Labor and Delivery Care

Initial Skin-to-Skin Contact
Practical and Educational

Guideline for Implementation of Kangaroo Care with Premature Infants
Source: Advances in Neonatal Care 
Description: Academic paper describing the benefits of “kangaroo care,” followed by a guide for monitoring and documenting the kangaroo care experience. Also includes a sample protocol based off protocols from Vanderbilt and Children’s Hospital of Philadelphia.
Date of Publication: 2008



ABM Clinical Protocol #5: Peripartum Breastfeeding Management
Source: ABM
Description: A sample hospital protocol for peripartum care, from skin-to-skin to supplementary feeds.
Date of Publication: Updated in 2013



Thermal Protection of the Newborn: A Practical Guide
Source: WHO
Description: Description: A practical look at keeping a newborn warm after birth. Has sections supporting skin-to-skin and immediate breastfeeding opportunities after birth. Ends with a short segment on implementing beneficial changes.
Date of Publication: 1997



Texas Ten Step Skin-to-Skin
Source: Texas Ten Step
Description: Comprehensive guide to implementing changes meant to promote skin-to-skin and initial breastfeeding opportunity.
Date of Publication: Updated 2015



Early Skin-to-Skin after Cesarean
Source: NICHQ
Description: A report of a QI project concerning early skin-to-skin contact following a C-section at a particular hospital. Contains examples of what that hospital did to improve their practices.
Date of Publication: 2011



Skin-to-Skin Guideline for Professionals
Source: CHOP
Description: CHOP’s advice for physicians and other professionals on how to promote skin-to-skin care.
Date of Publication: Updated in 2014



Practical

Golden Hour Charting Tool (Excel)
Source: CDPH
Description: Excel spreadsheet intended to help chart mother-infant time together and breastfeeding opportunities during the first hour of life.
Date of Publication: 2008



Skin-to-Skin Checklist
Source: Kangaroo Care USA
Description: A checklist of steps to be taken before, during, and after delivery to ensure that skin-to-skin is initiated in a timely and efficient manner.
Date of Publication: Updated in 2012



First Hug Poster
It’s My Birthday Poster
Source: MA Breastfeeding Coalition
Description: Two posters promoting skin-to-skin.
Available in 4 languages. The link to the main page containing all the language copies is here
Date of Publication: Updated in 2015



Educational

Keep Mother and Baby Together
Source: Lamaze International
Description: Evidence-based paper describing the benefits of skin-to-skin contact for all newborns. Available in 8 languages here.
Date of Publication: 2008



Effect of Immediate Mother-Infant Skin-to-Skin Contact
Source: Women and Birth
Description: A RCT examining the effect of skin-to-skin on breastfeeding self-efficacy in women.
Date of Publication: 2014



L&D: Skin-to-Skin Care for Mothers
Source: Erlanger
Description: Two page handout for expectant mothers addressing what skin-to-skin is and the benefits it has for the baby.
Date of Access: October 2015



Wait for the Weight
Source: Lamaze International
Description: One page infographic for mothers and staff encouraging the (slight) delay of routine procedures in order to allow immediate skin-to-skin contact.
Date of Access: October 2015



Skin-to-Skin Position Paper
Source: International Childbirth Education Association
Description: A position paper from the ICEA in favor of skin-to-skin. Also includes a description of the benefits of skin-to-skin for mother and baby.
Date of Access: December 2016



Early Skin-to-Skin Contact
Source: Cochrane Reviews
Description: A Cochrane review of current evidence for skin-to-skin initiation with healthy newborns.
Date of Publication: 2012



Nine Phases Babies Experience in the First Hour
Source: Healthy Children’s Project
Description: List and description of the nine steps to expect from babies in the hours immediately following birth. Applicable to professionals and new mothers alike.
Date of Publication: 2011



Initial Breastfeeding Opportunity
Practical and Educational

Promoting the Initiation of Breastfeeding
Source: University of York
Description: A bulletin with advice on ways to promote/support breastfeeding. Includes a systematic review of evidence on the subject as well.
Date of Publication: 2000



Texas Ten Step Skin-to-Skin
Source: Texas Ten Step
Description: Comprehensive guide to implementing changes meant to promote skin-to-skin and initial breastfeeding opportunity.
Date of Publication: Updated 2015



ABM Clinical Protocol #5: Peripartum Breastfeeding Management
Source: ABM
Description: A sample hospital protocol for peripartum care, from skin-to-skin to supplementary feeds.
Date of Publication: Updated in 2013



Thermal Protection of the Newborn: A Practical Guide
Source: WHO
Description: A practical look at keeping a newborn warm after birth. Has sections supporting skin-to-skin and immediate breastfeeding opportunities after birth. Ends with a short segment on implementing beneficial changes.
Date of Publication: 1997



Practical

Golden Hour Charting Tool
Source: CDPH
Description: Excel spreadsheet meant to help chart mother-infant
time together and breastfeeding opportunities during the first hour of life.
Date of Publication: 2008



Crib Cards Supporting Breastfeeding (Boy and Girl)
Source: DHHS/CDC
Description: Basic crib cards promoting the benefits of breastfeeding.
Date Accessed: October 2015



Educational

Interventions to Promote the Initiation of Breastfeeding
Source: Cochrane Reviews via the WHO
Description: A Cochrane Review article on what interventions best promote the initiation of breastfeeding in new mothers. Both the full-length version and a summary statement are available here.
Date of Publication: 2007



Factors Associated with Breastfeeding in the First Hour
Source:Rev. Saúde Pública
Description: Systematic review done to determine which factors are positively and negatively associated with early breastfeeding initiation in mothers.
Date of Publication: 2014



Routine Procedures Performed Skin-to-Skin

Skin-to-Skin Contact for Neonatal Pain
Source: Cochrane Reviews via NIH
Description: A Cochrane review of current evidence for skin-to-skin as a method of alleviating neonatal pain.
Date of Publication: 2014 (E)