Kangaroo mother care is an intervention that enables the mother to assume a central role in her own and her newborn's care, thus ensuring that the lead role remains with the mother and that health workers support and respond to the mother’s and newborn’s needs.
Early skin-to-skin contact and early breastfeeding are two closely linked interventions that should be carried out immediately after birth.
Immediate and prolonged skin-to-skin contact facilitates lactation, enriches the microbiome of newborns, prevents hypothermia and hypoglycemia, and stabilizes respiratory function.
Early suckling at the breast stimulates the activation of milk secretion and transfers colostrum, rich in immunoactive substances, especially important for those born prematurely.
Early skin-to-skin contact and early breastfeeding are two closely linked interventions that should be carried out immediately after birth.
Immediate and prolonged skin-to-skin contact facilitates lactation, enriches the microbiome of newborns, prevents hypothermia and hypoglycemia, and stabilizes respiratory function.
Early suckling at the breast stimulates lactogenesis II (activation of milk secretion) and transfers colostrum, rich in immunoactive substances, especially important for those born prematurely.
In neonatal hospitalization areas, the unrestricted admission of mothers and fathers facilitates close contact with their newborns, the development of bonding and the provision of care for which they will be primarily responsible after discharge.
When a child is born prematurely, some things are important to initiate and sustain the mother’s milk production:
- In the birthing area:
• Immediate, direct and continuous skin-to-skin contact, whenever clinically possible.
• Extraction of colostrum for administration into the newborn’s oropharynx.
A healthy, full-term newborn should not be bathed until at least 24 hours after birth.
A bath can be a stressful procedure for a newborn. Early bathing can trigger hypothermia, potentially leading to hypoglycemia, hypoxia and pulmonary hemorrhage.
There is no evidence to support the need for a first bath soon after birth.
Neonatal hypothermia is a common condition affecting from 32% to 85% of newborns at the hospital.
Nurturing care starts before birth, when mothers and other caregivers can start talking and singing to the foetus.
After birth, the baby can recognize the mother’s voice. Early bonding is facilitated by skin-to-skin contact, breastfeeding and the presence of a companion to support the baby mother. These also build the foundations for optimal nutrition, quality interactions and care.
Attention should be focused on the 5 key moments advocated by the World Health Organization (WHO) and other situations associated with care of newborns*.
1. Before contact with the patient.
2. After contact with the patient.
3. Before invasive procedures.
4. After contact with secretions and body fluids.
5. Whenever preparing materials or equipment that are or have been in contact with patients and after contact with areas close to the patient.
* Whenever entering or leaving the hospital unit or isolation area.
Hand hygiene with alcohol or alcohol at 70% concentration with 2% glycerin can replace handwashing with water and soap when there is no visible dirt, especially in procedures at low risk for infection or in emergency situations.
In this procedure it is important to ensure the solution is rubbed on all surfaces of the hands, the fingers, and the spaces between the fingers, leaving the hands to dry spontaneously.
Surgical hand antisepsis
I Rub the hands with water and antiseptic detergent solution, including all surfaces, spaces
between the fingers, and nails; also wash the forearms.
II Rinse with running water.
III Wipe with sterile compress.
Note: this procedure should take 3 to 5 minutes for the first surgery and 2 to 3 minutes for subsequent surgeries.