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The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA

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Kangaroo Mother Care / Immediate Newborn Care


Easy Steps to a Safer Pregnancy - View e-book or Download PDF - FREE!
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.

Other excellent resources about avoiding toxins during pregnancy

These are easy to read and understand and are beautifully presented.


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Resources




A timeline of a baby’s first hour - Careful observations document newborns’ instinctual behaviors by Laura Sanders [10/9/14] - The comments are perhaps the most interesting part about this.  Personally, I used to tell my clients to expect that baby's first five minutes would be focused on the transition to breathing; then the next 15 minutes would be dedicated to the initialization of the visual part of the brain, stimulated by the baby's gazing at the mother's face; then the baby would shift to self-attachment at the breast, which could be a long process.  I am flabbergasted at the short duration of breastfeeding observed in these videos.  In my practice, much attention is given to supporting the initiation of breastfeeding, and once latched on, most babies nurse for at least 30 minutes, many for 60, and some for up to two hours.  I never did statistics to notice a correlation between the length of the different stages of labor and the length of different phases of baby's transition, but it makes eminent sense to me that a longer pushing stage (with heightened adrenaline) may leave the baby more energetic after the birth for longer breastfeeding.  This would be a neat adaptation since first-time mothers tend to have a longer pushing stage and also need more breast stimulation to bring the milk in.

Newborn behaviour to locate the breast when skin-to-skin: a possible method for enabling early self-regulation.
Widström AM1, Lilja G, Aaltomaa-Michalias P, Dahllöf A, Lintula M, Nissen E.
Acta Paediatr. 2011 Jan;100(1):79-85. doi: 10.1111/j.1651-2227.2010.01983.x. Epub 2010 Sep 14.

Twenty-eight full-term infants were videotaped immediately after birth. A video protocol was developed to examine infant behaviours identified from five random videotapes.
RESULTS: When birth crying had stopped, the babies showed a short period of relaxation and then successively became alert. They went through an 'awakening phase', an 'active phase' with movements of limbs, rooting activity and looking at the mother's face, a 'crawling phase' with soliciting sounds, a 'familiarization phase' with licking of the areola, and a 'suckling phase' and last a 'sleeping phase'. Five factors related to the time spent to locate the breast: more number of looks at the breast 10-20 min after birth (p < 0.0001); and exposure to meperidine (p = 0.0006) related to increased time. Early start of crawling (p = 0,0040); increased number of 'soliciting sounds' (p = 0.0022); and performing hand-breast-mouth movements (p = 0.0105) related to shorter time. [Ed: They don't mention the birth interventions used in these births; it is critical to know whether the babies were drugged either with narcotics, sedatives or oxytocics.]



Barbara Morrison, PhD, RN, CNM offers an excellent set of Resources on her website - DrBarbCNM.com - Advocating, Educating & Inspiring Health Care Reform for Newborns and their Families


Evidence-Based Practices for the Fetal to Newborn Transition
Judith S. Mercer, CNM, DNSc; Debra A. Erickson-Owens, CNM, MS, ; Barbara Graves, CNM, MN, MPH; Mary Mumford Haley, CNM, MS

"Although immediate cord clamping is common practice, recent evidence from large randomized, controlled trials suggests that delayed cord clamping may protect the infant against anemia. Skin-to-skin care of the newborn after birth is recommended as the mainstay of newborn thermoregulation and care. Routine suctioning of infants at birth was not been found to be beneficial.  . . . This review of evidence on newborn care practices reveals that more often than not, less intervention is better. The recommendations support a gentle, physiologic birth and family-centered care of the newborn."




You Want to Stick that in my Baby Where!? Informed Consent in Newborn Procedures
 

The Newborn Baby's First Moments of Life; Transitions After Birth (Notes from presentations by Gail Hart in Eugene, Copenhagen)


Keeping Mom and Baby Together After Delivery Beneficial [September 13, 2012] - "Many studies support mother-infant rooming-in practice because of its many benefits, both short and long term, Jaafar said. These benefits include better mother-infant bonding, increased frequency of breastfeeding since it enables feeding on demand, and reduction in the rate of sudden infant death syndrome and of other newborn complications."

Kangaroo Mother Care Promotions aims to promote the spread and implementation of Kangaroo Mother Care as the standard method of care for all newborn babies, both premature and full term.  This is the website of Dr. Nils Bergman.

Powerpoint Presentation: Skin-to-Skin Contact, Breastfeeding, and Perinatal Neuroscience: Implementing Best Practice in U.S. Hospitals, Breastfeeding program 2007


New Research Shows “Kangaroo Mother Care” Reduces Newborn Deaths More than 50 Percent, Proven to be More Effective than Incubators for Stable Preterm Babies [3/26/10] - Up To Half A Million Newborn Lives Could Be Saved Each Year


Parenting in the NICU: Holding Your Baby Close: Kangaroo Care from the March of Dimes.


From the American Academy of Pediatrics [ #3 AAP Recommendations]:

Healthy infants should be placed and remain in direct skin-to-skin contact with their mothers immediately after delivery until the first feeding is ac=
complished.

The alert, healthy newborn infant is capable of latching on to a breast without specific assistance within the first hour after birth. Dry the infant,=
 assign Apgar scores, and perform the initial physical assessment while the infant is with the mother. The mother is an optimal heat source for the in=
fant. Delay weighing, measuring, bathing, needle-sticks, and eye prophylaxis until after the first feeding is completed. Infants affected by maternal =
medications may require assistance for effective latch-on. Except under unusual circumstances, the newborn infant should remain with the mother throughout the recovery period.


The Importance of Skin to Skin Contact by Jack Newman, MD, FRCPC


Birth KMC - As originally described, and as generally practiced worldwide, skin-to-skin contact is only “allowed” after the baby has stabilised. The assumption therefore is that a baby requires incubator care in order to stabilise. The reality is that incubators actually “de-stabilise” newborns.


Kangaroo Mother Care - a practical guide (from World Health Organization - WHO)


International Network for Kangaroo Mother Care


The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial.
 Ferber SG, Makhoul IR.
Pediatrics. 2004 Apr;113(4):858-65.

"KC seems to influence state organization and motor system modulation of the newborn infant shortly after delivery. The significance of our findings for supportive transition from the womb to the extrauterine environment is discussed. Medical and nursing staff may be well advised to provide this kind of care shortly after birth."


Skin-to-Skin Contact Beneficial in Healthy Term Newborns by Laurie Barclay, MD [Medscape]
Investigators in this randomized trial suggest using this method of "kangaroo care" shortly after birth to improve neurobehavioral responses.

The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial.
Ferber SG, Makhoul IR.
Pediatrics. 2004 Apr;113(4):858-65.

CONCLUSIONS: KC seems to influence state organization and motor system modulation of the newborn infant shortly after delivery. The significance of our findings for supportive transition from the womb to the extrauterine environment is discussed. Medical and nursing staff may be well advised to provide this kind of care shortly after birth.
 
 
 

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