Neuroprotective Core Measures 1–7: Neuroprotection of Skin-to-Skin Contact (SSC)

This issue of the NAINR is focusing on “neuroprotection,” and Core Measures of Neuroprotective Care. The seven measures proposed by Altimier and Phillips are based on an up-to-date reflection of the state of the art with respect to neonatal care.¹ The need for Core Measures is also explained as a way to bring uniformity to the standards of care that vary greatly from place to place as new progress and advances lead to developments designed to improve neonatal outcomes. I am fully supportive of the proposed Core Measures, and am invited to comment on the “integral role skin-to-skin contact (SSC) plays in Neuroprotective Care." Bearing in mind that “the only constant is change," and considering my particular interest in SSC, I would like to present a brief historical background that has brought us to the present state-of-the-art, then a synopsis of the science underlying SSC, followed by a futuristic vision of what the state-of-the-art in infant care might look like. The Seven Neuroprotective Core Measures will be important in reaching such a state, though I shall end with proposing a new Neurosupportive Core Measure!