Sacred hour in neonatology: benefits, challenges, and health interventions
DOI:
https://doi.org/10.56294/nds2025200Keywords:
humanized care, family, neonatology, neonatologyAbstract
Introduction: The sacred hour after birth is a key moment to strengthen the bonding between mother, baby and family, favoring breastfeeding and emotional well-being; therefore, we sought to analyze the scientific evidence on the benefits of the sacred hour in neonatology services, as well as the challenges that hinder its compliance and interventions implemented for its application.
Methods: A qualitative, descriptive and literature review study, with a sample of 30 articles selected by convenience. A search in indexed databases in Scopus, Scielo, Pubmed, and Latindex was used; the selected studies were classified in a matrix for analysis using the CASPe method to guarantee the quality and validity of the results.
Results: The sacred hour in neonatology strengthens mother-child bonding, improves neurodevelopment and reduces neonatal mortality through practices such as skin-to-skin contact and breastfeeding. However, comorbidities, institutional limitations and lack of training hinder its implementation.
Conclusion: Family-centered care in the first hour of life is a key moment for the integral wellbeing of the mother, the newborn and the father. Therefore, it is an inherent need to establish policies that guarantee family integration, marked by initiatives such as mother and newborn friendly institutions, as well as the continuous training of the health professional as a real need in health systems for the promotion of care to the trinomial.
References
Conforme N, Daquilema M, Cabrera J, Jiménez M, Rodríguez J. Experiencias de gestantes con trastornos hipertensivos ingresadas a áreas críticas, y separación del binomio madre-hijo, en tres instituciones en Ecuador, durante la pandemia por Covid-19 (2020). Rev Colomb Obstet Ginecol 2024 [acceso 17/04/2025]; 75 (4). Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/4234
UNICEF Argentina. La primera hora de vida. 2020 [acceso 17/04/2025]. Disponible en: https://www.unicef.org/argentina/media/16066/file/La%20primera%20hora%20de%20vida.pdf
Gallegos R, Jimenez M. Cuidados humanizados na hora sagrada do recém-nascido: a importância da ligação trinomial nos primeiros momentos da vida. Siete Editora. 2023 [acceso 19/04/2025]. Disponible en: https://sevenpublicacoes.com.br/editora/article/view/1278
Kuamoto R, Bueno M, Riesco M. Contato pele a pele entre mãe e recém-nascido a termo no parto normal: estudo transversal. Revista Brasileira de Enfermagem. 2021 [acceso 19/04/2025] ;74 (4). DOI: https://doi.org/10.1590/0034-7167-2020-0026
Uchoa L, Barbosa P, Araujo B, Teixeira E, Almeida C, Rocha S. Influence of social determinants of health on skin-to-skin contact between mother and newborn. Rev Bras Enferm. 2021 [acceso 21/04/2025];74 (1). DOI: https://doi.org/10.1590/0034-7167-2020-0138
Hernández G, González R, Rodríguez J, Pérez M. Emergencias en la atención al recién nacido en la primera hora de vida: una revisión sistemática de la literatura. Res Soc Dev. 2025 [acceso 22/04/2025]; 14 (6). DOI: https://doi.org/10.33448/rsd-v13i8.46547
González R, Hernández G, Rodríguez J, Pérez M. Factores de riesgo en los primeros 1000 días, después del periodo neonatal Rev AVN. 2025 [acceso 23/04/2025]; 14 (6). Disponible en: https://saber.ucv.ve/ojs/index.php/rev_avn/article/view/25407/144814491481
Campos P, Gouveia H, Strada J, Moraes B. Contacto pele a pele e aleitamento materno de recém-nascidos em um hospital universitário. Rev Gaúcha Enferm. 2020 [acceso 23/04/2025]; 41. Disponible en: https://www.scielo.br/j/rgenf/a/d9ZGSyPWYzSWvDv3r8fPHfp/?format=pdf&lang=pt
León B, Valencia K, Hernández S, Castaño V. Vivencias del padre al acompañar el trabajo de parto, parto y puerperio, Pereira, Colombia. Rev. salud. bosque. 2023 [acceso 23/04/2025]; 13 (1). DOI: https://doi.org/10.18270/rsb.v13i1.4397
Pavlyshyn H, Sarapuk I, Saturska U. The impact of skin-to-skin contact upon stress in preterm infants in a neonatal intensive care unit. Front Pediatr. 2024 [acceso 23/04/2025]; 12. Disponible en: https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2024.1467500/full
Martínez S, Rodríguez J, Bermejo A, Muñoz C, Díaz E, Hernández A, et al. Efficacy of skin-to-skin contact between mother and newborn during the third stage of labour in reducing postpartum haemorrhage risk. BMC Pregnancy Childbirth. 2025 [acceso 25/04/2025]; 3 (25). DOI: https://doi.org/10.1186/s12884-025-07425-2
Sarapuk I, Pablyshyn H.Skin-to-skin contact—An effective intervention on pain and stress reduction in preterm infants. Revist, Front Pediatr. 2023 [acceso 26/04/2025]; 11. Disponible en: Frontiers | Skin-to-skin contact—An effective intervention on pain and stress reduction in preterm infants
Kajsa B, Karin C, Jeni S, Yuki T. An implementation algorithm to improve skin-to skin practice in the first hour after birth. 2024 [acceso 27/04/2025]; 20 (5). Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.12571
Lucchese I, Bezerra F, Dos Santo N, Vieira F, Santo A, Oliveira A.Skin-to-skin contact and breastfeeding in the first hour of life during COVID-19. Enfermagem Uerj. 2021 [acceso 30/04/2025]; 29. Disponible en https://go.gale.com/ps/i.do?id=GALE%7CA695144848&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=01043552&p=AONE&sw=w&cookieConsent=true&analyticsOptout=false&userGroupName=anon%7E80751dc3&aty=open-web-entry
García F, Silveira C, Souza A, Andrade S, Lucchese I, Oliveira N. Factores interventores en la lactancia materna en la primera hora de vida en la maternidad. Rev Enferm UERJ. 2024 [acceso 03/05/2025]; 32. DOI: http://dx.doi.org/10.12957/reuerj.2022.69838
Silva J, Silva F, Costa M, Júnior S. Elaboración e implementación de un protocolo para la Hora Dorada de recién nacidos prematuros utilizando ciencia de la implementación. Rev Latino-Am Enfermagem. 2023 [acceso 07/05/2025]; 31. Disponible en: https://www.scielo.br/j/rlae/a/vCqYCxtvTL8FmFpKnsGgh4r/
Urzúa S, Cifuentes J. Recomendaciones para la prevención y manejo del recién nacido. Pandemia COVID-19. Rev Chil Pediatr. 2020 [acceso 07/05/2025]; 91 (7). Disponible en: https://www.scielo.cl/pdf/rcp/v91n7/0370-4106-rcp-rchped-vi91i7-2497.pdf
Ferreira T, Carvalho M, Melo E, Silva M. Contacto piel a piel y lactancia materna al nacer: interfaces con lactancia materna exclusiva en el alta hospitalaria. Rev Enferm UERJ. 2024 [acceso 12/05/2025]; 32. Disponible en: https://www.epublicacoes.uerj.br/index.php/enfermagemuerj/article/view/63381/43718
Silva C, Basílio G, Torivanma A,Carmona E, Lutz E. Experiências de puérperas no contato pele a pele com recém-nascido na primeira hora pós-parto. Rev Baiana Enferm. 2023 [acceso 12/05/2025]; 37. Disponible en: https://periodicos.ufba.br/index.php/enfermagem/article/view/48465
Toso A, Vaz C, Herrera T, Villarroel L, Brusadin M, Escalante M, et al. Mortalidad en recién nacidos de muy bajo peso al nacer en la Red Neonatal NEOCOSUR: causalidad y temporalidad. Arch Argent Pediatr. 2022 [acceso 12/05/2025]; 120 (5). Disponible en: https://www.scielo.org.ar/pdf/aap/v120n5/v120n5a04.pdf
Santos M, Costa K, Maciel V, Andrade A. Fatores associados ao aleitamento materno na primeira hora de vida. Rev Eletrônica Acervo Saúde. 2024 [acceso 17/05/2025]; 24 (7). Disponible en: https://acervomais.com.br/index.php/saude/article/view/17636
Silvana M, Araujo R, Herber S. Contacto piel con piel y lactancia materna: experiencias de mujeres posparto. Rev Enferm Centro-Oeste Min. 2020 [acceso 18/05/2025]; 10. DOI: http://doi.org/10.19175/recom.v10i0.3657
Sayuri R, Bueno M, González L. Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study. Res Soc Dev. 2025 [acceso 18/05/2025]; 14 (6). DOI: https://doi.org/10.1590/0034-7167-2020-0026
Sobel H, Silvestre M, Mantaring J, Oliveros Y, Nyunt U. Immediate newborn care practices delay thermoregulation and breastfeeding initiation. Acta Pediatric. 2021 [acceso 20/05/2025]; 100 (8). DOI: https://doi.org/10.1111/j.1651-2227.2011.02215.x
Soni P, Nagalli M. Mejorar los resultados de la reanimación neonatal: uniendo la teoría y la práctica. Eur J Pediatr. 2025 [acceso 20/05/2025]; 184 (2). DOI: https://doi.org/10.1007/s00431-025-06087-8
Santos L, Silva J, Costa A, Almeida R, Silva J. Influence of social determinants of health on skin-to-skin contact between mother and newborn. Rev Bras Enferm. 2021 [acceso 21/05/2025]; 74 (4). Disponible en: https://www.scielo.br/j/reben/a/3MnQd3jrF9XSYscwBBJ5ftC/?lang=en
Evans H. Neonatal care: essential practices and challenges in newborn health. Pediatr Ther. 2024 [acceso 21/05/2025]; 14 (6). Disponible en: https://www.longdom.org/open-access/neonatal-care-essential-practices-and-challenges-in-newborn-health-1101790.html
Shabanikordsholi Z, Safari M, Parvizi S. The barriers of mother and newborn skin-to-skin contact at birth in the midwives viewpoint. J Clin Care Skill. 2024 [acceso 21/05/2025]; 5 (4). Disponible en: https://mail.jccs.yums.ac.ir/article-1-298-en.html
Brimdyr K, Stevens J, Svensson K, Blair A, Maffei C, Grady J, Skin-to-skin contact after birth: Developing research and practice guideline. Acta Paediatr. 2023 [acceso 24/05/2025]; 112 (8). Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.16842
Santos A, Lamy Z, Koser M, Gomes C, Costa B, Gonçalves L. Skin-to-skin contact and breastfeeding at childbirth: women’s desires, expectations, and experiences. Rev Paul Pediatr. 2022 [acceso 24/05/2025]; 40. Disponible en: https://www.scielo.br/j/rpp/a/pL57kKmSLHc6mKh56ngpYmN/?lang=en
Holztrattner J, Gouveia H, Moraes G, Carlotto F, Klein B, Coelho D. Early skin-to-skin contact in a child friendly hospital: perceptions of the obstetric nurses. Rev Gaúcha Enferm. 2021 [acceso 24/05/2025]; 42. DOI: https://doi.org/10.1590/1983-1447.2021.20190474
Rotem K, Preis H, Benyamini Y. Who benefits most from skin-to-skin mother-infant contact after birth? Survey findings on skin-to-skin and birth satisfaction by mode of birth. Soc Sci Med. 2021 [acceso 28/05/2025]; 286. DOI: https://doi.org/10.1016/j.midw.2020.102862
Kristoffersen L, Støen R, Bergseng H, Magerøy G, Grunewaldt K, Aker K, et al. Immediate skin-to-skin contact in very preterm neonates and early childhood neurodevelopment: a randomized clinical trial. JAMA Netw Open. 2025 [acceso 28/05/2025]; 8 (4). Disponible en: https://doi.org/10.1001/jamanetworkopen.2025.5467
Hewedy A, Shalaby N, Nasr E, Osman S. Effect of immediate mother and newborn skin-to-skin contact on maternal and neonatal health. Port Said Sci J Nurs. 2023 [acceso 30/05/2025]; 10 (1). Disponible en: https://pssjn.journals.ekb.eg/article_304282.html
Sergio A, Diana D, María M, Eduardo A, Daniel M, Oman P, Laura P, Carlos M. Effect of skin-to-skin contact at birth on early neonatal hospitalization. Early Hum Dev. 2020 [acceso 04/06/2025]; 151. DOI: 10.1016/j.earlhumdev.2020.105020
Valentina J, Vilma K, Dalia S. The Role of Skin-to-Skin Contact and Breastfeeding in the First Hour Post Delivery in Reducing Excessive Weight Loss. Children (Basel). 2024 [acceso 05/06/2025]; 8 (11). DOI: https://doi.org/10.3390/children11020232
Intriago W. Intervención de enfermería en la promoción de la lactancia materna exclusiva en comunidades urbanas vulnerables. Pulso Científico. 2024 [acceso 07/06/2025]; 2 (2). Disponible en: https://pulsocientifico.com/index.php/1/article/view/21
Yamada N, Fuerch J, Halamek L. Ergonomic Challenges Inherent in Neonatal Resuscitation. Children. 2019 [acceso 09/06/2025]; 6 (6). Disponible en: https://www.mdpi.com/2227-9067/6/6/74
Luz S, Backes M, Rosa R, Schmit E, Santos E. Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU. Rev Bras Enferm. 2022 [acceso 14/06/2025]; 75 (2). Disponible en: https://www.scielo.br/j/reben/a/D8Syrvy8TQLdTxzvpQ7BYDq/
Santos A, Lamy Z, Koser M, Gomes C, Costa B, Gonçalves L. Skin-to-skin contact and breastfeeding at childbirth: women's desires, expectations, and experiences. Rev Paul Pediatr. 2022 [acceso 14/06/2025]; 40. DOI: https://doi.org/10.1590/1984-0462/2022/40/2020140
Shikuku D, Milimo B, Ayebare E, Gisore P, Nalwadda G. Practice and outcomes of neonatal resuscitation for newborns with birth asphyxia at Kakamega County General Hospital, Kenya: a direct observation study. BMC Pediatr. 2018 [acceso 14/06/2025]; 18 (1). Disponible : https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-018-1127-6
Miranda M, Araujo J, Ferrari R, Caldeira S, Zani A. Primeira hora de vida: assistência ao recém-nascido em maternidades públicas. Res Soc Dev. 2022 [acceso 16/06/2025]; 11(6). DOI: https://doi.org/10.33448/rsd-v11i6.28838
Córdova S, Torres F, Falconí S. Percepción materna de la humanización en el cuidado neonatal: desentrañando la sensibilidad en la atención brindada. Ciencia Latina Rev Cienc Multidiscip. 2024 [acceso 04/06/2025]; 8 (3). DOI: https://doi.org/10.37811/cl_rcm.v8i3.11669
Published
Issue
Section
License
Copyright (c) 2025 Johanna Belén Luzuriaga Saltos, Jorge Leodan Cabrera Olvera (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.