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5: Supporting the Infant, Mother, and Family in the Birthing Room and Beyond

DOI:

10.1891/9780826169143.0005

Abstract

This chapter discusses a family-centered approach to the transition of the newborn from the time of birth and beyond. The goal is to keep the mother, baby, and family together when medically feasible. Physicians and staff attend many births and approach them methodically. If the baby is well after delivery, staff can perform drying, assessments, and the assignment of Apgar scores while the baby is on the mother’s chest. Skin-to-skin care offers many benefits, including less crying, improved thermoregulation, and physiologic stability when compared with providing newborn care on the radiant warmer after delivery. When skin-to-skin contact between mother and baby is not possible, the health care team must make efforts to connect mother and baby. The goal of patient- and family-centered care (PFCC) is to keep mother and newborn together. Unless the mother’s/baby’s health is at risk, babies should be with their mothers from the moment they are born.