Karolinska Institutet, Stockholm, Sweden.
Healthy Children Project Inc., Sandwich, MA, USA.
Acta Paediatr. 2019 Jul;108(7):1192-1204. doi: 10.1111/apa.14754. Epub 2019 Mar 13.
This paper integrates clinical expertise to earlier research about the behaviours of the healthy, alert, full-term infant placed skin-to-skin with the mother during the first hour after birth following a noninstrumental vaginal birth.
This state-of-the-art article forms a link within the knowledge-to-action cycle, integrating clinical observations and practice with evidence-based findings to guide clinicians in their work to implement safe uninterrupted skin-to-skin contact the first hours after birth.
Strong scientific research exists about the importance of skin-to-skin in the first hour after birth. This unique time for both mother and infant, individually and in relation to each other, provides vital advantages to short- and long-term health, regulation and bonding. However, worldwide, clinical practice lags. A deeper understanding of the implications for clinical practice, through review of the scientific research, has been integrated with enhanced understanding of the infant's instinctive behaviour and maternal responses while in skin-to-skin contact.
The first hour after birth is a sensitive period for both the infant and the mother. Through an enhanced understanding of the newborn infant's instinctive behaviour, practical, evidence-informed suggestions strive to overcome barriers and facilitate enablers of knowledge translation. This time must be protected by evidence-based routines of staff.
本文将临床专业知识与之前的研究相结合，这些研究探讨了非器械性阴道分娩后，足月、清醒的健康婴儿在出生后第一小时内与母亲进行皮肤接触的行为。
本文是一篇先进的文章，它在知识转化为行动的循环中起到了连接作用，将临床观察和实践与循证发现相结合，指导临床医生实施安全的、不间断的皮肤接触，以促进母婴健康。
大量科学研究证明了出生后第一小时进行皮肤接触的重要性。对于母婴双方来说，这是一个独特的时刻，无论是个体还是相互之间，都为短期和长期的健康、调节和联系提供了至关重要的优势。然而，全球范围内，临床实践仍存在滞后。通过对科学研究的回顾，深入了解其对临床实践的影响，并结合对婴儿本能行为和母亲在皮肤接触时反应的增强理解，已将其整合到临床实践中。
出生后第一小时对婴儿和母亲来说都是一个敏感时期。通过对新生儿本能行为的深入理解，提出了切实可行的、基于证据的建议，努力克服障碍，促进知识转化的实现。这段时间必须受到基于证据的员工常规的保护。
