International Breastfeeding Journal,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Jan. 2, 2025
Abstract
Background
Emerging
knowledge
about
supportive
neurodevelopmental
neonatal
care
shows
the
need
for
an
individual
approach
to
establish
breastfeeding.
However,
evidence
on
how
cue-based
breastfeeding
is
supported
in
intensive
units
(NICUs)
scarce.
Therefore,
aim
was
describe
supporting
practices
Method
Through
Delphi
rounds,
a
questionnaire
developed
comprising
questions
usage
and
occurrence
of
A
multinational
online
survey
distributed
September
October
2023
NICUs
Europe
using
snowball
sampling.
Practices
such
as
practice
skin-to-skin
contact
(SSC),
restrictions
breastfeeding,
providing
information
parents,
observing
responding
infants’
cues
were
explored.
Results
The
completed
by
105
across
15
European
countries.
Less
than
half
(46%)
had
no
upon
placing
infant
SSC
with
parents.
Approximately
(49%)
stated
that
infants
within
first
hour
after
birth.
Many
(68%)
some
restriction
One
week
birth,
48%
encouraged
at
33
postmenstrual
age
whenever
showed
cues,
regardless
scheduled
tube
feeding
time.
This
percentage
increased
59%
33–35
gestational
age.
(47%)
they
necessary
tools/instruments
support
transition
from
There
variations
milk
intake
assessed,
weighing
before
or
estimating
time
spent
sucking.
Infants
50%
be
fed
exclusively
orally
discharge.
(65%)
provided
specific
enabled
discharge
fed.
Conclusion
employ
practices,
SSC,
early
initiation
provide
Staff
plays
significant
role
fostering
preterm
infant-mother
dyads.
still
exist
To
understand
impact
different
strategies
there
evaluations
parents
testing
implementation
care.
Frontiers in Psychology,
Journal Year:
2024,
Volume and Issue:
15
Published: July 9, 2024
In
2023,
the
World
Health
Organization
(WHO)
published
a
Global
Position
Paper
on
Kangaroo
Mother
Care
(KMC),
which
is
applicable
to
all
countries
worldwide:
from
moment
of
birth,
every
"small
and
sick"
newborn
should
remain
with
mother
in
immediate
continuous
skin-to-skin
contact
(SSC),
receiving
required
clinical
care
that
place.
This
was
prompted
by
startling
results
randomized
controlled
trial
2021:
1,609
infants
SSC
were
compared
1,602
controls
separated
their
mothers
but
otherwise
received
identical
conventional
state-of-the-art
care.
The
intervention
showed
25%
reduction
mortality
after
28
days.
Journal of Perinatology,
Journal Year:
2023,
Volume and Issue:
43(S1), P. 17 - 25
Published: Dec. 1, 2023
Abstract
Mother-Newborn
Couplet
Care
is
a
concept
and
defined
as
the
provision
of
care
for
sick
or
preterm
newborn
in
close
proximity
to
coupled
with
mother
from
birth
infant
long
needs
hospital
care.
This
requires
system
change
both
obstetrics
pediatrics
terms
planning
organization
care,
equipment
design
units.
Accordingly,
strong
leadership
setting
clear
goals
emphasizing
culture
cohesive
supported
by
targeted
education
training
crucial
ensure
high-quality
all
mother-newborn
dyads
without
separation.
We
describe
various
organizational
models
used
Sweden
Finland
implementation
processes.
envision
future
where
newborns
mothers
are
always
together,
irrespective
medical
needs,
form
an
inseparable
center
around
which
healthcare
services
providers
organized.
JAMA Network Open,
Journal Year:
2023,
Volume and Issue:
6(11), P. e2344469 - e2344469
Published: Nov. 30, 2023
Good-quality
parent-infant
interactions
have
protective
effects
on
infant
socio-emotional
and
behavioral
development.
These
are
especially
critical
for
very
preterm
infants
at
risk
of
vulnerabilities
related
to
immaturity.
Skin-to-skin
contact
(SSC)
has
been
found
improve
mother-preterm
interaction
behaviors,
but
few
studies
exist
regarding
its
benefits
when
initiated
immediately
after
birth.To
determine
the
effect
immediate
SSC
birth
mother-infant
quality
4
months
corrected
age.This
secondary
analysis
used
data
from
Immediate
Parent-Infant
Skin-to-Skin
Study
(IPISTOSS),
a
randomized
clinical
trial
conducted
between
April
1,
2018,
June
30,
2021,
3
neonatal
units
in
Sweden
Norway.
Participants
included
(28-33
gestational
weeks
age)
their
parents.
Four-month
follow-up
was
concluded
December
2021.
Data
analyses
were
performed
March
16
September
18,
2023.Infants
allocated
standard
incubator
care
or
with
either
parent
continued
throughout
first
6
hours
birth.The
primary
outcome
as
measured
Parent-Child
Early
Relational
Assessment
(PCERA),
based
video
recordings
5-minute
free-play
situation
dyads
age.
A
multilevel
regression
performed.This
71
(31
twins
[44%])
56
mothers.
Infants
had
mean
(SD)
age
31
(1.3)
days,
more
than
half
male
(42
[59%]);
mothers
32
(4.9)
years.
There
37
34
birth.
During
birth,
fathers
provided
mothers,
median
(IQR)
3.25
(2.25-4.5)
0.75
(0-2.5)
hours,
respectively.
statistically
significant
difference
1
5
PCERA
subscales
(subscale
3:
positive
affect,
communicative
social
skills)
observed,
higher-quality
group
(Cohen
d
=
0.67
[95%
CI,
0.17
1.17];
P
.01).
This
remained
adjusting
primiparity,
child
sex,
observation
setting.In
this
study
beneficial
relationship.
findings
suggest
that
should
be
supported
setting.ClinicalTrials.gov
Identifier:
NCT03521310.
MCN The American Journal of Maternal/Child Nursing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 9, 2025
Abstract
The
first
well-child
encounter
for
healthy,
full-term
newborns
occurs
within
the
critical
window
establishment
of
milk
supply.
Frequent,
effective
removal
human
from
breast
is
essential
to
achieving
a
robust
Nurses
in
primary
care
settings
are
crucial
providing
quality
and
timely
lactation
ensure
parent
experiencing
removal.
Identification
risk
factors
barriers
supply
requires
adept
assessment
knowledge
physiology.
Not
all
nurses
receive
formal
education
on
lactation.
This
resource
can
be
used
by
prioritize
establishing
protecting
among
families
with
desire
breastfeed.
Maternal and Child Nutrition,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 16, 2025
ABSTRACT
Timely
and
prolonged
skin‐to‐skin
contact
(SSC)
immediately
after
birth
is
recommended
in
the
Ugandan
Clinical
Guideline,
2023
International
Research
Practice
Guideline
on
SSC
by
WHO/UNICEF
Baby‐Friendly
Hospital
Initiative.
Skin‐to‐skin
safe,
low‐resource,
evidence‐based
contributes
to
short‐
long‐term
health
outcomes.
However,
practice
inconsistent.
A
rapid‐change
intervention,
PRECESS
(Practice,
Reflection,
Education
training,
Combined
with
Ethnography
for
Sustainable
Success),
encouraged
adaptation
of
protocol
a
regional
referral
hospital
Uganda.
Fifteen
key
informants,
including
leadership
staff
members,
were
interviewed
before
change
about
perceived
barriers
solutions
implementing
SSC.
The
semi‐structured
pre‐
post‐intervention
interviews
recorded,
transcribed
analyzed
meaningful
units
themes.
Three
themes
emerged:
(1)
Commitment
consistent,
care
within
constraints;
(2)
Addressing
knowledge
skill
regarding
optimal
SSC;
(3)
Willingness
“take‐up”
benefit
mothers
babies.
Our
findings
support
experiential
method
implement
immediate,
continuous,
uninterrupted
at
least
first
hour
birth.
Despite
challenges
identified
informant
interviews,
significant
progress
was
made
increasing
duration
both
vaginal
cesarean
births.
provide
insight
future
implementation
contact.
