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In neonatal intensive care, skin-to-skin contact is the only care entirely dedicated to the parent-infant interaction, and is usually practiced from birth. This article compares the innovative “supported diagonal flexion” positioning to the usual one where the baby is positioned vertically on the mother's chest, inside her clothes, with the hypothesis that the innovative positioning is more likely to favor a better quality of mothering through voice. The results show that from the very first minutes of the very first skin-to-skin, extremely premature babies are able to vocalize, and that mothers in supported diagonal flexion offer from the start a denser and more musical vocal resonator. This result confirms the immediate contribution this new positioning makes to early communication