Skin to Skin Contact for Protecting and Promoting Breastfeeding
Main Article Content
Abstract
Abstract
Skin-to-skin contact (SSC) was originally used with premature infants and full-term babies because it is safe and has positive effects on breastfeeding and infant feeding. It also helps create a good relationship between the baby, the mother, and father. SSC is an important part of parent and infant care during the neonatal period. SSC should be initiated immediately after birth and practiced as a standard of care in all settings, as well as in the home. There is strong evidence that SSC has a positive effect on breastfeeding and human milk feeding in both term and preterm infants. SSC is recommended as best practice for all infants. The benefits of SSC reduces mortality, cardiopulmonary stability, and thermoregulation. SSC reduces pain and infant stress, enhances parent infant bonding, and has positive effects on parental mental health. SSC occurs as a safe and positive experience for the parent, family, infant, and health care team.
This article aimed to provide information and technique for nurses and midwives to provide parents to SSC, enhances parent–infant bonding, and initial breastfeeding. This article presents the main issues as follows: meaning, the importance of SSC, the benefits of SSC, principles of caring for mothers and babies to receive SSC, SSC procedure, contraindications to SSC, factors affecting Kangaroo mother care, guidelines for promoting SSC during pregnancy, labor, and postpartum, and suggestions for skin-to-skin contact.
In summary, understanding SSC, and providing breastfeeding for mothers to continue breastfeeding and promote success breastfeeding.
Keywords: skin-to-skin contact; promoting and supporting breastfeeding; postpartum mothers
Article Details

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References
Lauwers J, Swisher A. Counseling the nursing mother:
A lactation consultant’s guide. 7th ed. Burlington:
Jones & Bartlett Learning; 2021.
Department of health. The Department of Health
promotes the breast milk society. Babies can drink
breast milk within 1 hour after birth and drink only
breast milk for the first 6 months. [homepage on the
Internet]. Nonthaburi: Department of Health, Ministry
of Public Health. 2024 [updated 19 Aug 2024; cited
Mar 12]. Available from: https://anamai.moph.
go.th/th/news-anamai/43742
Kezaabu E. Kangaroo care. Midwifery Today. 2023;
: 50–5.
Lawrence RA, Lawrence RM. Breastfeeding: A guide
for the medical profession. 9 th ed. Philadelphia:
Elsevier; 2022.
Wambach KW, Spencer B. Breastfeeding and human
lactation. 6th ed. Burlington: Jones & Bartlett Learning;
Huang JZ, Chen CN, Lee CP, et al. Evaluation
of the effects of skin-to-skin contact on newborn
sucking, and breastfeeding abilities: A quasi-
experimental study design. Nutrients. 2022; 14: 1-12.
doi: 10.3390/nu14091846.
Ngamgarn W, Leesiriwattanagul W, Perksanusak T, et al.
Effect of a nursing program for continuous breastfeeding
promotion with family support and early skin to skin
contact on effective suckling breastfeed, neonatal
jaundice, and exclusive breastfeeding at one month.
JPMC. 2021; 38(1): 67-76. Thai.
Alves R de V, de Oliveira MIC, Domingues RMSM,
et al. Breastfeeding in the first hour of life in
Brazilian private hospitals participating in a quality-of-
care improvement project. Reprod Health. 2023;
(Suppl 2): 1–10. doi: 10.1186/s12978-022-01538-z.
Raajashri R, Adhisivam B, Vishnu Bhat B, et al.
Maternal perceptions and factors affecting Kangaroo
mother care continuum at home: A descriptive study.
J Matern Fetal & Neonat Med. 2018; 31(5): 666–9.
doi: 10.1080/14767058.2017.1293035.
Hatfield NT, Kincheloe CA. Introductory maternity
& pediatric nursing. China: Wolters Kluwer; 2022.
Tomita A, Sasagawa ET, Yonezawa K, et al.
Factors influencing nurses’ practice of skin-to-
skin contact as a pain management intervention
for preterm infants. J Neonat Nurs. 2024; 30(6):
-80. doi: 10.1016/j.jnn.2024.07.005.
Altit G, Hamilton D, O’Brien K. Skin-to-skin care
(SSC) for term and preterm infants. Paedia Child
Health. 2024; 29(4): 238–45. doi: 10.1093/pch/pxae
Pados BF, Hess F, Gephart S. Systematic review
of the effects of skin-to-skin care on short-term
physiologic stress outcomes in preterm Infants in the
neonatal intensive care unit. Adv Neonatal Care. 2020;
(1): 48–58. doi: 10.1097/ANC.0000000000000596.
Richmond CM, Ring F, Richmond L, et al. Propped
and prone positioning reduces respiratory events in
spontaneously breathing preterm infants: A randomised
triple crossover study. J Paediatr Child Health. 2023;
(1): 81-8. doi: 10.1111/jpc.16241.
Moore ER, Bergman N, Anderson GC, Medley N.
Early skin-to-skin contact for mothers and their healthy
newborn infants. Cochrane Database Syst Rev. 2016;
(11): CD003519.
Davidson D, O’Meara AM. Maternity, newborn, and
women’s health nursing: A case-based approach. 2 nd ed.
Mexico City: Wolters Kluwer; 2024.
Arya S, Naburi H, Kawaza K, et al. Immediate
“kangaroo mother care” and survival of infants with
low birth weight. N Engl J Med. 2021; 384(21): 2028-
doi. 10.1056/NEJMoa2026486.
UNICEF. Infant and young child feeding. [homepage
on the Internet]. New York: UNICEF; 2022. [updated
Jun 2024; cited 2025 Feb 12]. Available from:
https://data.unicef.org/topic/nutrition/infant-and-
young-child-feeding/#status
Disher T, Benoit B, Johnston C, et al. Skin-to-skin
contact for procedural pain in neonates: Acceptability of
novel systematic review synthesis methods and GRADEing
of the evidence. J Adv Nurs. 2017; 73(2): 504-19. doi:
1111/jan.13182.
Johnston C, Campbell-Yeo M, Disher T, Benoit B,
Fernandes A, Streiner D, Inglis D, Zee R. Skin-to-skin
care for procedural pain in neonates. Cochrane
Database Syst Rev. 2017 Feb 16; 2(2): CD008435. doi:
1002/14651858.CD008435.pub3
Lowdermilk DL, Cashion K, Perry E, et al. Maternal
child nursing care. 7th ed. St. Louis: Elvevier; 2024.
Almutairi WM, Ludington SM, Quinn Griffin MT, et al.
The role of skin-to-skin contact and breastfeeding on
atonic postpartum hemorrhage. Nurs Rep. 2021; 11(1):
-11. doi: 10.3390/nursrep11010001.
McKinney ES, Murray S, Mau, K, et al. Maternal-
child nursing. 6 th ed. St. Louis: Elsevier; 2022.
Chiraphaet W, Chiraphaet K. Strategies for successful
breastfeeding. Bangkok: Thammada Press; 2020.
World Health Organization. Guidelines: Protecting,
promoting and supporting breastfeeding in maternity
and newborn care settings. [homepage on the Internet].
Geneva: WHO; 2020 [updated 23 Jun 2022; cited
May 23]. Available from: https://www.who.int/
news/item/15-11-2022-who-advises-immediate-skin-
to-skin-care-for-survival-of-small-and-preterm-babies
Brimdyr K, Stevens J, Svensson K, et al. Skin-to-skin
contact after birth: Developing a research and practice
guideline. Acta Paediatr. 2023;112(8): 1633-43. doi:
1111/apa.16842.
Huang X, Chen L, Zhang L. Effects of paternal Skin-
to-Skin contact in newborns and fathers after cesarean
delivery. J Perinat Neonatal Nurs. 2019; 33(1): 68-73.