Bathing should be delayed to after 24 hours of birth. If this is not possible at all due to cultural reasons, bathing should be delayed for at least 6 hours. Appropriate clothing of the baby for ambient temperature is recommended, this should be 1–2 layers more than adults and a hat.
The mother and baby should not be separated and should stay in the same room 24 hours a day
Immediately after birth, it is recommended to dry the baby and check if he/she is breathing or crying. When newborns do not breathe or do not cry spontaneously after complete drying, they should be stimulated by rubbing the back 2 to 3 times before the cord clamping. The drying procedure should be gentle, on the back, with a clean, dry compress.
If after rubbing the back 2 to 3 times the baby does not breathe or cry, clamping of the umbilical cord is recommended to initiate positive pressure-ventilation within the first postnatal minute.
Immediately after birth, it is recommended to dry the baby with a clean, dry compress, check that he/she is breathing or crying and place him/her on the skin of the mother's abdomen while waiting for the delayed clamping of the umbilical cord.
Routine nasal or oral suction should not be done for newborns who start breathing on their own after birth, unless secretions are observed. Suctioning of mouth or nose is not recommended in neonates born through liquor with meconium who start breathing on their own, nor tracheal suctioning
Prolonged skin-to-skin contact of newborns with their mother during the first postnatal hour favours the initiation of breastfeeding and subsequent support.
Early skin-to-skin contact, without interruptions, immediately after birth, favors the initiation and subsequent support of breastfeeding.
During the first hour after birth, babies have the ability to initiate suckling at the breast on their own. This is possible if, at their reception, after gently drying their skin and evaluating their breathing, they are placed in prone position directly on the skin of the mother's abdomen and chest, without interfering with contact. To achieve this, newborns require time, around 45 minutes to 2 hours after birth.