Benefits of Skin-to-Skin Contact with your Baby
Read time: 4 minutes
What to know about holding your baby skin-to-skin
- What is skin-to-skin contact?
- What are the benefits of skin to skin for mom and baby?
- How to do skin to skin contact with your little one
Moments after birth your new babe is put into your arms. This time together, snuggling skin to skin in the moments after delivery, can have significant health benefits to both you and your little one.
Skin-to-skin contact is when your baby, having on only a diaper and perhaps a head cap, is placed directly on your bare chest. A blanket or towel then covers you both for warmth.
When medically possible, this important first connection not only promotes bonding, but also milk supply, relaxation, and even helps regulate baby’s body temperature and heart rate.1
Read on to learn the benefits of skin-to-skin and how to make it work for you and your little one.
Benefits of skin-to-skin contact
Skin-to-skin and breastfeeding
Evidence shows that early skin-to-skin contact, both directly after birth as well as ongoing through the newborn phase, promotes greater breastfeeding outcomes.2
Right after delivery, placing babies skin to skin with their mother or caregiver during what is called the “golden hour” or “sacred hour” helps awaken their breastfeeding instincts.5 This process takes about an hour.
First baby will rest while skin to skin, then they will begin to slowly wake up, and eventually your little one will start to perform the “breast crawl.”5 This is when babies naturally inch and push toward the breast. Once there, they familiarize themselves with the breast by licking and touching for about 15 minutes, before latching on and suckling for the first time.3, 4
As long as you've experienced an uncomplicated birth and baby is healthy, all routine procedures, including the APGAR test, can usually be performed on your little one while they are skin-to-skin.8
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Skin-to-skin and premature or cesarean section babies
Research indicates that babies who are born prematurely may be more metabolically stable and breathe better if they are placed skin-to-skin immediately after birth, as long as the baby is medically able.1 The same is true for after cesarean births.2
In fact, skin-to-skin contact can begin in the operating room when mom is alert and responsive.6 Baby can be placed across mom’s chest, rather than belly to belly, to avoid the incision and surgery that may be on-going after delivery.
It is important that mom be alert and have someone else in the room who can help support baby when and if necessary.7
When medically possible, skin-to-skin after a cesarean section can help not only initiate breastfeeding, encourage bonding, and provide benefits to baby, but can also help alleviate feelings of pain and anxiety for mom.6, 7
Skin-to-skin throughout the newborn stage
Skin-to-skin contact can be done for as long as mom and baby are comfortable, and usually continues to bring benefits even through the first weeks and months postpartum. It can help stimulate the letdown process in breastfeeding (the release of breastmilk at the start of breastfeeding) and continues the bonding process.9
Skin-to-skin contact has benefits beyond breastfeeding. Moms who are not breastfeeding as well as partners can also participate in the skin-to-skin process to promote bonding and the feeling of comfort and safety between them and baby.10
Have questions about skin-to-skin or latching your baby? Reach out to our team of registered dietitian nutritionists and lactation consultants for free! They’re here to help on our free to live chat from Monday – Friday 8am-6pm (ET). Chat Now !
Place baby skin to skin immediately after birth
In most birth circumstances, even c-sections, babies can be put skin to skin directly after birth. Chat with your health care provider about whether your wish to do skin-to-skin right after baby’s delivery is possible.
If mom is under heavy anesthesia or sedation, waiting until she is alert is important before practicing skin-to-skin. Having someone available to supervise and help when needed is also important in this situation. Dad, partner, or birthing coach can do skin-to-skin with baby while mom is recovering.
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Tips on safely practicing skin to skin with your baby
Practice proper technique
Make sure mom and baby are truly chest to chest, with no clothing or blanket between skin. A diaper and head cap are fine for baby. Both mom (or partner/caregiver) and baby can be covered with a blanket to help maintain adequate body temperature. Keep the blanket no higher than baby’s back, avoiding it getting too close to baby’s mouth or nose.11
Skin-to-skin safety tips:
- If baby is not attempting to breastfeed, make sure their head is turned to the side and their nose is visible to help them breathe easy
- Make sure you are not so sleepy that you’ll fall asleep, which may increase the risk of baby’s airway being blocked
- Position baby so their head is higher than their feet
- If baby is on mom and not currently breastfeeding, make sure baby is between, not on, mom’s breasts11, 12
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For more on this topic, check out the following articles:
- Bigelow A, Power M. Mother-Infant Skin-to-Skin Contact: Short- and Long-Term Benefits for Mothers and Their Children Born Full-Term. Front. Psychol. 28 August 2020. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01921/full https://doi.org/10.3389/fpsyg.2020.01921
- Safari, K., Saeed, A.A., Hasan, S.S. et al. The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor. Int Breastfeed J 13, 32 (2018). https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-018-0174-9 https://doi.org/10.1186/s13006-018-0174-9
- Svensson, K.E., Velandia, M.I., Matthiesen, AS.T. et al. Effects of mother-infant skin-to-skin contact on severe latch-on problems in older infants: a randomized trial. Int Breastfeed J 8, 1 (2013). https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/1746-4358-8-1 https://doi.org/10.1186/1746-4358-8-1
- Thomas S, Mohanty N, Dasila P. Effect of breast crawl on initiation of breastfeeding and initial weight loss among newborns. Manipal Journal of Nursing and Health Science. 2018. 4(2):1-5. https://impressions.manipal.edu/cgi/viewcontent.cgi?article=1166&context=mjnhs
- Crenshaw JT. Healthy Birth Practice #6: Keep Mother and Baby Together- It's Best for Mother, Baby, and Breastfeeding. J Perinat Educ. 2014;23(4):211-217. doi:10.1891/1058-1243.23.4.211 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235060/
- Stevens J, Schmied V, Burns E, Dahlen H. Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature. Matern Child Nutr. 2014;10(4):456-473. doi:10.1111/mcn.12128 https://pubmed.ncbi.nlm.nih.gov/24720501/
- Kjelland, Kim MSN, APRN, PPCNP-BC; Monroe, Martha BSN; Moore, Tyra MHA, RN, NEA-BC; Cooper, Hyewon BSN, RN; Davies, Claire C. PhD, PT A dedicated nurse for skin-to-skin care after cesarean birth. Nursing Management: July 2020 51(7): 8-10 doi: 10.1097/01.NUMA.0000669096.99601.c7 https://journals.lww.com/nursingmanagement/fulltext/2020/07000/a_dedicated_nurse_for_skin_to_skin_care_after.3.aspx
- Feldman-Winter L, Goldsmith J. Safe Sleep and Skin-to-Skin Care in the Neonatal period for Healthy Term Newborns. Pediatrics (2016) 138(3):e20161889. https://publications.aap.org/pediatrics/article/138/3/e20161889/52741/Safe-Sleep-and-Skin-to-Skin-Care-in-the-Neonatal https://doi.org/10.1542/peds.2016-1889
- Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: World Health Organization; 2009. SESSION 2, The physiological basis of breastfeeding. https://www.ncbi.nlm.nih.gov/books/NBK148970/
- Chen EM, Gau ML, Liu CY, Lee TY. Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial. Nurs Res Pract. 2017;2017:8612024. doi:10.1155/2017/8612024 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5282438/
- Woman, Infants, and Children Supplemental Nutrition Program. Skin to Skin. Breasmilkcounts.com. https://www.breastmilkcounts.com/breastfeeding-101/skin-to-skin/
- Feldman-Winter L, Goldsmith JP; COMMITTEE ON FETUS AND NEWBORN; TASK FORCE ON SUDDEN INFANT DEATH SYNDROME. Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns. Pediatrics. 2016;138(3):e20161889. doi:10.1542/peds.2016-1889 https://pubmed.ncbi.nlm.nih.gov/27550975/