| Autor: |
Moreira ME; Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueiras, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Gama SG; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Pereira AP; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Silva AA; Centro de Ciências da Saúde, Universidade Federal do Maranhão, São Luís, Brasil., Lansky S; Secretaria Municipal de Saúde de Belo Horizonte, Belo Horizonte, Brasil., Souza Pinheiro Rd; Universidade Federal do Amazonas, Manaus, Brasil., Carvalho Gonçalves Ad; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Carmo Leal Md; Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueiras, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. |
| Abstrakt: |
The aim of this study was to evaluate the care of healthy full-term newborns and to identify variations in childbirth care and practices in the first hour of life. We used data from the Birth in Brazil survey. Unadjusted and adjusted odds ratio (OR) of hospital-delivered care for the mother and during childbirth were estimated for the following outcomes: upper airways and gastric aspiration, use of inhaled oxygen, use of incubator, skin-to-skin contact after birth, rooming-in and breastfeeding in the delivery room and within the first hour of life. We observed wide variations in the care of healthy full-term newborn in the delivery room. Practices considered inadequate, such as use of inhaled oxygen, (9.5%) aspiration of airways (71.1%) and gastric suctioning (39.7%), and the use of incubator (8.8%) were excessively used. Breastfeeding in the delivery room was low (16%), even when the Baby-Friendly Hospital Initiative had been implemented (24%). The results suggest poor knowledge and compliance by health practitioners to good clinical practice. Such noncompliance was probably not due to the differences in resources, since most births take place in hospitals where the necessary resources are available. |
