Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project

Detalhes bibliográficos
Autor(a) principal: Alves, Rachael de Vasconcelos
Data de Publicação: 2023
Outros Autores: Oliveira, Maria Inês Couto de, Domingues, Rosa Maria Soares Madeira, Pereira, Ana Paula Esteves, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57428
Resumo: RVA was the main responsible for data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; MICO contributed to data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; RMSMD contributed to the review and approval of the fnal draft of the manuscript; APEP contributed to data analysis, review, and approval of the fnal draft of the manuscript; MCL was the main responsible for study design, contributed to the review and approval of the fnal draft of the manuscript. All authors read and approved the fnal manuscript.
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spelling Alves, Rachael de VasconcelosOliveira, Maria Inês Couto deDomingues, Rosa Maria Soares MadeiraPereira, Ana Paula EstevesLeal, Maria do Carmo2023-03-17T19:19:43Z2023-03-17T19:19:43Z2023Alves, Rachael de Vasconcelos et al. Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project. Reproductive health, v. 20, Suppl 2, p. 1-10, Jan. 2023.1742-4755https://www.arca.fiocruz.br/handle/icict/5742810.1186/s12978-022-01538-z1742-4755RVA was the main responsible for data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; MICO contributed to data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; RMSMD contributed to the review and approval of the fnal draft of the manuscript; APEP contributed to data analysis, review, and approval of the fnal draft of the manuscript; MCL was the main responsible for study design, contributed to the review and approval of the fnal draft of the manuscript. All authors read and approved the fnal manuscript.The ethics committee of the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (CEP/ENSP) approved the Healthy Birth Study under the research protocol CAAE: 1.761. 027 (approval date: January 16th, 2017). Prior to the interview, the interviewer read aloud the Free and Informed Consent Form and received written consent from the interviewee. The participant then received a copy of the Consent Form containing details of the research. All precautions were taken to maintain the confdentiality of the information.This work was supported by the Centro Nacional de Desenvolvimento Científco e Tecnológico (CNPq) and by the Bill & Melinda Gates Foundation, Edital MCTI/CNPq/MS/SCTIE/Decit/Fundação Bill e Melinda Gates No. 47/2014. The funders had no infuence in the identifcation, design, conduct, nor reporting of the analysis.Universidade Federal Fluminense. Department of Epidemiology and Biostatistics, Collective Health Institute. Niterói, RJ, Brazil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Background: The Baby-Friendly Hospital Initiative's Step 4 recommends: "support mothers to start breastfeeding as soon as possible after birth", thus contributing to the reduction of neonatal mortality. The objective of this study is to estimate the prevalence of breastfeeding in the first hour of life in private maternity hospitals participating in the "Adequate Childbirth Project", a quality-of-care improvement project, and to analyze determinants of this outcome. Methods: Secondary analysis of data collected by the cross-sectional evaluative "Healthy Birth Study", conducted in 2017 in 12 maternity hospitals participating in the Adequate Childbirth Project, where 4800 mothers were interviewed, and hospital records were observed. Conditions that prevented breastfeeding at birth, such as maternal HIV-infection and newborns' severe malformations, were excluded. Multiple logistic regression was performed according to a hierarchical theoretical model. Results: The prevalence of breastfeeding in the first hour of life was 58% (CI 95% 56.6-59.5%). Lower maternal education (aOR 0.643; CI 95% 0.528-0.782), lower economic status (aOR 0.687; CI 95% 0.504-0.935), cesarean section delivery (ORa 0.649; CI 95% 0.529-0.797), preterm birth (aOR 0.660; CI 95% 0.460-0.948) and non-rooming-in at birth (aOR 0.669; CI 95% 0.559-0.800) were negatively associated with the outcome. Receiving information during prenatal care about the importance of breastfeeding at birth (aOR 2.585; CI 95% 2.102-3.179), being target of the quality-of-care improvement project (aOR 1.273; CI 95% 1.065-1.522), skin-to-skin contact at birth (aOR 2.127; CI 95% 1.791-2.525) and female newborn (aOR 1.194; CI 95% 1.008-1.415) were factors positively associated with the outcome. Conclusions: The private maternities participating in the Healthy Birth Study showed a good prevalence of breastfeeding in the first hour of life, according to WHO parameters. Prenatal guidance on breastfeeding at birth, being target of the quality-of-care improvement project and skin-to-skin contact at birth contributed to breastfeeding in the first hour of life.engBioMed CentralBreastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement projectAleitamento materno na primeira hora de vida em maternidades privadas brasileiras participantes de um projeto de melhoria da qualidade da assistênciainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBirthBreastfeedingCross-sectional studiesPrivate hospitalsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALve_Alves_Rachael_etal_INI_2023.pdfve_Alves_Rachael_etal_INI_2023.pdfapplication/pdf848842https://www.arca.fiocruz.br/bitstream/icict/57428/2/ve_Alves_Rachael_etal_INI_2023.pdf8bd08d6bf25b608d39bdbac4eac32fa3MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
dc.title.alternative.en_US.fl_str_mv Aleitamento materno na primeira hora de vida em maternidades privadas brasileiras participantes de um projeto de melhoria da qualidade da assistência
title Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
spellingShingle Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
Alves, Rachael de Vasconcelos
Birth
Breastfeeding
Cross-sectional studies
Private hospitals
title_short Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
title_full Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
title_fullStr Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
title_full_unstemmed Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
title_sort Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project
author Alves, Rachael de Vasconcelos
author_facet Alves, Rachael de Vasconcelos
Oliveira, Maria Inês Couto de
Domingues, Rosa Maria Soares Madeira
Pereira, Ana Paula Esteves
Leal, Maria do Carmo
author_role author
author2 Oliveira, Maria Inês Couto de
Domingues, Rosa Maria Soares Madeira
Pereira, Ana Paula Esteves
Leal, Maria do Carmo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Alves, Rachael de Vasconcelos
Oliveira, Maria Inês Couto de
Domingues, Rosa Maria Soares Madeira
Pereira, Ana Paula Esteves
Leal, Maria do Carmo
dc.subject.en.en_US.fl_str_mv Birth
Breastfeeding
Cross-sectional studies
Private hospitals
topic Birth
Breastfeeding
Cross-sectional studies
Private hospitals
description RVA was the main responsible for data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; MICO contributed to data analysis, interpretation and discussion of the results and writing of the manuscript and approved the fnal draft of the manuscript; RMSMD contributed to the review and approval of the fnal draft of the manuscript; APEP contributed to data analysis, review, and approval of the fnal draft of the manuscript; MCL was the main responsible for study design, contributed to the review and approval of the fnal draft of the manuscript. All authors read and approved the fnal manuscript.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-03-17T19:19:43Z
dc.date.available.fl_str_mv 2023-03-17T19:19:43Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv Alves, Rachael de Vasconcelos et al. Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project. Reproductive health, v. 20, Suppl 2, p. 1-10, Jan. 2023.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57428
dc.identifier.issn.en_US.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-022-01538-z
dc.identifier.eissn.none.fl_str_mv 1742-4755
identifier_str_mv Alves, Rachael de Vasconcelos et al. Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project. Reproductive health, v. 20, Suppl 2, p. 1-10, Jan. 2023.
1742-4755
10.1186/s12978-022-01538-z
url https://www.arca.fiocruz.br/handle/icict/57428
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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