Fatores relacionados ao desempenho da amamentação na primeira hora de vida

Abstract

Breastfeeding in the first hour of a newborn's life is one of the main practices that provide a satisfactory outcome in breastfeeding, mainly in increasing its total duration. Although breastfeeding is considered a physiological and natural process, it can be influenced by biological, social, psychological, cultural, economic, and demographic factors. Thus, the objective of this study was to investigate factors associated with breastfeeding performance in the first hour of life of the newborn in puerperal women at usual risk. This is a quantitative, analytical, observational and cross-sectional study performed with postpartum women at Hospital do Seridó, located in the municipality of Caicó, Rio Grande do Norte. Information was collected through medical records and by applying, at the bedside, a prepared form on breastfeeding in the first hour of the baby's life; mode of delivery; skin-to-skin contact; type of prenatal care provided; participation in a group of pregnant women; number of prenatal consultations; total gestational weight gain and and also sociodemographic data to build the profile of the participants. The data were tabulated using the software Statistical Package Social Science (SPSS) and descriptive and correlation analysis and comparisons between groups were carried out. A significant association was observed between breastfeeding in the first hour of life and vaginal delivery (p < 0.000) and skin-to-skin contact (p < 0.000). No association was identified between breastfeeding in the first hour of life and the variables of participation in a group of pregnant women or gestational weight gain. In this sense, there is a need to demonstrate the current scenario of breastfeeding in the first hour of life and it is suggested to carry out training actions, in order to contribute to more neonates being breastfed in the golden hour.