Evidence map›Paper›PMID 30762247›Full record

ReviewActa paediatrica (Oslo, Norway : 1992)2019

Skin-to-skin contact the first hour after birth, underlying implications and clinical practice.

Ann-Marie Widström, Kajsa Brimdyr, Kristin Svensson, Karin Cadwell, Eva Nissen

4 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Acta paediatrica (Oslo, Norway : 1992), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 105 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 6 pooled it
38.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06781307 nacompletednot on this mapstarted 2023, after this paper: background citation

Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery

TypeinterventionalSponsorJen-Ai Hospital Institutional Review BoardRan2023 to 2025Enrolled70ConditionsAttachmentArmsskin to skin
NCT07115823 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Longitudinal, Cohort Study Investigating the Impact of General Anaesthetic Caesarean Birth, With or Without ICU Admission, on Maternal Mental Health and Mother/Infant Bonding

TypeobservationalSponsorKing's College LondonRan2025 to 2026Enrolled500ConditionsGeneral Anaesthesia During Pregnancy
NCT07276126 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of the Cesarean ERAS Protocol on Mother-Infant and Father-Infant Bonding: a Multicenter, Randomized Controlled Clinical Trial.

TypeinterventionalSponsorOkan UniversityRan2025 to 2026Enrolled1ConditionsBonding, ERAS, Cesarean Section, Maternal CareArmsERAS Protocol, Standard Perioperative Care
NCT07612059 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Elective Cesarean Section Postpartum Structured Mother-Infant Skin-to-Skin Contact With Maternal Lavender Aromatherapy: Effects on Maternal Salivary Cortisol, IgA Levels and Early Breastfeeding Outcomes - A Randomized Controlled Trial

TypeinterventionalSponsorAtaturk UniversityRan2026 to 2027Enrolled150ConditionsBreastfeeding, Cesarean Section, Postpartum Period, Maternal StressArmsStructured early postpartum mother-infant skin-to-skin contact, Maternal inhalational lavender aromatherapy
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 6 syntheses or guidelines pooled it, 244 citations in OpenAlex.

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  6. Parent-Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature.International journal of environmental research and public health · 2021
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45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ann-Marie WidströmKarolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6663-9208
Kajsa BrimdyrHealthy Children Project Inc., Sandwich, MA, USA.ORCID 0000-0003-3789-635X
Kristin SvenssonKarolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-7138-6209
Karin CadwellHealthy Children Project Inc., Sandwich, MA, USA.ORCID 0000-0002-5361-1185
Eva NissenKarolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0092-0822
Karolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis paper integrates clinical expertise to earlier research about the behaviours of the healthy, alert, full-term infant placed skin-to-skin with the mother during the first hour after birth following a noninstrumental vaginal birth.

methodThis state-of-the-art article forms a link within the knowledge-to-action cycle, integrating clinical observations and practice with evidence-based findings to guide clinicians in their work to implement safe uninterrupted skin-to-skin contact the first hours after birth.

resultsStrong scientific research exists about the importance of skin-to-skin in the first hour after birth. This unique time for both mother and infant, individually and in relation to each other, provides vital advantages to short- and long-term health, regulation and bonding. However, worldwide, clinical practice lags. A deeper understanding of the implications for clinical practice, through review of the scientific research, has been integrated with enhanced understanding of the infant's instinctive behaviour and maternal responses while in skin-to-skin contact.

conclusionThe first hour after birth is a sensitive period for both the infant and the mother. Through an enhanced understanding of the newborn infant's instinctive behaviour, practical, evidence-informed suggestions strive to overcome barriers and facilitate enablers of knowledge translation. This time must be protected by evidence-based routines of staff.

Indexed as

Breast FeedingInfant BehaviorInfant, NewbornKangaroo-Mother Care MethodHumansPerinatal CareBreastfeedingClinical practiceMaternal behaviourNewborn infant behaviourSkin-to-skin contact

Identifiers

PMID30762247
PMCPMC6949952
OpenAlexW2913143412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.