Approfondimenti scientifici
Infant falling asleep in the arms: support or exclude?
In mammals, direct contact and transport of offspring are evolutionarily conserved strategies, observable in numerous species. As highlighted by Charles Darwin, maintaining the individual in bodily proximity reduces exposure to harmful stimuli, predators and adverse environmental conditions, while supporting fundamental processes for neurobiological development. Such dynamics are not configured exclusively as affective manifestations, but as integrated systems of protection, sensory regulation, and nutritional support.

The need for proximity in the human infant
In the human species, the infant is kept in arms or in close proximity to the caregiver, a condition that guarantees postural stability, thermoregulation, and protection, at least until the first motor skills and self-regulation capacities are reached. The need for constant contact reflects, in fact, the functional immaturity of the newborn, still unable to support the head, control posture, or autonomously modulate environmental stimuli.
Direct bodily contact also facilitates access to nutrition and activates regulatory neuroendocrine systems, with the release of oxytocin and endorphins, contributing to the building of the bond and the development of the first emotional regulation patterns. In this context, the infant uses specific sensory patterns associated with the caregiver that favor the activation of circuits involved in the perception of security.
Sensory signals and safety
These signals include the heartbeat, body odor and secretions of the Montgomery glands during breastfeeding, elements that stimulate the limbic circuits responsible for safety and emotional modulation.
The voice also plays a central role: tone, intensity, and rhythm influence the child’s emotional state. Calm modulations favor stability and tranquility, while sudden variations can generate instability. In the presence of different caregivers, initially unfamiliar signals can cause temporary discomfort; however, maintaining physical contact and appropriate vocal modulation quickly facilitates the return to a state of calm.
Crying as a request for co-regulation
Infant crying represents a signal of instability and a request for co-regulation. It can be associated with several, often concomitant, factors that alter the child’s state of balance:
- Variation of familiar sensory signals (heartbeat, voice, caregiver’s scent)
- Suboptimal positioning, with insufficient support for the head, neck, or trunk
- Intense or unmodulated environmental stimuli (light, noise, temperature)
- Unmet physiological needs (feeding, hygiene, discomfort)
- Developmental stages of sleep characterized by greater instability, in which the demand for contact and reassurance increases
Crying, therefore, does not express rejection, but indicates the need for an adjustment of the caregiver’s intervention.
Falling asleep in arms and neonatal sleep
Neonatal sleep presents itself as an immature process, characterized by short cycles and frequent alternation between wakefulness and sleep. In this context, falling asleep in arms represents a facilitating modality: postural stability, physical contact, and sensory modulation contribute to the transition toward a state of stillness.
However, the transition from being held in arms to the crib can cause awakenings, linked to postural variations and the loss of proximity sensory references.
To favor sleep continuity, it is useful to accompany this transition with gradual methods, maintaining calm vocal modulation and a controlled stimulation environment (dim lighting, noise reduction, possible use of continuous low-intensity sounds).
At the same time, the introduction and daily use of the crib support the development of early forms of self-regulation, promote proper posture, and reduce risks associated with sleep. The daily use of the crib allows for:
- Promote patterns of self-regulation and autonomy.
- Support correct posture and basic motor development.
- Reduce the risk of accidents during sleep.
- Balance affective closeness and the acquisition of autonomous skills.
Towards a functional balance
Bodily contact between infant and caregiver is therefore configured as an essential element for the regulation of the cardiovascular, respiratory and neuroendocrine systems. At the same time, the alternation between moments of contact and sleep in the crib allows for the integration of the innate need for proximity with a progressive development of autonomy.
In this perspective, falling asleep in arms represents a resource to be used functionally within an evolutionary process, oriented towards the balance between co-regulation and the acquisition of autonomous skills.
Durmaz A, Sezici E, Akkaya DD, et al. The effect of kangaroo mother care or skin‑to‑skin contact on infant vital signs: a systematic review and meta‑analysis. 2023
Ionio C, Ciuffo G, Landoni M. Parent‑Infant Skin‑to‑Skin Contact and Stress Regulation: A Systematic Review of the Literature. Int J Environ Res Public Health. 2021
Bedetti L, Lugli L, Bertoncelli N, et al. Early Skin‑to‑Skin Contact in Preterm Infants: Is It Safe? An Italian Experience. Children (Basel). 2023
Bergman NJ. New policies on skin‑to‑skin contact warrant an oxytocin‑based perspective on perinatal health care. Front Psychol. 2024
Clarke‑Sather AR, Compton C, Roberts K, et al. Systematic Review of Kangaroo Care Duration’s Impact in Neonatal Intensive Care Units on Infant‑Maternal Health. Am J Perinatol. 2024
Bembich S, Castelpietra E, Cont G, et al. Cortical activation and oxygen perfusion in preterm newborns during kangaroo mother care: A pilot study. Acta Pediatr. 2023
Mehrpisheh A, Doorandish Z, Farhadi R, et al. Effectiveness of Kangaroo Mother Care on attachment of mothers with premature infants. Eur J Obstet Gynecol Reprod Biol X. 2022
Moore ER, Anderson GC, Bergman N, et al. Early skin‑to‑skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2025
Bastani F, Rajai N, Farsi Z, Als H. The Effects of Kangaroo Care on the Sleep and Wake States of Preterm Infants. J Nurs Res. 2017
Evereklian M, Posmontier B. The Impact of Kangaroo Care on Premature Infant Weight Gain. J Pediatr Nurs. 2017
Cordolcini L, Castagna A, Mascheroni E, Montirosso R. Skin‑to‑Skin Care and Spontaneous Touch by Fathers in Full‑Term Infants: A Systematic Review. Behav Sci. 2024;14(1):60 – Studi recenti su SSC paterna e suoi effetti bioregolatori.
*Systematic Review: Skin‑to‑skin contact for the prevention of neonatal hypoglycaemia. BMC Pediatr. 202
