TY - JOUR
T1 - Safe sleep and skin-to-skin care in the neonatal period for healthy term newborns
AU - Committee on Fetus and Newborn, Task Force on Sudden Infant Death Syndrome
AU - Feldman-Winter, Lori
AU - Goldsmith, Jay P.
AU - Moon, Rachel Y.
AU - Darnall, Robert A.
AU - Goodstein, Michael H.
AU - Hauck, Fern R.
AU - Willinger, Marian
AU - Shapiro-Mendoza, Carrie K.
AU - Watterberg, Kristi L.
AU - Cummings, James J.
AU - Benitz, William E.
AU - Eichenwald, Eric C.
AU - Poindexter, Brenda B.
AU - Stewart, Dan L.
AU - Aucott, Susan W.
AU - Puopolo, Karen M.
AU - Wang, Kasper S.
AU - Raju, Tonse N.K.
AU - Barfield, Wanda D.
AU - Keels, Erin L.
AU - Lacaze, Thierry
AU - Mascola, Maria
AU - Couto, Jim
N1 - Publisher Copyright:
© Copyright 2016 by the American Academy of Pediatrics.
PY - 2016/9
Y1 - 2016/9
N2 - Skin-to-skin care (SSC) and rooming-in have become common practice in the abstract newborn period for healthy newborns with the implementation of maternity care practices that support breastfeeding as delineated in the World Health Organization's "Ten Steps to Successful Breastfeeding." SSC and rooming-in are supported by evidence that indicates that the implementation of these practices increases overall and exclusive breastfeeding, safer and healthier transitions, and improved maternal-infant bonding. In some cases, however, the practice of SSC and rooming-in may pose safety concerns, particularly with regard to sleep. There have been several recent case reports and case series of severe and sudden unexpected postnatal collapse in the neonatal period among otherwise healthy newborns and near fatal or fatal events related to sleep, suffocation, and falls from adult hospital beds. Although these are largely case reports, there are potential dangers of unobserved SSC immediately after birth and throughout the postpartum hospital period as well as with unobserved rooming-in for at-risk situations. Moreover, behaviors that are modeled in the hospital after birth, such as sleep position, are likely to influence sleeping practices after discharge. Hospitals and birthing centers have found it difficult to develop policies that will allow SSC and rooming-in to continue in a safe manner. This clinical report is intended for birthing centers and delivery hospitals caring for healthy newborns to assist in the establishment of appropriate SSC and safe sleep policies.
AB - Skin-to-skin care (SSC) and rooming-in have become common practice in the abstract newborn period for healthy newborns with the implementation of maternity care practices that support breastfeeding as delineated in the World Health Organization's "Ten Steps to Successful Breastfeeding." SSC and rooming-in are supported by evidence that indicates that the implementation of these practices increases overall and exclusive breastfeeding, safer and healthier transitions, and improved maternal-infant bonding. In some cases, however, the practice of SSC and rooming-in may pose safety concerns, particularly with regard to sleep. There have been several recent case reports and case series of severe and sudden unexpected postnatal collapse in the neonatal period among otherwise healthy newborns and near fatal or fatal events related to sleep, suffocation, and falls from adult hospital beds. Although these are largely case reports, there are potential dangers of unobserved SSC immediately after birth and throughout the postpartum hospital period as well as with unobserved rooming-in for at-risk situations. Moreover, behaviors that are modeled in the hospital after birth, such as sleep position, are likely to influence sleeping practices after discharge. Hospitals and birthing centers have found it difficult to develop policies that will allow SSC and rooming-in to continue in a safe manner. This clinical report is intended for birthing centers and delivery hospitals caring for healthy newborns to assist in the establishment of appropriate SSC and safe sleep policies.
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U2 - 10.1542/peds.2016-1889
DO - 10.1542/peds.2016-1889
M3 - Article
C2 - 27550975
AN - SCOPUS:84985993308
SN - 0031-4005
VL - 138
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e20161889
ER -