Skin-to-skin contact in neonatal intensive care units: a narrative review of implementation challenges and strategies within infant- and family-centered care - Summary - MDSpire

Skin-to-skin contact in neonatal intensive care units: a narrative review of implementation challenges and strategies within infant- and family-centered care

  • By

  • Alicia Montaner-Ramon

  • Fatima Camba-Longueira

  • Josep Perapoch-Lopez

  • June 19, 2026

  • 0 min

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Objective:

To identify barriers to the implementation of skin-to-skin contact (SSC) in neonatal intensive care units (NICUs) and summarize strategies to support its safe integration into routine neonatal care.

Approach:
    Key Findings:
    • Barriers to SSC implementation include clinical factors, organizational constraints, and emotional challenges.
    • Concerns about safety do not support withholding SSC when proper monitoring and preparation are in place.
    • Interventions such as multidisciplinary training and standardized protocols can enhance SSC rates and parental engagement.
    Interpretation:

    Addressing multilevel barriers is essential for the implementation of SSC in neonatal care settings.

    Limitations:
    • The review is non-systematic and may not encompass all relevant literature.
    • The focus on implementation strategies may overlook some physiological benefits of SSC.
    Conclusion:

    The review emphasizes the importance of prioritizing SSC as a core clinical practice in NICUs.

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