03/16/2026
Take the hat off.
The first hour after birth isnât just sentimental.
Itâs hormonal. Itâs biological, and itâs powerful.
Right after birth a motherâs body is flooded with oxytocin, the hormone that helps:
đthe uterus contract and slow bleeding
đthe placenta separate and be born
đthe mother and baby bond
đthe baby begin breastfeeding
And guess what helps drive that hormonal cascade?
đđžTouch. Warmth. Skin-to-skin. And smell.
When a baby is placed directly on their motherâs chest, mothers instinctively touch, kiss, and smell their babyâs head.
That newborn scent isnât random.
Itâs a powerful sensory signal that stimulates oxytocin and activates bonding behaviors in the brain.
Now hereâs the part most people donât question.
The hat that gets immediately placed on the babyâs head interrupting all the signaling.
Hospital hats were originally introduced to prevent babies from losing heat through their heads.
But research on immediate postpartum care shows that skin-to-skin itself regulates a babyâs temperature extremely well.
In fact, a 2023 study found no measurable difference in hypothermia rates between newborns wearing hats and those without hats during the immediate postpartum period.
Because when babies are skin-to-skin, something incredible happens.
The motherâs chest actually adjusts temperature in response to the baby, warming or cooling to keep them stable. Researchers call this thermal synchrony.
So if skin-to-skin already regulates temperatureâŚ
Why are we still covering the babyâs head during the most hormonally sensitive hour of life?
Covering the head may reduce the very sensory cues that drive the oxytocin feedback loop:
đ smelling the baby
đ kissing the babyâs head
đ full skin-to-skin sensory contact
In physiologic birth settings, like homebirths and out of hospital birth centers, we often have a different approach:
âď¸ Baby naked on the motherâs chest.
âď¸ No hat during the golden hour.
âď¸ A warm blanket over babyâs back.
âď¸ Everyone stepping back while mother and baby find each other.
Because birth physiology is delicate.
It responds to touch, scent, warmth, and connection.
Sometimes routines become so normal that we stop asking whether they actually help.
And sometimes the most powerful intervention is the simplest one.
Skin-to-skin, access to babyâs head and scent while the mother and baby learning each other.
Hats are interrupting this very important process for healthy term babies.