SKIN TO SKIN CONTACT AND THE EARLY INITIATION OF BREASTFEEDING: A CROSS-SECTIONAL STUDY

Kadja Elvira Dos Anjos Silva Araújo,Malaquias Batista Filho,Maria De Fátima Costa Caminha,Suzana Lins Da Silva,Camila Carvalho Dos Santos,Juliana De Castro Nunes Pereira

doi:10.1590/1980-265x-tce-2020-0621

Kadja Elvira Dos Anjos Silva Araújo, Malaquias Batista Filho + Show 4 more

Open Access

https://doi.org/10.1590/1980-265x-tce-2020-0621

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Abstract

ABSTRACT Objective: to identify the prevalence and factors associated with the occurrence of skin-to-skin contact and the early initiation of breastfeeding in a Baby-friendly hospital in northeastern Brazil. Method: cross-sectional study, composed of pregnant women, in which delivery occurred at the Baby-friendly Hospital. Data were collected between April 2017 and May 2019 through forms containing sociodemographic variables, obstetric history and data on the delivery and birth of the newborn. The possible associated factors were analyzed through the chi-square test, adopting the significance level of 0.05. Result: among the 727 pregnant women, skin-to-skin contact occurred in 83.6% and breastfeeding in 58.3%. Full-term birth, birth weight ≥ 2500g, Apgar index >7 in the first minute, vaginal delivery, 6 or more prenatal consultations and years of study >9 were the factors associated with the practice of skin-to-skin contact. Regarding breastfeeding, in addition to the first five factors related to skin-to-skin contact, a statistical relationship with the beginning of prenatal care in the first trimester, skin-to-skin contact and multiparity was also evidenced. Conclusions: this study found a prevalence rate of skin-to-skin contact appropriate to a Baby-friendly Hospital and a direct association of this practice with breastfeeding.

Highlights

The first 60 minutes of life represents a moment of critical changes in which the newborn (NB) will need to adapt quickly to the physiological changes of important systems such as cardiovascular, respiratory, immunological and metabolic[1,2]
Skin-to-Skin Contact (SSC) and the early Initiation of Breastfeeding are simple practices that play an important role during this period of neonatal adaptation, strengthening the bond between mother and baby and avoiding early neonatal complications, such as neonatal hypothermia and hypoglycemia[1,4,5,6]
This study aimed to identify the prevalence and factors associated with the occurrence of skin-to-skin contact and breastfeeding in the first hour of life in a baby-friendly hospital in northeastern Brazil

Summary

Introduction

The first 60 minutes of life represents a moment of critical changes in which the newborn (NB) will need to adapt quickly to the physiological changes of important systems such as cardiovascular, respiratory, immunological and metabolic[1,2]. This first hour, called the golden hour, is important due to its relevance to the growth and development of the child providing immediate and long-term benefits in their health[2,3]. Neonatal evaluations such as the Apgar index and some non-urgent procedures, including the administration of vitamin K, for example, can be performed while the newborn is on the mother’s abdomen, and others such as weighing and measurements can be postponed for at least 1 hour[4,7,8]

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