Skin-to-skin contact with the baby

Skin-to-skin contact with the baby

After birth, skin-to-skin contact is a special moment for the baby and its parents. This contact has several benefits for the newborn, whether premature or full-term. Skin-to-skin contact allows the baby to gently experience the transition from the uterus, in the mother's womb, to the outside world.

What is skin-to-skin contact?

Skin-to-skin contact often occurs immediately after birth. It should also continue, without interruption, for the first 2 hours of the baby's life. This practice is also recommended for all healthy newborns.

During skin-to-skin contact, the baby is placed naked (or only in nappies, with or without a hat) directly on his mother, chest to chest. If the mother is not able to practice skin-to-skin contact, the father or the other mother can replace her.

The baby and the parent can also be covered with a warm blanket. When the baby is in skin-to-skin contact, he feels safe. He feels the warmth of his parent and smells his scent. He also hears the heartbeat of his mother or father, recognizes his voice and perceives the softness of his skin.

These sensations will facilitate breastfeeding, among other things. Indeed, they trigger innate behaviours (sucking and breastfeeding) in the newborn, which encourages him to breastfeed by himself. In the mother and father, skin-to-skin contact triggers the production of oxytocin, especially when the baby is premature.

This hormone then causes a reduction in parental stress and anxiety and a better response to the baby's behaviours. It also strengthens the parent-child bond.

To do at home: 

Skin-to-skin contact can also be practised after leaving the birthing centre, for one to two hours per day, until the baby is 6 weeks old.

Skin-to-skin contact is recommended for all babies because of its many benefits. For example, it is useful for babies who have difficulty latching on properly. Thanks to its relaxing effect, skin-to-skin contact allows these babies to be better disposed during feeding, and therefore to be more competent at the breast.

Skin-to-skin contact is also beneficial for the breastfeeding mother. It promotes positive feelings about breastfeeding. The warmth and feeling of security provided by skin-to-skin contact can also relieve an uncomfortable baby. The baby will then be able to sleep more peacefully.

The benefits of skin-to-skin contact for babies:

Several positive effects of skin-to-skin contact have been observed in newborns.

Stabilize body temperature: A baby will be warmer in skin-to-skin contact than if he or she is simply placed fully clothed in his or her mother's arms. One study found that breast temperature increases by 0.5°C in 2 minutes during skin-to-skin contact immediately after birth.

The temperature remains this way for up to 10 minutes after the contact with the baby ends. The heat produced during skin-to-skin contact is transmitted to the baby, which helps stabilize his or her body temperature. It has also been noted that the heel temperature of babies in skin-to-skin contact is 2°C higher than that of babies placed fully clothed in their mother's arms.

Stabilize heart rate: A baby's heart rate stabilizes more quickly during skin-to-skin contact, especially if it is done right from birth.

Stabilize blood sugar levels: Babies in skin-to-skin contact have higher blood glucose levels. This therefore reduces the risk of hypoglycaemia, i.e. having too low a blood glucose level.

Facilitate breastfeeding: When babies are in skin-to-skin contact, they instinctively make the right movements to latch on to the breast. The first feeding can then take place earlier. Babies in skin-to-skin contact are also more likely to suckle in the right way. In addition, the production of oxytocin caused by skin-to-skin contact stimulates the mother's milk ejection reflex.

Moreover, it is not uncommon to see milk flow from the mother's breasts during skin-to-skin contact. Its practice therefore promotes exclusive breastfeeding. Mothers who have practised skin-to-skin contact often breastfeed longer. They also report a greater sense of self-efficacy (ability to achieve a task) with regard to breastfeeding.

Reduce crying and stress When babies are separated from their mothers right after birth, it causes them stress. They then express their distress by crying. On the contrary, skin-to-skin contact promotes relaxation in babies. Babies who are placed in a crib cry about 10 times more than those who are in skin-to-skin contact.

According to a study, babies in skin-to-skin contact with their father stop crying within 15 minutes. In addition, skin-to-skin contact that continues for more than an hour after birth can reduce the baby's stress level. Reduce the sensation of pain Some newborns need to have heel pricks or injections. Being in skin-to-skin contact during these procedures can reduce the pain they feel.

Skin to skin contact with premature babies: 

In the case of premature birth, before the 37th week of pregnancy, skin-to-skin contact is encouraged as soon as the baby's condition allows it.

Skin-to-skin contact promotes the maturation of the digestive and nervous systems of the premature baby. It has been shown that this contact allows premature babies to: better regulate their temperature; have more stable breathing and heart rate; improve their weight gain; have more restful sleep; develop their intestinal flora thanks to bacterial colonization by the mother's flora; reduce their signs of stress; feel less pain during care procedures such as injections.
Holding your premature baby against your skin, instead of looking at and touching them in the incubator, allows for better milk production in the mother. Skin-to-skin contact thus facilitates breastfeeding, when the time comes.
It can also promote the development of attachment and reduce the mother's stress while her baby is hospitalized. The benefits of kangaroo care (which includes skin-to-skin contact) for premature babies persist into adulthood.
Long-term effects on children's development and behaviour: A study published in 2020 followed premature babies who had received the practice 10 years earlier. Researchers noted that these children were less often absent from school and had fewer behavioural problems such as hyperactivity or aggression. Even the structure of their brains seemed to had changed for the better. Their parents were also more protective and caring.
Benefits of Skin-to-Skin Contact for Parents: Skin-to-skin contact also has benefits for parents. The benefits of skin-to-skin contact are the same whether it is practised by the mother or the father.
However, fathers who practice it have a better relationship with their partner, have more caring behaviours towards their baby and talk to him more.
Improve the mother's recovery after childbirth:  It can improve the mother's recovery after childbirth. Since it causes the secretion of oxytocin, skin-to-skin contact accelerates the expulsion of the placenta. This contact also reduces the risk of post-partum haemorrhage.
Reduce parental stress: Mothers who practice skin-to-skin contact have lower levels of cortisol, a stress hormone. They also report feeling less stress and anxiety. This is also the case for fathers. Skin-to-skin contact also has a beneficial effect on mood and reduces the risk of depression.
Increase feelings of parental competence: Mothers who have practised skin-to-skin contact have more confidence in their ability to care for their baby. Parents also describe their experience of skin-to-skin contact as calming. They feel good, do good to their baby, and feel united as a family.
Skin-to-skin contact also helps fathers to better assume their role and facilitates interactions with their child.
Promote attachment Skin-to-skin contact encourages harmonious behaviours between parents and child, and helps create a parent-child bond.
Is skin-to-skin contact possible after a caesarean section? When the health of the mother and the baby allows, some birthing centres offer to place the baby on the mother's chest in skin-to-skin contact in the operating room and the recovery room.
However, the mother must be awake and able to respond to her baby's needs. Skin-to-skin contact after a caesarean section has also been reported to promote breastfeeding, improve the mother-infant bond, and increase the mother's sense of satisfaction. Additionally, mothers who practice skin-to-skin contact may experience less pain following surgery.

Some Safety Rules: 

It is important to follow some basic safety rules when practising skin-to-skin contact with your baby. When you are in skin-to-skin contact with your baby, make sure that:

  • his face is always visible;
  • his mouth and nose are clear, and his chin is slightly raised;
  • his neck is not bent forward or backward;
  • his head is turned to the side;
  • his shoulders and chest are facing his parent;
  • his legs are bent;
  • his back is covered with a blanket. Also, if you feel tired and want to sleep, place your baby on his back in a small bed or entrust him to another person who is awake and can care for him.
Resources and References
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ANDERZÉN-CARLSEN, Agneta et al. “Parental experiences of providing skin-to-skin care to their newborn infant – Part 1: A qualitative systematic review,” International Journal of Qualitative Studies on Health and Well-being, vol. 9, 2014. 
BALEY, Jill. “Skin-to-skin care for term and preterm infants in the neonatal ICU”, Pediatrics, vol. 136, no. 3, 2023, p. 596-599. 
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CHARPAK, Nathalie and others. “Twenty-year follow-up of Kangaroo mother care versus traditional care”, Pediatrics, vol. 139, no 1, 2017.
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LINNÉR, Agnes et al. “Immediate skin-to-skin contact may have beneficial effects on the cardiorespiratory stabilization in very preterm infants”, Acta Paediatrica, vol. 111, no. 8, 2022, p. 1507-1514.
LUDINGTON-HOE Susan M. et al. “Neurophysiological assessment of neonatal sleep organization: Preliminary results of a randomized, controlled trial of skin contact with preterm infants”, Pediatrics, vol. 117, no. 5, 2006.
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SAXTON, Anne and others. “Effects of skin-to-skin contact and breastfeeding at birth on the incidence of PPH: A physiologically based theory”, Women and Birth, vol. 27, no. 4, 2014, p. 250-253.
SCATLIFFE, Naomi and others. “Oxytocin and early parent-infant interactions: A systematic review”, International Journal of Nursing Sciences, vol. 6, no. 4, 2019, p. 445-453.
SHOREY, Shefaly et al. “Skin-to-skin contact by fathers and the impact on infant and paternal outcomes: An integrative review”, Midwifery, vol. 40, 2016, p. 207-217.
STEVENS, Jeni et al. “Immediate or early skin-to-skin contact after a Caesarean section: A review of the literature”, Maternal & Child Nutrition, vol. 10, no. 4, 2014, p. 456-473.
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