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<html lang="en" class="hexml-course s2e"><!--[if lt IE 8]> <html class="oldie"> <![endif]--><!--Generated at Wed, 12 Oct 2022 23:23:12 +0000--><head><meta name="author" content='["Carole Dobrich"]'><meta name="course" content="MA03"><meta name="topic" content="3.0"><meta http-equiv="content-type" content="text/html; charset=utf-8"><meta name="copyright" content="2022 Health e-Learning"><meta name="robots" content="NONE,NOARCHIVE"><meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=0"><link rel="stylesheet" href="//static.health-e-learning.com/jigsaw/design/hexml.pack.css?v=1665616992" type="text/css"><script type="text/javascript" charset="utf-8" src="//static.health-e-learning.com/jigsaw/design/hexml.pack.js?v=1665616992"></script><title>MA03: Understanding the importance of skin-to-skin</title></head><body class="loading"><div class="ajax-modal Fixed"></div><div class="watermark"><span>Health e-Learning</span></div><div id="access"><a href="#access" accesskey="a">Access Keys</a><a href="#menu" accesskey="m">Skip to Menu</a><a href="#content" accesskey="c">Skip to Content</a><a href="#footer" accesskey="f">Skip to Footer</a></div><div id="nav"><span class="nav-menu">Maintaining BFHI Education for Nurses and Midwives - Series 2</span><a id="hamburger" href="#"><span class="hamburger hamburger--collapse"><span class="hamburger-box"><span class="hamburger-inner"></span></span></span></a><div class="progress-container"><div id="myBar" class="progress-bar"></div></div></div><nav id="menu"><ol><li><a href="topic_1-0.html"><span class="menu-item-icon">1.0 </span><span class="menu-item-title">Introduction</span></a></li><li><a href="topic_2-0.html"><span class="menu-item-icon">2.0 </span><span class="menu-item-title">Protection of Breastfeeding [Domain 1]</span></a><ol><li><a href="topic_2-1.html"><span class="menu-item-icon">2.1 </span><span class="menu-item-title">A Code History Timeline</span></a></li><li><a href="topic_2-2.html"><span class="menu-item-icon">2.2 </span><span class="menu-item-title">Marketing - the role of the International Code</span></a></li></ol></li><li class="current mm-selected"><a href="topic_3-0.html"><span class="menu-item-icon">3.0 <i class="fa fa-caret-right" aria-hidden="true"></i></span><span class="menu-item-title">Understanding the importance of skin-to-skin</span></a><ol><li><a href="topic_3-1.html"><span class="menu-item-icon">3.1 </span><span class="menu-item-title">Infant innate behaviours</span></a></li><li><a href="topic_3-2.html"><span class="menu-item-icon">3.2 </span><span class="menu-item-title">Skin-to-skin and the role of the Health Worker</span></a></li><li><a href="topic_3-3.html"><span class="menu-item-icon">3.3 </span><span class="menu-item-title">Addressing barriers to skin-to-skin</span></a></li><li><a href="topic_3-4.html"><span class="menu-item-icon">3.4 </span><span class="menu-item-title">The loving relationship</span></a></li></ol></li><li><a href="topic_4-0.html"><span class="menu-item-icon">4.0 </span><span class="menu-item-title">Postnatal Interventions</span></a><ol><li><a href="topic_4-1.html"><span class="menu-item-icon">4.1 </span><span class="menu-item-title">The chemistry of feeding</span></a></li></ol></li><li><a href="topic_5-0.html"><span class="menu-item-icon">5.0 </span><span class="menu-item-title">Special needs and infant challenges [Domain 6]</span></a><ol><li><a href="topic_5-1.html"><span class="menu-item-icon">5.1 </span><span class="menu-item-title">The 'late preterm' 'early term' baby</span></a></li><li><a href="topic_5-2.html"><span class="menu-item-icon">5.2 </span><span class="menu-item-title">Ankyloglossia</span></a></li></ol></li><li><a href="topic_6-0.html"><span class="menu-item-icon">6.0 </span><span class="menu-item-title">Managing common difficulties</span></a><ol><li><a href="topic_6-1.html"><span class="menu-item-icon">6.1 </span><span class="menu-item-title">Engorgement</span></a></li><li><a href="topic_6-2.html"><span class="menu-item-icon">6.2 </span><span class="menu-item-title">Hyperlactation</span></a></li></ol></li><li><a href="topic_7-0.html"><span class="menu-item-icon">7.0 </span><span class="menu-item-title">Supplementation</span></a><ol><li><a href="topic_7-1.html"><span class="menu-item-icon">7.1 </span><span class="menu-item-title">Feeding-line device at the breast or chest</span></a></li><li><a href="topic_7-2.html"><span class="menu-item-icon">7.2 </span><span class="menu-item-title">Cup feeding</span></a></li><li><a href="topic_7-3.html"><span class="menu-item-icon">7.3 </span><span class="menu-item-title">Finger Feeding</span></a></li></ol></li><li><a href="topic_8-0.html"><span class="menu-item-icon">8.0 </span><span class="menu-item-title">Closing session</span></a><hr></li><li class="appendix"><a href="references.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-book i-topic"></i></span><span class="menu-item-title">List of references</span></a></li><li class="appendix"><a href="contents.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-file-text-o i-topic"></i></span><span class="menu-item-title">Course contents</span></a></li><li class="appendix"><a href="full.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-print i-topic"></i></span><span class="menu-item-title">Print version</span></a></li></ol></nav><div id="content"><h1 id="top">3.0 Understanding the importance of skin-to-skin</h1><div class="box"><div class="box-title"><h3>Step 4: Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate breastfeeding as soon as possible after birth</h3></div> <div class="content-node"> <p> <strong>(New Zealand) Step 4:Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate breastfeeding as soon as possible after birth and any opportunity thereafter.</strong> </p> <p> <span class="marker"> <strong>(Canada) Step 4: Facilitate immediate and uninterrupted skin-to-skin contact at birth. Support mothers/birthing parents to respond to the infant’s cues to initiate breastfeeding as soon as possible after birth.</strong> </span> </p> </div> <img width="1251" height="1251" data-src="images/4_Care-right-after-birth.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt=""> </div><div class="box"><div class="box-title"><h3>Birth and Breastfeeding - Initiating Early Feeds</h3></div> <div class="captionBox videobox"><iframe width="640" height="360" src="https://static.step2education.com/m/b/es/Step2csection.mp4" style="max-width:100%;" frameborder="0" allowfullscreen="1"></iframe></div> </div><section class="section" id="Immediately_following_birth"><h2>Immediately following birth</h2> <div class="content-node"> <p>Skin-to-skin contact between the birthing parent and infant at birth is internationally recognized as best practice based on rigorous research. In the words of Dr. Louise Dumas, "Skin-to-skin is not just something nice to do, it is something we must do!" Research shows that a minimum of 1 to 2 hours of uninterrupted from birthing parent-infant skin-to-skin contact, has a positive impact on the physiological and psychosocial aspects of the dyad, while also facilitating breastfeeding.</p> <p>The recommendation for immediate, uninterrupted, skin-to-skin for the first 1 - 2 hours after birth is best practice. The key elements include:</p> <ul> <li>No drying, place the infant widely on the mother/birthing parent's chest, with Infant's head free to move and maintain the airway, cover with a dry light blanket.</li> <li>Observation of the mother/birthing parent and infant is key to safe skin-to-skin contact!</li> </ul> <p>Take the opportunity to read the following procedural document example on safe <img alt="PDF" src="//static.health-e-learning.com/jigsaw/design/page_white_acrobat.png"><a href="https://courses.step2education.com/files/book/SafeSkinSkin-LD2016-September.pdf" target="_blank">skin-to-skin contact.</a></p> <p>What does skin-to-skin look like?</p> <ul> <li>Mother/birthing parent is lying semi-upright - neither flat nor fully sitting and is awake and responsive</li> <li>Infant is prone ("belly down") on the mother/parent's chest, where the baby's face is easily visible to make contact and also to ensure that the nose and mouth are free from obstruction</li> <li>Infant is covered loosely with a dry, clean blanket that does not prevent movement down to the breast or obstruct visual assessment</li> </ul> </div> </section><div class="captionBox"><img width="407" height="542" data-src="images/skintoskin1.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt="Photo used with permission from parent"><p>Photo used with permission from parent. <br>&copy; C. Dobrich</p></div><div class="captionBox"><img width="480" height="640" data-src="images/Preterm_35.2_wks_1st_s2s_latch_O2_LeonieM.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt="Photo used with permission from parent"><p>Photo used with permission from parent. <br>&copy; C. Dobrich</p></div><div class="captionBox"><img width="768" height="1280" data-src="images/skintoskin3.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt="Photo used with permission from parent"><p>Photo used with permission from parent. <br>&copy; A. Eastgate</p></div><div class="captionBox"><img width="673" height="505" data-src="images/skintoskin4.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt="Photo used with permission from parent"><p>Photo used with permission from parent</p></div><div class="box"><div class="box-title"><h3>Skin to skin</h3></div> <div class="captionBox videobox"><div class="youtube" data-embed="BAC5gPcvLJM"><div class="play-button"></div></div></div> <div class="content-node"> <p> <span>If the video above doesn't play,</span> <img alt="External" src="//static.health-e-learning.com/jigsaw/design/external.gif"><a href="https://www.youtube.com/watch?v=BAC5gPcvLJM" id="yui_3_17_2_3_1643844715865_275" target="_blank" title="External link"> open YouTube link in a new window</a> </p> </div> </div><section class="section" id="Delayed_cord_clamping"><h2>Delayed cord clamping</h2> <div class="content-node"> <p>The BFHI practices such as immediate skin-to-skin and performing all initial checks while the infant is on the mother/birthing parent's body, support delayed cord clamping.</p> <p>Waiting at least 1-3 minutes after the baby's birth or until the cord itself stops pulsating has multiple benefits both in the immediate postpartum and neonatal period, in particular improving the iron status of both full- and preterm infants as they are able to receive the full complement of placental blood.</p> </div> <div class="box"><div class="box-title"><h3>Delayed cord clamping helping babies breathe</h3></div> <div class="captionBox videobox"><div class="youtube" data-embed="SfeHIfGnVTU"><div class="play-button"></div></div><p> <br>&copy; The Royal Women's Hospital</p></div><button class="showSection">Show/hide the transcript</button><div class="transcript" style="display: none"> <div class="content-node"></div> </div> <div class="content-node"> <p>If the video above doesn't play, <img alt="External" src="//static.health-e-learning.com/jigsaw/design/external.gif"><a href="https://www.youtube.com/watch?v=SfeHIfGnVTU" target="_blank" title="External link">open the Youtube link in a new window</a></p> </div> </div> </section><section class="section" id="Research_findings"><h2>Research findings</h2> <div class="content-node"> <ul> <li>Blood glucose at 90 minutes is significantly higher in skin-to-skin care newborns.</li> <li>Newborn preterm infants in skin-to-skin care achieve thermo-cardio-respiratory stability within 6 hours, compared to babies in traditional incubator care who mostly do not.</li> <li>Newborn, full-term babies who spent more than 50 minutes in skin-to-skin care are 8 times more likely to breastfeed spontaneously than infants not in skin-to-skin care.</li> <li>Exclusive breastfeeding at 48 hours and 6 weeks postpartum and incidence of any breastfeeding at 1 and 4 months was significantly greater for infants in the skin-to-skin care groups. </li> </ul> </div> </section><div id="footer"><a href="topic_2-2.html" rel="prev" class="prev">&laquo; Prev</a><a href="topic_3-1.html" rel="next" class="next">Next &raquo;</a><br style="clear: both"><div class="floating-menu"><button class="theme-toggle" title="Toggle colors (dark or light)"><i class="fa fa-moon-o"></i></button><button class="gotoTop" title="Back to top"><i class="fa fa-chevron-up"></i></button></div><a href="javascript:%20window.print()" id="printLink">Print this page</a><span class="noPrint"> | </span>&copy; 2022 Health e-Learning<p class="printOnly">COPYRIGHT: You are permitted to print ONE (1) copy for your personal use only. No graphics, tables, quizzes, videos, etc, may be used in any form without express written consent. Author: ["Carole Dobrich"]</p><p class="dateUpdated">Updated on Wed, 12 Oct 2022 23:23:13 +0000</p></div></div></body></html>
