Hello Donna

Have you looked at the World Breastfeeding Week 2007 materials 
("Breastfeeding: the first hour)?
http://www.worldbreastfeedingweek.net will get you links to the past 12
years' action folders (with reference lists)

Also Dr Nils Bergman's Kangaroo Mother Care site may be of some help.
www.kangaroomothercare.com
The issue of focus with KMC is that babies must not be separated from their
mothers at all, and certainly not in the first few hours.   Perhaps
breastfeeding is even incidental to the benefits of continuous skin to skin
contact?

There was a study in Ghana that showed better survival rates of babies put
to the breast within the first hour. From the WBW2007 action folder:

<<Researchers in rural Ghana, where early initiation of breastfeeding was 
not the norm, found that babies who
started to breastfed in the first hour of life were more likely to survive 
the neonatal period than those who did not (Edmond et al, 2006).

<<Babies who did not start breastfeeding until after 24 hours of age were 
2.5 times more likely to die than babies who
started within the first hour of life, whether they were partially or 
exclusively breastfed.

<<30 percent of babies in the study were fed solids or other milk before one 
month of age. These infants were four times more likely to die than babies 
who were exclusively breastfed.

<<Conclusions

<<For rural Ghana:

<<16 percent of newborn deaths could be prevented if newborns were breastfed 
exclusively from day one

<<22 percent of newborn deaths could be prevented if newborns initiated 
breastfeeding within one hour of birth. >>


Best wishes
Jacquie  Nutt IBCLC
South Africa

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