January 20, 2020
© 2017-2022 IABLE, Inc.
Intrapartum Breastfeeding Care The Golden Hour
The Golden Hour
The first hour after an infant is born is very important to ultimate breastfeeding success. Research has demonstrated that success breastfeeding in the first hour postpartum is strongly associated with exclusive breastfeeding at the time of hospital discharge, and protects from a delay in the milk coming in1,2. A healthy, term infant should be placed skin-to-skin and chest-to-chest immediately after a vaginal or cesarean birth, as newborns have the instinctive ability to find their way to the nipple and self-attach within one hour3. Sedating medications can have a negative effect on self-attachment, however every healthy infant should be placed skin-to-skin and given the opportunity to self-attach right after birth.
- Parker LA, Sullivan S, Krueger C, Kelechi T, Mueller M. Effect of early milk expression on milk volume and timing of lactogenesis stage ll among mothers of very low birthweight infants: a pilot study. J Perinatol. 2012;32(3):205-209.
- Parker LA, Sullivan S, Krueger C, Mueller M. Association of timing of initiation of breastmilk expression on milk volume and timing of lactogenesis II among mothers of very low-birth-weight infants Breastfeed Med 2015 Mar; 10(2) 84-91
- Moore, E. R., Anderson, G. C., & Bergman, N. (2012). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev(3), CD003519.