for both mother and child. Beyond its significant health implications, skin-to-skin contact strengthens the maternal-infant bond, bringing long-lasting positive effects on their relationship.
Conclusion: Skin-to-skin contact is a safe procedure which undeniably has an impact on a newborn's and mother's health. It has been proven to bring numerous health benefits while requiring minimal resources. It is crucial to spread knowledge about this practice and raise awareness among both: medical staff and parents to facilitate the implementation of SSC as a routine procedure. Furthermore, there is a need to conduct more research on this matter, especially focusing on very premature infants.
References
Care of Preterm or Low Birthweight Infants Group. New World Health Organization recommendations for care of preterm or low birth weight infants: health policy. EClinicalMedicine. 2023 Aug 16;63:102155. doi: 10.1016/j.eclinm.2023.102155. PMID: 37753445; PMCID: PMC10518507. DOI: 10.1016/j.eclinm.2023.102155
Forde D, Fang ML, Miaskowski C. A Systematic Review of the Effects of Skin-to-Skin Contact on Biomarkers of Stress in Preterm Infants and Parents. Adv Neonatal Care. 2022 Jun 1;22(3):223-230. doi: 10.1097/ANC.0000000000000905. Epub 2021 May 27. PMID: 34054011; PMCID: PMC9150851 DOI: 10.1097/ANC.0000000000000905
Ionio C, Ciuffo G, Landoni M. Parent-Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature. Int J Environ Res Public Health. 2021 Apr 28;18(9):4695. doi: 10.3390/ijerph18094695. PMID: 33924970; PMCID: PMC8124223. DOI: 10.3390/ijerph18094695
Rozporządzenie Ministra Zdrowia z dnia 16 sierpnia 2018r. W sprawie standardu organizacyjnego opieki okołoporodowejDz.U. 2018 póz.1756
Brimdyr K, Stevens J, Svensson K, Blair A, Turner-Maffei C, Grady J, Bastarache L, Al Alfy A, Crenshaw JT, Giugliani ERJ, Ewald U, Haider R, Jonas W, Kagawa M, Lilliesköld S, Maastrup R, Sinclair R, Swift E, Takahashi Y, Cadwell K. Skin-to-skin contact after birth: Developing a research and practice guideline. Acta Paediatr. 2023 Aug;112(8):1633-1643. doi: 10.1111/apa.16842. Epub 2023 May 24. PMID: 37166443. DOI: 10.1111/apa.16842
Kirca N, Adibelli D. Effects of mother-infant skin-to-skin contact on postpartum depression: A systematic review. Perspect Psychiatr Care. 2021 Oct;57(4):2014-2023. doi: 10.1111/ppc.12727. Epub 2021 Jan 21. PMID: 33476428. DOI: 10.1111/ppc.12727
Rheinheimer N, Beijers R, Cooijmans KHM, Brett BE, de Weerth C. Effects of skin-to-skin contact on full-term infants' stress reactivity and quality of mother-infant interactions. Dev Psychobiol. 2022 Nov;64(7):e22308. doi: 10.1002/dev.22308. PMID: 36282755; PMCID: PMC9539895. DOI: 10.1002/dev.22308
Gupta N, Deierl A, Hills E, Banerjee J. Systematic review confirmed the benefits of early skin-to-skin contact but highlighted lack of studies on very and extremely preterm infants. Acta Paediatr. 2021 Aug;110(8):2310-2315. doi: 10.1111/apa.15913. Epub 2021 May 24. PMID: 33973279. DOI: 10.1111/apa.15913
Lode-Kolz K, Hermansson C, Linnér A, Klemming S, Hetland HB, Bergman N, Lilliesköld S, Pike HM, Westrup B, Jonas W, Rettedal S. Immediate skin-to-skin contact after birth ensures stable thermoregulation in very preterm infants in high-resource settings. Acta Paediatr. 2023 May;112(5):934-941. doi: 10.1111/apa.16590. Epub 2022 Nov 18. PMID: 36333892. DOI: 10.1111/apa.16590
Linnér A, Lode Kolz K, Klemming S, Bergman N, Lilliesköld S, Markhus Pike H, Westrup B, Rettedal S, Jonas W. Immediate skin-to-skin contact may have beneficial effects on the cardiorespiratory stabilisation in very preterm infants. Acta Paediatr. 2022 Aug;111(8):1507-1514. doi: 10.1111/apa.16371. Epub 2022 Apr 28. PMID: 35466432. DOI: 10.1111/apa.16371
Browne HP, Shao Y, Lawley TD. Mother-infant transmission of human microbiota. Curr Opin Microbiol. 2022 Oct;69:102173. doi: 10.1016/j.mib.2022.102173. Epub 2022 Jul 1. PMID: 35785616. DOI: 10.1016/j.mib.2022.102173
Eckermann HA, Meijer J, Cooijmans K, Lahti L, de Weerth C. Daily skin-to-skin contact alters microbiota development in healthy full-term infants. Gut Microbes. 2024 Jan-Dec;16(1):2295403. doi: 10.1080/19490976.2023.2295403. Epub 2024 Jan 10. PMID: 38197254; PMCID: PMC10793693 DOI: 10.1080/19490976.2023.2295403
Lord LG, Harding JE, Crowther CA, Lin L. Skin-to-skin contact for the prevention of neonatal hypoglycaemia: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023 Oct 21;23(1):744. doi: 10.1186/s12884-023-06057-8. PMID: 37865757; PMCID: PMC10590034. DOI: 10.1186/s12884-023-06057-8
Forde D, Deming DD, Tan JC, Phillips RM, Fry-Bowers EK, Barger MK, Bahjri K, Angeles DM, Boskovic DS. Oxidative Stress Biomarker Decreased in Preterm Neonates Treated With Kangaroo Mother Care. Biol Res Nurs. 2020 Apr;22(2):188-196. doi: 10.1177/1099800419900231. Epub 2020 Jan 24. PMID: 31973579; PMCID: PMC7273802. DOI: 10.1177/1099800419900231
Kristoffersen L, Støen R, Bergseng H, Flottorp ST, Magerøy G, Grunewaldt KH, Aker K. Immediate Skin-to-Skin Contact in Very Preterm Neonates and Early Childhood Neurodevelopment: A Randomized Clinical Trial. JAMA Netw Open. 2025 Apr 1;8(4):e255467. doi: 10.1001/jamanetworkopen.2025.5467. PMID: 40238094; PMCID: PMC12004208. DOI: 10.1001/jamanetworkopen.2025.5467
Ayala A, Christensson K, Christensson E, Cavada G, Erlandsson K, Velandia M. Newborn infants who received skin-to-skin contact with fathers after Caesarean sections showed stable physiological patterns. Acta Paediatr. 2021 May;110(5):1461-1467. doi: 10.1111/apa.15685. Epub 2021 Jan 5. PMID: 33403688; PMCID: PMC8246930. DOI: 10.1111/apa.15685
Linnér A, Westrup B, Lode-Kolz K, Klemming S, Lillieskold S, Markhus Pike H, Morgan B, Bergman NJ, Rettedal S, Jonas W. Immediate parent-infant skin-to-skin study (IPISTOSS): study protocol of a randomised controlled trial on very preterm infants cared for in skin-to-skin contact immediately after birth and potential physiological, epigenetic, psychological and neurodevelopmental consequences. BMJ Open. 2020 Jul 6;10(7):e038938. doi: 10.1136/bmjopen-2020-038938. PMID: 32636292; PMCID: PMC7342825. DOI: 10.1136/bmjopen-2020-038938
Kristoffersen L, Bergseng H, Engesland H, Bagstevold A, Aker K, Støen R. Skin-to-skin contact in the delivery room for very preterm infants: a randomised clinical trial. BMJ Paediatr Open. 2023 Mar;7(1):e001831. doi: 10.1136/bmjpo-2022-001831. PMID: 36958792; PMCID: PMC10039990. DOI: 10.1136/bmjpo-2022-001831
WHO Immediate KMC Study Group; Arya S, Naburi H, Kawaza K, Newton S, Anyabolu CH, Bergman N, Rao SPN, Mittal P, Assenga E, Gadama L, Larsen-Reindorf R, Kuti O, Linnér A, Yoshida S, Chopra N, Ngarina M, Msusa AT, Boakye-Yiadom A, Kuti BP, Morgan B, Minckas N, Suri J, Moshiro R, Samuel V, Wireko-Brobby N, Rettedal S, Jaiswal HV, Sankar MJ, Nyanor I, Tiwary H, Anand P, Manu AA, Nagpal K, Ansong D, Saini I, Aggarwal KC, Wadhwa N, Bahl R, Westrup B, Adejuyigbe EA, Plange-Rhule G, Dube Q, Chellani H, Massawe A. Immediate "Kangaroo Mother Care" and Survival of Infants with Low Birth Weight. N Engl J Med. 2021 May 27;384(21):2028-2038. doi: 10.1056/NEJMoa2026486. PMID: 34038632; PMCID: PMC8108485. DOI: 10.1056/NEJMoa2026486
Hanke K, Rausch TK, Sosnowski R, Paul P, Spiegler J, Müller M, König IR, Göpel W, Herting E, Härtel C. Early Skin-to-Skin Contact Does Not Affect Cerebral Tissue Oxygenation in Preterm Infants <32 Weeks of Gestation. Children (Basel). 2022 Feb 6;9(2):211. doi: 10.3390/children9020211. PMID: 35204931; PMCID: PMC8869971. DOI:10.3390/children9020211
Mehler K, Hucklenbruch-Rother E, Trautmann-Villalba P, Becker I, Roth B, Kribs A. Delivery room skin-to-skin contact for preterm infants-A randomized clinical trial. Acta Paediatr. 2020 Mar;109(3):518-526. doi: 10.1111/apa.14975. Epub 2019 Sep 16. PMID: 31423649. DOI: 10.1111/apa.14975
Martínez-Rodríguez S, Rodríguez-Almagro J, Bermejo-Cantarero A, Laderas-Díaz E, Sanchez-Millan N, Hernández-Martínez A. Efficacy of skin-to-skin contact between mother and infant on maternal outcomes during the third stage of labour: A systematic review and meta-analysis. Int J Nurs Stud. 2025 Feb;162:104981. doi: 10.1016/j.ijnurstu.2024.104981. Epub 2024 Dec 12. PMID: 39700736. DOI: 10.1016/j.ijnurstu.2024.104981
Martínez-Rodríguez S, Rodríguez-Almagro J, Bermejo-Cantarero A, Muñoz-Camargo JC, Laderas-Díaz E, Hernández-Martínez A. Efficacy of skin-to-skin contact between mother and newborn during the third stage of labour in reducing postpartum haemorrhage risk. BMC Pregnancy Childbirth. 2025 Apr 3;25(1):393. doi: 10.1186/s12884-025-07425-2. PMID: 40181308; PMCID: PMC11969802. DOI: 10.1186/s12884-025-07425-2
Aydin Kartal Y, Kaya L, Yazici S, Engin B, Karakus R. Effects of skin-to-skin contact on afterpain and postpartum hemorrhage: A randomized controlled trial. Nurs Health Sci. 2022 Jun;24(2):479-486. doi: 10.1111/nhs.12945. Epub 2022 May 9. PMID: 35451239. DOI: 10.1111/nhs.12945
Lim G. Perinatal depression. Curr Opin Anaesthesiol. 2021 Jun 1;34(3):233-237. doi: 10.1097/ACO.0000000000000998. PMID: 33935170; PMCID: PMC8098643. DOI: 10.1097/ACO.0000000000000998
Moran C, Thomson G, Moran V, Fallon V. The content, experiences and outcomes of interventions designed to increase early skin-to-skin contact in high-income settings: A mixed-methods systematic review. Acta Paediatr. 2023 Feb;112(2):200-221. doi: 10.1111/apa.16575. Epub 2022 Nov 3. PMID: 36260059; PMCID: PMC10100171. DOI: 10.1111/apa.16575
Agudelo SI, Gamboa OA, Acuña E, Aguirre L, Bastidas S, Guijarro J, Jaller M, Valderrama M, Padrón ML, Gualdrón N, Obando E, Rodríguez F, Buitrago L. Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns. Int Breastfeed J. 2021 Apr 13;16(1):33. doi: 10.1186/s13006-021-00379-z. PMID: 33849584; PMCID: PMC8043060. DOI: 10.1186/s13006-021-00379-z
Martínez-Hortelano JA, Saz-Lara A, González JLG, Cristóbal-Aguado S, Iglesias-Rus L, Martínez-Vizcaíno V, Garrido-Miguel M. Skin-to-skin contact and breastfeeding after caesarean section: A systematic review and meta-analysis of intervention studies. Int J Nurs Stud. 2025 Jun;166:105038. doi: 10.1016/j.ijnurstu.2025.105038. Epub 2025 Mar 5. PMID: 40086104. DOI: 10.1016/j.ijnurstu.2025.105038
Prian-Gaudiano A, Horta-Carpinteyro D, Sarmiento-Aguilar A. Relationship between skin-to-skin contact during the first hour of life and duration of exclusive breastfeeding. Bol Med Hosp Infant Mex. 2024;81(1):10-15. English. doi: 10.24875/BMHIM.23000160. PMID: 38503328. DOI: 10.24875/BMHIM.23000160
Cooijmans KHM, Beijers R, Brett BE, de Weerth C. Daily skin-to-skin contact in full-term infants and breastfeeding: Secondary outcomes from a randomized controlled trial. Matern Child Nutr. 2022 Jan;18(1):e13241. doi: 10.1111/mcn.13241. Epub 2021 Jul 8. PMID: 34236131; PMCID: PMC8710110. DOI: 10.1111/mcn.13241
Taylor CL, Brown HK, Saunders NR, Barker LC, Chen S, Cohen E, Dennis CL, Ray JG, Vigod SN. Maternal Schizophrenia, Skin-to-Skin Contact, and Infant Feeding Initiation. Schizophr Bull. 2022 Jan 21;48(1):145-153. doi: 10.1093/schbul/sbab085. PMID: 34308961; PMCID: PMC8781380. DOI: 10.1093/schbul/sbab085
Rocha NACF, Dos Santos Silva FP, Dos Santos MM, Dusing SC. Impact of mother-infant interaction on development during the first year of life: A systematic review. J Child Health Care. 2020 Sep;24(3):365-385. doi: 10.1177/1367493519864742. Epub 2019 Jul 23. PMID: 31337225. DOI: 10.1177/1367493519864742
Lilliesköld S, Lode-Kolz K, Rettedal S, Lindstedt J, Linnér A, Markhus Pike H, Ahlqvist-Björkroth S, Ådén U, Jonas W. Skin-to-Skin Contact at Birth for Very Preterm Infants and Mother-Infant Interaction Quality at 4 Months: A Secondary Analysis of the IPISTOSS Randomized Clinical Trial. JAMA Netw Open. 2023 Nov 1;6(11):e2344469. doi: 10.1001/jamanetworkopen.2023.44469. PMID: 38032643; PMCID: PMC10690460. DOI: 10.1001/jamanetworkopen.2023.44469
Ware JL, Li R, Chen A, Nelson JM, Kmet JM, Parks SE, Morrow AL, Chen J, Perrine CG. Associations Between Breastfeeding and Post-perinatal Infant Deaths in the U.S. Am J Prev Med. 2023 Nov;65(5):763-774. doi: 10.1016/j.amepre.2023.05.015. Epub 2023 May 21. PMID: 37220859; PMCID: PMC10897060. DOI: 10.1016/j.amepre.2023.05.015
Walsh RS, Payne A, Cossler NJ, Thompson CL, Bhola M. Safety of immediate skin-to-skin contact after vaginal birth in vigorous late preterm neonates - A pilot study. J Neonatal Perinatal Med. 2021;14(1):95-100. doi: 10.3233/NPM-190311. PMID: 32083594. DOI: 10.3233/NPM-190311
Moran C, Thomson G, Moran V, Fallon V. The content, experiences and outcomes of interventions designed to increase early skin-to-skin contact in high-income settings: A mixed-methods systematic review. Acta Paediatr. 2023 Feb;112(2):200-221. doi: 10.1111/apa.16575. Epub 2022 Nov 3. PMID: 36260059; PMCID: PMC10100171. DOI: 10.1111/apa.16575
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