母亲与足月新生儿出生后的皮肤接触：一项横断面研究。
Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study.
机构信息
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
University of Toronto, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning. Toronto, Canada.
出版信息
Rev Bras Enferm. 2021 Apr 26;74(suppl 4):e20200026. doi: 10.1590/0034-7167-2020-0026. eCollection 2021.
OBJECTIVE
to analyze skin-to-skin contact practice in full-term newborns after birth.
METHOD
a cross-sectional study carried out in São Paulo-SP with 78 mother-child binomials. Data were obtained from medical records and by non-participant observation. Maternal, neonatal and care conditions, length of skin-to-skin contact and breastfeeding attachment were analyzed.
RESULTS
skin-to-skin contact was performed in 94.9% of births, with a mean length of 29 minutes. Births with intact perineum took longer, neonates with Apgar 10, without upper airway aspiration, assisted by a nurse-midwife and with neonatal assistance by a resident in pediatrics. The variables that favor breastfeeding attachment were perineal integrity, newborn with good vitality, without upper airway aspiration and who received professional assistance for breastfeeding attachment.
CONCLUSION
skin-to-skin contact was performed in almost all births, but with less time than recommended as best practice.
目的
分析足月新生儿出生后的皮肤接触实践。
方法
这是一项在巴西圣保罗进行的横断面研究，共纳入了 78 对母婴二联体。数据来自病历和非参与式观察。分析了母亲、新生儿和护理条件、皮肤接触时间和母乳喂养衔接情况。
结果
94.9%的分娩中进行了皮肤接触，平均时间为 29 分钟。会阴完整的分娩时间更长，新生儿 Apgar 评分为 10 分，无上呼吸道吸入，由助产士协助，新生儿由儿科住院医师协助。有利于母乳喂养衔接的变量包括会阴完整、新生儿活力良好、无上呼吸道吸入以及接受了专业的母乳喂养衔接协助。
结论
几乎所有分娩都进行了皮肤接触，但时间都短于最佳实践推荐的时间。
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