The practice of the fourth step of the baby friendly
               hospital initiative

D'Artibale, Eloana Ferreira; Bercini, Luciana Olga

doi:10.5935/1414-8145.20140052

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

RESEARCH • Esc Anna Nery 18 (2) • Apr-Jun 2014 • https://doi.org/10.5935/1414-8145.20140052 copy

The practice of the fourth step of the baby friendly hospital initiative^a a Article elaborated from the Master's dissertation "Contact and early breastfeeding in the context of a Baby Friendly Hospital" presented to the Postgraduate Program in Nursing at the State University of Maringá, in 2012.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

Analyze the factors involved in the practice of the fourth step of the Baby Friendly Hospital Initiative, from the experience of postpartum women admitted to a Baby Friendly Hospital.

Methods:

This is a descriptive, exploratory study, in which a qualitative approach was used. Data was collected from November 2011 to January 2012, through systematic observation of non-participating deliveries and semi-structured interviews with 16 subjects. For the data treatment, the thematic modality content analysis was applied.

Results:

The main obstacles to the realization of the fourth step were the priority given to routine care after birth, cesarean delivery and the different work process promoted by the determinations of the Baby Friendly Hospital Initiative.

Conclusion:

We conclude that reflection upon, and (re)construction of, knowledge and practices concerning this step are necessary.

Mother-Child Relations; Breast Feeding; Humanization of Assistance; Nursing; Professional Practice

Subject	Type of delivery	PC Start	PC Duration	BF Start	Grounds for termination of PC
Subject	Type of delivery	T	T	t	Grounds for termination of PC
I1	N	0'	1'	17'	The obstetrician hands the infant to the pediatrician so he could perform the routine care in the SC.
I2	C	99'	14'	99'	Nurse ceases contact saying that the NB was getting "cold".
I3	C	6'	< 1'	71'	Medical student, after presenting the NB to the mother, takes it to the heated crib in the SC.
I4	C	6'	< 1'	80'	Medical student who, after presenting the NB to the mother, takes it to the heated crib in SC.
I5	N	8'	4'	48'	The NB is handed to the grandmother, so that the puerperal woman can be transferred to the stretcher.
I6	C	5'	< 1'	68'	Medical student, after presenting the NB to the mother, takes it to the heated crib in the SC.
I7	C	55'	07'	55'	Nurses separate mother and child to allocate the mother a bed in the AL and perform a physical examination on the NB and mother.
I8	N	23'	9'	23'	Nurses separate mother and child to allocate the mother a bed in the AL and perform a physical examination in the newborn and mother.
I9	N	34'	11'	34'	Nurses separate mother and child to allocate the mother a bed in the AL and perform a physical examination in the newborn and mother.
I10	N	8'	3'	8'	Nurses separate mother and child, telling the NB that the mother is tired.
I11	N	10'	16'	45'	Nurses separate mother and child to allocate the mother a bed in the AL and perform a physical examination in the NB and mother.
I12	N	6'	9'	33'	Nurses separate mother and child to take the NB to the father, who was outside of the SC.
I13	N	8'	7'	8'	The mother asks somebody to hold the NB.
I14	N	8'	7'	68'	The mother asks to take the NB away.
I15	N	0'	< 1'	12'	The obstetrician delivers the NB to the pediatrician so the routine care could be performed in the SC.
I16	C	57'	8'	87'	Nurses separate mother and son to hand the NB to his father so he could hold him.

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Eloana Ferreira D'Artibale. E-mail: eloana_dartibale@hotmail.com

Brasil

Brasil

The practice of the fourth step of the baby friendly hospital initiativea a Article elaborated from the Master's dissertation "Contact and early breastfeeding in the context of a Baby Friendly Hospital" presented to the Postgraduate Program in Nursing at the State University of Maringá, in 2012.

Objective:

Methods:

Results:

Conclusion:

The practice of the fourth step of the baby friendly hospital initiative^a a Article elaborated from the Master's dissertation "Contact and early breastfeeding in the context of a Baby Friendly Hospital" presented to the Postgraduate Program in Nursing at the State University of Maringá, in 2012.