Universidade Federal do Maranhão, São Luís, MA, Brazil.
Rev Paul Pediatr. 2021 May 26;40:e2020140. doi: 10.1590/1984-0462/2022/40/2020140. eCollection 2021.
To analyze women's desires, expectations and experiences regarding skin-to-skin contact and breastfeeding in the first hour of life of their newborns.
Qualitative research carried out in a teaching hospital in the Northeast Region of Brazil. The patients were followed longitudinally during prenatal care, at birth and during the puerperium. The participants were pregnant women during normal risk prenatal care, aged over 18 years old. Structured and semi-structured interviews were carried out in the prenatal period, participant observation at the time of delivery and new interviews in the puerperium. Content analysis was applied in the thematic modality.
18 women between 21 and 38 years old were enrolled in the research. Women expressed the desire for skin-to-skin contact and breastfeeding as immediate practices right after delivery and birth. However, many women did not believe it was possible, and the performance of routine procedures was considered the main obstacle. These expectations that skin-to-skin contact and early breastfeeding would not be carried out were confirmed in the experiences immediately after birth.
The expectations and experiences brought by these women suggest a flaw that starts in prenatal care and implies difficulties in implementing the studied practices. Thus, the empowerment and participation of women can become an important tool in the humanization of birth.
分析女性在新生儿生命的头一个小时内对皮肤接触和母乳喂养的愿望、期望和体验。
在巴西东北部的一所教学医院进行的定性研究。患者在产前护理、分娩和产褥期期间进行了纵向随访。参与者为正常风险产前护理的孕妇，年龄在 18 岁以上。在产前期间进行了结构化和半结构化访谈，在分娩时进行了参与者观察，并在产褥期进行了新的访谈。应用主题模式进行内容分析。
研究共纳入 18 名年龄在 21 至 38 岁之间的女性。女性表达了在分娩后立即进行皮肤接触和母乳喂养的愿望。然而，许多女性认为这是不可能的，常规程序的执行被认为是主要障碍。这些对皮肤接触和早期母乳喂养无法进行的期望在分娩后立即得到了证实。
这些女性的期望和经验表明，从产前护理开始就存在一个缺陷，这意味着实施所研究的实践存在困难。因此，增强妇女的权能和参与可以成为分娩人性化的重要工具。
