The servo crib plays a fundamental role in the immediate care of newborns in
the delivery room, especially in the context of respectful, family-centered
and evidence-based care. Its incorporation in this setting ensures thermal stability
and immediate access to basic care or neonatal resuscitation, without the need to
separate the newborn from its mother.
Key benefits of using a servo crib in the delivery room:
1. It maintains the newborn's body temperature at a constant level using a
servo-controlled radiant heat system (automatic regulation according to the
baby's temperature).
2. Facilitates early skin-to-skin contact by allowing for a quick and safe initial assessment
with the mother, without unnecessary transfers.
3. Reduces the risk of hypothermia, especially in late preterm, low-weight
babies or in instrumental deliveries, without interrupting the mother-child bond.
4. It allows necessary interventions (gentle suction, drying, stimulation, oxygen,
monitoring, even basic resuscitation) to be performed without removing the baby from the immediate maternal environment.
5. It promotes the physiological neonatal transition, respecting the moment of birth and
strengthening early attachment, maternal bacterial colonization, and early initiation of
breastfeeding.
6. Compatible with humanized birth practices, such as timely clamping
of the umbilical cord, cord cutting by the family, assessment with the mother
present, and placing the baby in skin-to-skin contact upon discharge from the servocradle.
Integration with skin-to-skin transport
Once the newborn has been stabilized in the incubator, if immediate hospitalization is not required,
they can be transported in skin-to-skin contact on their mother's chest, using a
bandeau or sling. This mode of transport has been shown to:
– Provide greater thermal and cardiorespiratory stability.
– Reduce neonatal stress.
– Greater success in initiating breastfeeding.
– Better indicators of maternal satisfaction.
This approach integrates technology in the service of early bonding, optimizing both clinical outcomes and the birth experience.