Prevalence and factors associated with maternal breastfeeding in the first hour of life in full-term live births in southwest Bahia, Brazil, 2017^*

Objective:  to analyze prevalence and factors associated with maternal breastfeeding in the first hour of life (MBFFHL) in full-term live births in Vitória da Conquista, BA, Brazil.

Methods:  this was a cohort-nested cross-sectional study; data were collected between February and August 2017 using a questionnaire answered by mothers as well as medical records; hierarchical multivariable analysis with Poisson regression was used.

Results:  the study included 388 mother-liveborn baby pairs; MBFFHL prevalence was 49.5%; outcome was associated with maternal education ≥12 years (PR=0.63 - 95%CI 0.46;0.87), prenatal guidance on child holding and positioning (PR=1.44 - 95%CI 1.07;1.95), liveborn baby taken to its mother soon after delivery (PR=1.41 - 95%CI 1.04;1.92), mother and baby kept together in the same room (PR=2.42 - 95%CI 1.09;5.36), and delivery at a Baby-Friendly Hospital (PR=2.43 - 95%CI 1.72;3.43).

Conclusion:  MBFFHL was associated with maternal factors, prenatal care and hospital care.

Keywords:
Breast Feeding; Cross-Sectional Studies; Prenatal Care; Hospitals, Maternity; Hospital Care; Postpartum Period