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Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?

Revista Brasileira de Saúde Materno Infantil, 2023, Vol.23

This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 1519-3829 ;ISSN: 1806-9304 ;EISSN: 1806-9304 ;DOI: 10.1590/1806-9304202300000055-en

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  • Title:
    Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association?
  • Author: Araujo, Larissa Ramos ; Carvalhaes, Maria Antonieta de Barros Leite ; Gomes, Caroline de Barros
  • Subjects: Breastfeeding ; Infant ; PEDIATRICS ; Pregnant women
  • Is Part Of: Revista Brasileira de Saúde Materno Infantil, 2023, Vol.23
  • Description: Abstract Objectives: to identify variables associated with the presence of a companion in the delivery room and its association with breastfeeding (BF) in the first hour of life. Methods: cross-sectional analysis of data from a cohort study (n=344). To investigate the factors associated with the presence of a companion during childbirth and breastfeeding in the first hour; we performed Poisson regression analyses, considering p<0.05 as the level of statistical significance. Results: 93.9% of the pregnant women had a companion in the delivery room, and no association was found between socioeconomic, obstetric and neonatal characteristics of the mother-child binomial and the presence of a companion. In a univariate analysis, the absence of a companion reduced the frequency of breastfeeding in the first hour (PR=0.64; CI95%=0.42-0.96), a result that was not confirmed in the adjusted analyses (PR=0.79; CI95%=0.54-1.15). Secondly, it was identified that the five minutes Apgar score was associated with first hour breastfeeding (PR=1.27; CI95%=1.14-1.40) regardless of the other factors. Conclusions: most women in the cohort had a companion in the delivery room, with no differences according to socioeconomic, obstetric and neonatal variables. The frequency of first hour breastfeeding was high; however, it was lower in the absence of a companion but this association was not independent of other factors. Resumo Objetivos: identificar variáveis associadas à presença de acompanhante na sala de parto e sua associação com o aleitamento materno (AM) na primeira hora de vida. Métodos: análise transversal de dados provenientes de um estudo de coorte (n=344). Para investigação dos fatores associados entre a presença de companhia durante o parto e o AM na primeira hora foram realizadas análises de regressão de Poisson, considerando p<0,05 como nível de significância estatística. Resultados: 93,9% das parturientes tiveram acompanhante na sala de parto, não sendo encontrada associação entre características socioeconômicas, obstétricas e neonatais do binômio mãe-filho e esta presença. Em análise univariada, a ausência de acompanhante reduziu a frequência de AM na primeira hora (RP=0,64; IC95%=0,42-0,96), resultado que não se confirmou nas análises ajustadas (RP=0,79; IC95%=0,54-1,15). Secundariamente, identificou-se que o Apgar no quinto minuto associou-se com AM na primeira hora (RP=1,27; IC95%=1,14-1,40) independentemente dos demais fatores. Conclusões: a maioria das mulheres da coorte contou com acompanhante na sala de parto, sem diferenças segundo variáveis socioeconômicas, obstétricas e neonatais. A frequência de AM na primeira hora também foi alta e menor na ausência de acompanhante, contudo, essa associação não se mostrou independente de outros fatores.
  • Publisher: Instituto de Medicina Integral Prof. Fernando Figueira
  • Language: English;Portuguese
  • Identifier: ISSN: 1519-3829
    ISSN: 1806-9304
    EISSN: 1806-9304
    DOI: 10.1590/1806-9304202300000055-en
  • Source: SciELO
    Directory of Open Access Journals: DOAJ
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