Sampaio Ádila Roberta Rocha, Bousquat Aylene, Barros Claudia
Universidade Federal da Paraíba, Hospital Universitário Lauro Wanderley, João Pessoa-PB, Brasil.
Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo-SP, Brasil.
Epidemiol Serv Saude. 2016 Apr-Jun;25(2):281-290. doi: 10.5123/S1679-49742016000200007.
to identify prevalence of compliance with the fourth step of the Baby-Friendly Hospital Initiative - to put the babies in skin-to-skin contact with their mothers immediately after birth for at least half an hour - in a public hospital in Northeast Brazil.
this was a cross-sectional study using data from interviews with mothers who had recently given birth during a typical week in 2014.
107 mothers were interviewed; 9.3% had completed the fourth step properly; the fourth step was negatively associated to cesarean section (p<0.01), and adequacy was not associated with receiving guidance on breastfeeding during the prenatal period or with breastfeeding in the first hour of life.
low compliance with the fourth step is cause for concern, especially because this is a Baby-Friendly Hospital; cesarean section was detrimental to infant skin-to-skin contact with their mothers immediately after birth.
确定巴西东北部一家公立医院对爱婴医院倡议第四步（即婴儿出生后立即与母亲进行至少半小时的皮肤接触）的依从率。
这是一项横断面研究，使用了2014年典型一周内近期分娩母亲的访谈数据。
对107名母亲进行了访谈；9.3%的母亲正确完成了第四步；第四步与剖宫产呈负相关（p<0.01），且依从性与孕期接受母乳喂养指导或出生后第一小时内的母乳喂养无关。
第四步的低依从性令人担忧，尤其是因为这是一家爱婴医院；剖宫产不利于婴儿出生后立即与母亲进行皮肤接触。
