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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622


SAMPAIO, Ádila Roberta Rocha; BOUSQUAT, Aylene  and  BARROS, Claudia. Skin-to-skin contact at birth: a challenge for promoting breastfeeding in a "Baby Friendly" public maternity hospital in Northeast Brazil. Epidemiol. Serv. Saúde [online]. 2016, vol.25, n.2, pp.281-290. ISSN 1679-4974.


to identify prevalence of compliance with the fourth step of the Baby-Friendly Hospital Initiative - to put the babies in skin-to-skin contact with their mothers immediately after birth for at least half an hour - in a public hospital in Northeast Brazil.


this was a cross-sectional study using data from interviews with mothers who had recently given birth during a typical week in 2014.


107 mothers were interviewed; 9.3% had completed the fourth step properly; the fourth step was negatively associated to cesarean section (p<0.01), and adequacy was not associated with receiving guidance on breastfeeding during the prenatal period or with breastfeeding in the first hour of life.


low compliance with the fourth step is cause for concern, especially because this is a Baby-Friendly Hospital; cesarean section was detrimental to infant skin-to-skin contact with their mothers immediately after birth.

Keywords : Breastfeeding; Maternal and Child Health; Public Health; Cross-Sectional Studies.

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