ABSTRACT
Objective
to identify the factors associated with newborn care practices adopted in the delivery room of a maternity hospital in the coastal lowlands of Rio de Janeiro.
Method
a cross-sectional was study carried out in a public institution in the state of Rio de Janeiro using data collected from birth records between 2015 and 2017. The chi-square test and logistic regression were adopted to associate the variables.
Results
among 351 (100.0%) medical records, the following constituted practices performed in the delivery room: skin-to-skin contact and early breastfeeding (28.0%); drying (92.3%); oronasopharyngeal aspiration (82.1%); gastric aspiration (52.7%); tracheal aspiration (12.2%); inhaled oxygen (7.7%); and rooming-in referral (91.1%). Early breastfeeding was associated with the type of delivery (p=0.043) and changes in physical examination (p=0.001). Changes in the physical examination at birth significantly decreased the chances of babies being placed in this position while still in the delivery room (p=0.001), as well as newborns delivered by cesarean section (p=0.045). Being born by cesarean section increased the chances of newborns being submitted to gastric aspiration twice (p=0.002).
Conclusion and implications for practice
it is urgent to organize the routines of services in order to avoid unnecessary interventions aiming at humanized and quality obstetric and neonatal care.
Keywords:
Infant, Newborn; Care; Breastfeeding; Humanizing Delivery; Neonatal Nursing