title: Assessment of factors that interfere on breastfeeding within the first hour of life.
abstract: OBJECTIVE
  To investigate how the 4thStep of the Baby-Friendly Hospital Initiative was applied, assess the prevalence of breastfeeding (BF) within the first hour after birth and analyze factors associated with non-BF in this period of life.
  
  
  METHODS
  Cross-sectional study conducted in a high-risk maternity-hospital in Rio de Janeiro City, Brazil, with interview to a sample of 403 rooming-in mothers. The prevalence ratio with its respective 95% confidence interval was estimated by the use of SPSS 15® from a model with complementary log log link function.
  
  
  RESULTS
  The prevalence of BF in the first hour of life was 43.9%. Multivariate analysis showed that were protected against non-BF in the first hour after birth non-black women (PR = 0.62, 95% CI: 0.42-0.90), multiparous women (PR = 0.66, 95% CI: 0.47-0.93), prenatal care (PR = 0.23, 95% CI: 0.08-0.67), vaginal delivery (PR =0 .41, 95% CI: 0.28-0.60), newborn with birthweight ≥ 2,500g (PR = 0.31, 95% CI: 0.11-0.86) and women who received help from the health team to BF in the delivery room (PR = 0.51, 95% CI: 0.36-0.72).
  
  
  CONCLUSIONS
  Help provided by the health team to breastfeeding at birth, Step 4 of the Baby-Friendly Hospital Initiative, as well as non black women, multiparous women, receiving pre-natal care, vaginal delivery and appropriate birthweight contributed to breastfeeding in the first hour of life.
authors.affiliation: Ministério da Saúde, Hospital Federal de Bonsucesso, Saúde.
authors.forename: Célia Regina Vianna Rossi
authors.initials: CR
authors.lastname: Pereira
authors.forename: Vânia de Matos
authors.initials: Vde M
authors.lastname: Fonseca
authors.forename: Maria Inês
authors.initials: MI
authors.lastname: Couto de Oliveira
authors.forename: Ivis Emilia de Oliveira
authors.initials: IE
authors.lastname: Souza
authors.forename: Rosane
authors.initials: R
authors.lastname: Reis de Mello
mesh_terms: D000293:Adolescent; D000328:Adult; D001942:Breast Feeding / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D006801:Humans; D007231:Infant, Newborn; D008875:Middle Aged; D013997:Time Factors; D055815:Young Adult