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Middlesex-London Health Unit

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Skin-to-Skin

Skin-to-skin is the healthiest place to begin. Babies love skin-to-skin contact. Your bare chest is the best place for your baby to adjust to life outside the womb. Your baby smells you, hears you, feels you and gets to know you. Skin-to-skin contact means holding your baby, wearing only their diaper, against your bare chest or tummy. Skin-to-skin babies stay warmer, are calmer and breastfeed better than babies who are swaddled or wrapped. It's soothing for your baby.

 

Your baby’s first hours

The first hours of snuggling skin-to-skin will help you and your baby bond and get to know each other. Your baby will go through nine distinct phases. When you hold your baby skin-to-skin immediately after birth, you can watch your baby go through each phase. Hold your baby belly-down on your chest or tummy immediately after birth until after the first feeding (approximately 2 hours later).

Be sure to let your healthcare provider know, before you go into labour, that you would like to hold your baby skin-to-skin right after birth until you are done with the first feeding. If you are giving birth in the hospital, it is important to let the nurses and other care providers know your wishes about skin-to-skin, as well.

Keep cuddling skin-to-skin as often as possible in the months after birth. The benefits of skin-to-skin for bonding and breastfeeding continue long after the first weeks. Skin-to-skin is also better for babies born prematurely or by Caesarean birth. If you haven’t held your baby skin-to-skin yet, start now! It’s not too late.

Skin-to-skin beyond the first hour

Continue making time to snuggle skin-to-skin with your baby. It will help keep your baby interested in breastfeeding if he is sleepy. Research shows that babies of all ages, including preterm babies, benefit from skin-to-skin.

Safe positioning for skin-to-skin

When holding your baby skin-to-skin in the early days, watch baby’s face to ensure the colour is normal, breathing is regular, and baby responds to you. If you feel sleepy during skin-to-skin time, return baby to a safe sleep surface such as their own crib, positioned on their back.7

 

Dr. Nils Bergman's research shows that it is Optimal to Place New Babies Skin-to-Skin with their Mother (KIDSCARE Canada).

 

Telephone Support

For telephone support or to speak with a Public Health Nurse call:

  • 519-663-5317 
  • weekdays (excluding holidays)
  • 8:30am-4:30pm
 

Skin-to-skin helps you breastfeed

  • Your baby is more likely to have a successful first breastfeed
  • Your baby may breastfeed sooner and longer
  • You will make more breast milk
  • Skin-to-skin can make it easier to breastfeed a sleepy baby
  • Skin-to-skin contact has many health benefits for both you and your baby

With skin-to-skin, your baby:

With skin-to-skin, you:

  • Breastfeed more easily
  • Create more breast milk
  • Learn when your baby is getting hungry
  • Bond more with your baby
  • Gain confidence and satisfaction caring for your baby
  • Are more relaxed

Skin-to skin is easy

Here’s how:

  1. Take off your baby’s blankets and clothing. Leave a diaper on.7
  2. Move clothing away from your chest and tummy.7
  3. Hold your baby, facing you, against your chest.7
  4. You can put a blanket over your baby's back, but ensure their face is always visible.
  5. Enjoy the closeness and bonding with your baby.
  6. When you are ready to sleep, place your baby in their crib, on their back, in your room. It is important that cribs and cradles meet current Canadian safety regulations.

Partners and family

Your partner can also spend skin-to-skin time with your baby. Your partner and baby will experience many of the skin-to-skin health benefits.

Family members can plan skin-to-skin time with your baby too. It’s a great way to bond with your baby.

 

Video


  • Watch this video about using skin-to-skin contact to reduce your infant's pain.
 
Date of creation: February 6, 2013
Last modified on: August 29, 2023

References

1Odent M. The First Hour Following Birth: Don’t wake the Mother!, Midwifery Today, March 2002: 9-12.
2Hurst NM, Valentine CJ, Renfro L, Burns P, Ferlic L. Skin-to-Skin Holding in the Neonatal Intensive Care Unit Influences Maternal Milk Volume. Journal of Perinatology, 1997;17(3):213-217.
3Moore ER, Anderson GC, Bergman N. (2007). Early skin-to-skin contact for mothers and their healthy newborn infants (Cochrane Review). The Cochrane Library. 2009;(1).
4Marin Gabriel MA, Martin IL, Escobar AL, Villalba EF, Blanco IR, Pol PT. (2010). Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn. Acta Paediatrica, 99(11): 1630-34.
5Dumas L.(2011). How Skin-to-Skin Helps to Facilitate Breastfeeding. Ottawa Valley Lactation Consultants Association 15th Annual Breastfeeding Conference, Breastfeeding: Early Support, Long Term Success, Gatineau PQ, April 8, 2011.
6Franco P, Seret N, Van Hees JN, Scaillet S, Groswasser J, Kahn A. (2005) Influence of Swaddling on Sleep and Arousal Characteristics of Healthy Infants. Pediatrics; 115: 1307 1311.
7Best Start (2021). Breastfeeding matters: An important guide to breastfeeding for women and their families. p.12. Retrieved from
https://resources.beststart.org/product/b04e-breastfeeding-matters-book/