ArticleMaternal & child nutrition2018
An implementation algorithm to improve skin-to-skin practice in the first hour after birth.
Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Delayed Cord Clamping and Early Skin-to-skin Contact in Cesarean Section as Interventions That Promote Exclusive Breastfeeding
Immediate vs Early Skin-to-skin Contact in Cesarean Births and Its Effect on Breastfeeding
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Worldwide prevalence of mother-infant skin-to-skin contact after vaginal birth: A systematic review.PloS one · 2018Pooled it
- Effect of early skin-to-skin contact after vaginal birth on neonatal stress and day-5 bilirubin levels: a randomized trial.Scientific reports · 2026Trial
- Facilitators and challenges in the practice of skin-to-skin contact after birth: a scoping review protocol.BMJ open · 2026Article
- Breastfeeding, bonding, and olfaction: unlocking the potential of mother-infant odour exchange.EBioMedicine · 2026Review
- Exclusive Breastfeeding Rates at Hospital Discharge Across the Robson Ten-Group Classification System: A Retrospective Study.Nutrients · 2025Observational
- "I Am Going to Take It Up": Implementing Skin-to-Skin Contact in Uganda.Maternal & child nutrition · 2025Article
- Maternal Birth Satisfaction Relating to Intraoperative and Early Postpartum Skin-to-Skin Contact with the Neonate During Caesarean Birth: An Integrative Review.Nursing reports (Pavia, Italy) · 2025Review
- Safety and Feasibility of Skin-to-Skin Contact in the Delivery Room for High-Risk Cardiac Neonates.Pediatric cardiology · 2023Article
- Human development and reproduction in space-a European perspective.NPJ microgravity · 2023Review
- Maternal perceptions and experiences of breastfeeding support in Baby-Friendly hospitals: An integrative review.International journal of nursing studies advances · 2022Review
- Pro-lactation cesarean section: Immediate skin-to-skin contact and its influence on prolonged breastfeeding.Frontiers in sociology · 2022Article
- Measuring health professionals' beliefs about skin-to-skin care during a cesarean.Maternal & child nutrition · 2021Article
- The nine stages of skin-to-skin: practical guidelines and insights from four countries.Maternal & child nutrition · 2020Article
- Skin-to-skin contact at birth for vaginally delivered neonates in a tertiary care hospital: A cross-sectional study.Medical journal, Armed Forces India · 2020Article
- Assessing Barriers to Implement Birth Kangaroo Care in Kentucky Birthing Hospitals.Clinical lactation (Amarillo, Tex.) · 2020Article
- Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2019Article
- Skin-to-skin contact the first hour after birth, underlying implications and clinical practice.Acta paediatrica (Oslo, Norway : 1992) · 2019Review
- An educational intervention to implement skin-to-skin contact and early breastfeeding in a rural hospital in Mexico.International breastfeeding journal · 2019Article
- Mapping, Measuring, and Analyzing the Process of Skin-to-Skin Contact and Early Breastfeeding in the First Hour After Birth.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2018Article
- An implementation algorithm to improve skin-to-skin practice in the first hour after birth.Maternal & child nutrition · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence supporting the practice of skin-to-skin contact and breastfeeding soon after birth points to physiologic, social, and psychological benefits for both mother and baby. The 2009 revision of Step 4 of the WHO/UNICEF "Ten Steps to Successful Breastfeeding" elaborated on the practice of skin-to-skin contact between the mother and her newly born baby indicating that the practice should be "immediate" and "without separation" unless documented medically justifiable reasons for delayed contact or interruption exist. While in immediate, continuous, uninterrupted skin-to-skin contact with mother in the first hour after birth, babies progress through 9 instinctive, complex, distinct, and observable stages including self-attachment and suckling. However, the most recent Cochrane review of early skin-to-skin contact cites inconsistencies in the practice; the authors found "inadequate evidence with respect to details … such as timing of initiation and dose." This paper introduces a novel algorithm to analyse the practice of skin to skin in the first hour using two data sets and suggests opportunities for practice improvement. The algorithm considers the mother's Robson criteria, skin-to-skin experience, and Widström's 9 Stages. Using data from vaginal births in Japan and caesarean births in Australia, the algorithm utilizes data in a new way to highlight challenges to best practice. The use of a tool to analyse the implementation of skin-to-skin care in the first hour after birth illuminates the successes, barriers, and opportunities for improvement to achieving the standard of care for babies. Future application should involve more diverse facilities and Robson's classifications.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.