Factors associated with early skin-to-skin contact in a maternity hospital

Ayres, Lilian Fernandes Arial; Cnossen, Raquel Elisabeth; Passos, Camila Mendes dos; Lima, Vanessa Doriguêtto; Prado, Mara Rúbia Maciel Cardoso do; Beirigo, Brenda Alves

Lilian Fernandes Arial Ayres

Universidade Federal de Viçosa. Viçosa, MG, Brasil.

https://orcid.org/0000-0003-3809-2660

Raquel Elisabeth Cnossen

Universidade de Brasília. Brasília, DF, Brasil.

https://orcid.org/0000-0002-0695-6228

Camila Mendes dos Passos

Universidade Federal de Viçosa. Viçosa, MG, Brasil.

https://orcid.org/0000-0003-1230-2500

Vanessa Doriguêtto Lima

Secretaria Municipal de Saúde. Viçosa MG, Brasil.

https://orcid.org/0000-0002-9348-3931

Mara Rúbia Maciel Cardoso do Prado

Universidade Federal de Viçosa. Viçosa, MG, Brasil.

https://orcid.org/0000-0001-6314-0009

Brenda Alves Beirigo

Hospital Sofia Feldman. Belo Horizonte, MG, Brasil.

https://orcid.org/0000-0002-8426-7890

Corresponding author Lilian Fernandes Arial Ayres E-mail: lilian.ayres@ufv.br

Study design: Raquel Elisabeth Cnossen. Lilian Fernandes Arial Ayres. Vanessa Doriguêtto Lima.

Data collection or production. Raquel Elisabeth Cnossen. Lilian Fernandes Arial Ayres. Brenda Alves Beirigo. Vanessa Doriguêtto Lima.

Data analysis: Raquel Elisabeth Cnossen, Lilian Fernandes Arial Ayres, Camila Mendes dos Passos. Mara Rúbia Maciel Cardoso do Prado.

Interpretation of results: Raquel Elisabeth Cnossen, Lilian Fernandes Arial Ayres and Camila Mendes dos Passos. Mara Rúbia Maciel Cardoso do Prado.

Writing and critical revision of the manuscript. Raquel Elisabeth Cnossen. Lilian Fernandes Arial Ayres. Camila Mendes dos Passos. Vanessa Doriguêtto Lima. Mara Rúbia Maciel Cardoso do Prado. Brenda Alves Beirigo.

Approval of the final version of the article. Raquel Elisabeth Cnossen. Lilian Fernandes Arial Ayres. Camila Mendes dos Passos. Vanessa Doriguêtto Lima. Mara Rúbia Maciel Cardoso do Prado. Brenda Alves Beirigo.

Responsibility for all aspects of the content and integrity of the published article. Raquel Elisabeth Cnossen. Lilian Fernandes Arial Ayres. Camila Mendes dos Passos. Vanessa Doriguêtto Lima. Mara Rúbia Maciel Cardoso do Prado. Brenda Alves Beirigo.

ASSOCIATED EDITOR

Gerson Luiz Marinho

Characteristics		N	%
Problem during delivery
Yes		16	7,7
No		191	92
Skin contact
Yes		62	30
No		142	70
Traumatic birth for the newborn
Yes		18	8,8
No		186	91
Fetal malformation
Yes		3	1,5
No		198	99
Newborn referred to
Nursery		14	6,8
ICU		10	4,8
Joint accommodation		183	88
	Median			Minimum	Maximum
Apgar in the 1st minute	9			5	10
Apgar in the 5th	10			7	10
Weight at birth	3.2			1,9	4.9

Skin touch
		Yes			No
Maternal characteristics		N	%		N		%	p^* * Significance level <5%; a Student t-test; b Pearson chi-square. value
Municipality
Maternity Municipality		35	30.4		80		69.6	0.988^b
Others		27	30.3		62		69.7
Skin Color
White		15	24.6		46		75.4
Black		14	32.6		29		67.4	0.533^b
Brown		31	32.3		65		67.7
Marital situation
Single		19	32.2		40		67.8
Married		32	27.3		85		72.7	0.373^b
Consensus Union		11	39,3		17		60,7
Renumbered work
Yes		29	26.1		82		73.9	0.148^b
No		33	35.5		60		64.5
Planned pregnancy
Yes		38	29.2		92		70.8	0.632^b
No		24	32.4		50		6.6
Prenatal financing
SUS		40	32.3		84		67.7	0.470^b
Private		22	27.5		58		72.5
Prior health problem
Yes		13	40.6		19		59.4	0.170^b
No		49	28.5		123		71.5
Health problem developed during pregnancy
Yes		27	27		73		73	0.301^b
No		35	33.7		69		66.3
Intercurrence in pregnancy
Yes		4	23.5		13		76.5	0.520^b
No		58	31		129		69
Route of birth
Normal		43	70.5		18		29.5	<0.01^b*
Cesarean		19	13.3		124		86.7
The professional who delivered the baby was the same as the prenatal one
Yes		14	20		56		80	0.018^b
No		48	36.1		85		63.9
Escort in the delivery room
Yes		45	37.5		75		62.5	0.009^b
No		17	20.5		66		79.5
Problems during delivery
Yes		2	12.5		14		87.5	0.105^b
No		60	31.9		128		68.1
Traumatic birth for the newborn
Yes		3	21.4		11		78.6	0.469^b
No		53	30.6		120		69.4
Fetal malformation
Yes		2	40		3		60	0.658^b
No		55	30.7		124		69.3
Newborn referred to
Nursery		4	28.6		10		71.4
UTIN		3	30		7		70	0.984^b
Joint accommodation		55	30.6		125		69.4
	Yes					No				P ^* * Significance level <5%; a Student t-test; b Pearson chi-square. value
Maternal characteristics	Average			DP		Average			DP
Maternal age (in years)	25.76			6.1		25.8			5.9	0.960^a
Schooling (in years)	11.48			3.5		11.38			3.4	0.841^a
Average income in minimum wage (DP)	0.71			1.1		0.82			1.2	0.520^a
Average family income in minimum wage (DP)	2.14			2.2		2.53			3.6	0.436^a
Number of Prenatal Consultations (PD)	8.38			2.9		8.71			2.7	0,458^a
Apgar in the 1st minute (DP)	7.73			2.8		7.32			2.9	0,361^a
Apgar at the 5th minute (DP)	8.97			2.5		8.49			3	0.270^a
Weight at birth (SD)	3.18			0.4		3.23			0.4	0.460^a

Maternal characteristics	Raw analysis		Adjusted analysis
Maternal characteristics	OR	IC95%	OR	IC95%
Paid work
Yes	1	-	-	-
No	1.56	0.85-2.86	-	-
Prior health problem
Yes	1.71	0.78-3.74	-	-
No	1	-	-	-
Route of birth
Normal	15.59	7.50-32.41	15.59	7.50-32.41
Cesarean	1	-	1	-
The professional who delivered the baby was the same as the prenatal one
Yes	1	-	-	-
No	2.27	1.14-4.55	-	-
Companion in the delivery room
Yes	2.33	1.22-4.46	-	-
No	1	-	-	-
Problem during delivery
Yes	1	-	-	-
No	3.34	0.72-14.29	-	-

Maternal characteristics	Raw analysis		Adjusted analysis
Maternal characteristics	OR	IC95%	OR	IC95%
Paid work
Yes	1	-	-	-
No	1.56	0.85-2.86	-	-
Paid work
Yes	1.71	0.78-3.74	-	-
No	1	-	-	-
Paid work
Yes	1	-	1	-
No	2.27	1.14-4.55	3.17	1.52-6.62
Companion in the delivery room
Yes	2.33	1.22-4.46	3.35	1.67-6.73
No	1	-	1	-
Problem during delivery
Yes	1	-	1	-
No	3.34	0.72-14.29	3.84	0.81-18.30

[1] Corresponding author Lilian Fernandes Arial Ayres E-mail: lilian.ayres@ufv.br

Brasil

Brasil

Factors associated with early skin-to-skin contact in a maternity hospital

ABSTRACT

Objective

Method

Results

Conclusion and implications for practice