Skin-to-skin contact and breastfeeding of newborns in a university hospital

Abstract

Objective: To determine the prevalence of skin-to-skin contact (STSC) and breastfeeding (BF) stimulation, as well as the reasons for these practices not to be performed; to identify whether women were given information on these practices along the pre-natal monitoring. Method: A cross-sectional study carried out in a university hospital with 586 women. Data collection was from February to September 2016. Data was collected from patient records and from a questionnaire. A descriptive analysis was performed. Results: Immediately after birth, 60.1% of the newborns (NBs) had STSC, and 44.9% were stimulated to suck at the breast. After primary care, 24.1% had STSC, and 69.3% were stimulated to suck at the breast; 47.7% of the newborns did not have STSC due to their unfavorable clinical conditions; 79.2% of the women were not able to inform the reason why BF was not stimulated; 58.5% of the women had pre-natal guidance about STSC, and 90.8% about BF. Conclusion: Both STSC and BF rates could be improved, in view of the benefits provided by these practices.

Skin-to-Skin Contact and Breastfeeding at Childbirth: Women’s Desires, Expectations, and Experiences

“…The desires for immediate contact with the child and breastfeeding after birth expressed by pregnant women are in accordance with the practices recommended in the literature, 1 , 2 , 3 , 6 , 13 , 14 but the fact that these desires were not expressed as expectations can demonstrate that the performance of routine procedures at the time of birth is still very present in the imaginary of women and, also, that the guidelines received in the prenatal consultations did not allow the desire to become an expectation.…”

“…Skin-to-skin contact (SSC) and breastfeeding in the first hour of life (BFH) are practices that help reduce neonatal morbidity and mortality. 1 , 2 They stand out as benefits for the newborn (NB) cardiopulmonary stabilization, reduction of risk of hypoglycemia, hypothermia 3 and infection 1 , and improve the rates of continued breastfeeding. 1 , 4 , 5 For the mother, there is a reduction in anxiety and bleeding after childbirth, among other factors.…”

“…The importance of stimulating SSC in the FHL as immediate practice for newborns who are in adequate clinical conditions is emphasized, 6 putting other care as secondary, as one seeks to ensure humanized care at childbirth and in the puerperium. 2 , 7…”

Conhecimento do Enfermeiro Obstetra no cuidado ao recém-nascido em Centros de Parto Normal

“…Corroborando a isso, Campos et al (2020), ao realizar uma pesquisa com 586 mulheres em um centro de internação obstétrica no Rio Grande do Sul, verificou-se que 60,1% receberam o estímulo para a realização do contato pele a pele e 44% foram estimuladas a realizar a amamentação materna imediata ao parto. Isso reforça a importância da realização dessa prática incitado pelo próprio obstetra.…”

“…(E9) "Se a mãe já tiver com os exames de rotina liberados a gente já pode colocar esse bebê pra sugar, pra estimular a sucção naquele momento, pra formar aquele vínculo, né? Aquele vínculo entre a mãe o bebê que é primordial também, aquele reconhecimento do campo que ele vai pelo instinto reconhecer o campo, o seio materno, o bico do seio, o mamilo, então ele já vai identificar a sucção" (E4) Ainda de acordo com estudo realizado por Campos et al (2020) os benefícios do contato precoce pele-a-pele para a mãe e recém-nascido pode permitir um momento de tranquilidade e segurança, sendo vantajoso para ambos. Dessa forma, esse momento de interação pode proporcionar os efeitos fisiológicos benéficos a puérpera.…”