Fatores associados ao contato pele a pele entre mãe/filho e amamentação na sala de parto

Objective 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. Methods This retrospective study (2009 to 2012) assessed the secondary data of 12,283 mothers obtained by a structured protoco...

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Detalles Bibliográficos
Autores: Cristianny Miranda Esilva, Simone Cardoso Lisboa Pereira, Ieda Ribeiro Passos, Luana Caroline Dos Santos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:portugués
OAI Identifier:oai:repositorio.ufmg.br:1843/58121
Acceso en línea:https://doi.org/10.1590/1678-98652016000400002
http://hdl.handle.net/1843/58121
https://orcid.org/0000-0002-6962-5784
https://orcid.org/0000-0001-9261-2597
https://orcid.org/0000-0001-9836-3704
Access Level:acceso abierto
Palabra clave:Aleitamento materno
Bancos de leite
Período pós-parto
Relações mãe-filho
Bancos de leite humano
Mãe e filhos
Descripción
Sumario:Objective 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. Methods 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. Results 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). Conclusion 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.