AbstractBackground: Mother and newborn SSC is a low-cost intervention that would be accessible, simple, and feasible for most mothers in developing countries. Keeping the newborns in their natural habitat immediately after their birth initiates successful adaptation to extrauterine life. Skin – skin contact at birth is a profound intervention which increases the physical, mental, social stability and well being of the baby. The early mother newborn contact will help to initiate breast feeding at an early time, foster the newborn attachments process at the earliest and there by enhancing the bond between mother and her newborn. The present study was conducted in order to assess the effects of post birth mother newborn skin to skin contact on maternal satisfaction & success of first breastfeeding. Methods: A quazi experimental two group post test only design was used for the study. Conceptual framework was based on Ramona. T. Mercer’s Maternal Role Attainment theory. Study was conducted in the Labor room of District Hospital, Thrissur from March - May 2102. 60 samples were selected using purposive sampling. (30 mother newborn dyads in the intervention group who received skin to skin contact immediately after birth and 30 mother newborn dyads in the routine care (RC) group) After delivery, immediate skinskin contact (SSC) was given to the intervention group. Success of First Breast Feeding was observed in both the groups by using First Breast Feeding Assessment tool. Maternal satisfaction on first Breast Feeding was assessed by using a Maternal Breast Feeding Satisfaction Assessment Scale. The data was compared by using t-test. Significant p-value was taken as < 0.05. Results: Twenty one (70%) infants in SSC group had score of 11-20 (successful first breast feeding) on First Breast Feeding Assessment tool compared to sixteen infants (53%) in RC Group during the first breastfeed. Maternal levels of satisfaction were high as 90% in SSC group as compared to 60% in RC Group. Newborns who experienced SSC initiated breastfeeding 10.41 ± 3.38 minutes after delivery, while newborns in the routine care group started breastfeeding 16.48 ± 2.70 minutes following their birth (p < 0. 05). Duration of the first breastfeed in mothers with SSC versus RC Group was 17.22 ± 3.04 minutes and 15.98 ± 3.66 respectively (p < 0.05). Conclusion: Maternal-infant early skin-to-skin contact significantly enhanced the success of first breastfeeding. It reduced the time to initiate first breast feeding and improved the time span of first feeding.