Excerpts Frm Susan Ludington-Hoe Comprehensive Review

Excerpts From :


A Comprehensive Evidence-Based Review of Skin-to-Skin (Kangaroo) Care with Fullterm Infants


Susan M. Ludington-Hoe, R.N., CNM, Ph.D., FAAN


Barbara Morrison, R.N., CNM, FNP, Ph.D.


Gene Cranston Anderson, R.N., Ph.D., FAAN


  • Keep the infant in KC at least until the first suckling at the breast has been accomplished

(Sinusas    & Gagliardi, 2001; Warren, 2008).

  • Kangaroo Care increases oxytocin release in both mother and infant. Oxytocin, in turn, facilitates

breastfeeding, bonding, maternal relaxation, uterine contractions, and minimization of stress

(Dordevic et al., 2008; Uvnas-Moberg, 2003; Uvnas-Moberg et al., 2005).

  • Suckling maintains development of the anterior pituitary’s prolactin-secreting cells even when

estrogen drops at cell integrity.  Suckling also induces prolactin surges in maternal blood,

supporting normal lactation (Uvnas-Moberg, 1999; Uvnas-Moberg, 2003).

  • The colostrum delivered with the initial sucks is rich in T and B lymphocyctes, enhancing infant


  • Also, sending the infant to the observation nursery at any time during postpartum is detrimental

because once the infant is in the nursery, treatments, physical assessments, and screenings get

clustered together and result in prolonged separation from the mother (Vazquez & Berg, 2012).

Conducting these procedures at the mother’s bedside is the best practice.

  • Have the mother provide continuous KC until discharge. Mother and infant should remain in KC as much as possible throughout the postpartum stay for improved interactions, development, and breastfeeding (Kent et al., 2012;Vasquez & Berg, 2012).
  • Continue KC as much as possible throughout the first three months of life

(Chalmers, O’Brien, & Boscoe, 2009)

  • Use KC as a FIRST intervention for breastfeeding problems (Vazquez & Berg, 2012).


  • Remember, Kangaroo Care is the newborn’s playground (Winberg, 2005). birth – a condition

that threatens prolactin


Kangaroo Care’s continual use throughout the mother’s day can be accomplished using a tube top, slings, or wraps to position the infant near the breast while maintaining maternal modesty as the mother conducts routine postpartum activities.

Labor and Delivery

Wearing The Second Skin Swaddle Is The Perfect Way to Welcome your Baby into the World

Provides coverage during labor and Delivery. After your baby is born he will be dried, diapered and placed on your chest. He will then be covered with the Swaddle Section to keep him warm and secure. The Womb like Enclosure will comfort him as he hears your heart beat and the sound of your voice. Learn More

Hands Free Hold

Step-by-step instructions on using the swaddle

Click below to learn all the steps on how to properly use your swaddle to effectively hold your baby skin-to-skin. Learn More

For Dad's

Great Shirt for Dad to Hold and Bond With His Precious Gift

Skin to Skin Contact the first weeks of life have been proven to be a life changing event for you and your newborn. It is also great for Mom to have a break.

Learn More


The Second Skin Swaddle “patent pending” For Post Partum Wear Allows You to be Discreet While You Safely Hold your Baby In Skin to Skin Contact

Learn More

Moderate Hold

There are two identical sections to the Second Skin Swaddle. A Single Section is used for Labor and Delivery a second section is added for the moderate hold. The design and flexibility of the Swaddle provides all that is needed for Labor/ Delivery and Postpartum while mom is in bed.

Learn More