Fatores associados ao contato pele a pele entre mae/filho e amamentacao na sala de parto: Factors associated with skin to skin contact between mother/son and breastfeeding in the delivery room

Investigar fatores associados ao contato pele a pele entre mãe e filho e à amamentação na sala de parto entre nutrizes atendidas em um banco de leite humano. Estiveram associados, respectivamente, à maior prevalência do contato pele a pele e da amamentação na sala de parto: parto normal (RP=1,34; IC...

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Bibliographic Details
Published in:	Revista de nutrição Vol. 29; no. 4; p. 457
Main Authors:	Silva, Cristianny Miranda E, Pereira, Simone Cardoso Lisboa, Passos, Leda Ribeiro, Santos, Luana Caroline Dos
Format:	Journal Article
Language:	Portuguese
Published:	Pontificia Universidade Catolica de Campinas 01-07-2016
Online Access:	Get full text
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Summary:	Investigar fatores associados ao contato pele a pele entre mãe e filho e à amamentação na sala de parto entre nutrizes atendidas em um banco de leite humano. Estiveram associados, respectivamente, à maior prevalência do contato pele a pele e da amamentação na sala de parto: parto normal (RP=1,34; IC95% 1,27-1,41 e RP=1,63; IC95% 1,45-1,83) e sem complicação (RP=1,24; To investigate factors associated with skin to skin contact between mother and child and breastfeeding at the delivery room in mothers who visit a human milk bank. This retrospective study (2009 to 2012) assessed the secondary data of 12,283 mothers obtained by a structured protocol. A distal-, intermediate-, and proximal-level hierarchical Poisson regression model analyzed the sociodemographic, maternal, prenatal, gestational, infant, and hospital care data. The following items were associated with a higher prevalence of skin to skin contact and breastfeeding in the delivery room: vaginal delivery (RP=1.34; 95%CI 1.27-1.41 and PR=1.63; 95%CI 1.45-1.83), uneventful delivery (PR=1.24; 95%CI 1.12-1.38 and PR=1.27; 95%CI 1.03-1.56), appropriate birth weight (PR=1.23; 95%CI 1.11-1.36 and PR=1.92; 95%CI 1.48-2.48), and term birth (PR=1.18; 95%CI 1.10-1.28 and PR=1.40; 95%CI 1.17-1.67). The strong influence of hospital care and newborn birth conditions explained the study outcomes. Actions that promote skin to skin contact and breastfeeding in the delivery room of large hospitals in capital cities are needed, such as reduction or postponement of interventions during postnatal care. Longitudinal studies may clarify other issues on this subject.
ISSN:	1415-5273
DOI:	10.1590/1678-98652016000400002