title: Clinical practices in the hospital care of healthy newborn infant in Brazil.
abstract: 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.
authors.affiliation: Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueiras, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Maria Elisabeth Lopes
authors.initials: ME
authors.lastname: Moreira
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Silvana Granado Nogueira da
authors.initials: SG
authors.lastname: Gama
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Ana Paula Esteves
authors.initials: AP
authors.lastname: Pereira
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Maranhão, São Luís, Brasil.
authors.forename: Antonio Augusto Moura da
authors.initials: AA
authors.lastname: Silva
authors.affiliation: Secretaria Municipal de Saúde de Belo Horizonte, Belo Horizonte, Brasil.
authors.forename: Sônia
authors.initials: S
authors.lastname: Lansky
authors.affiliation: Universidade Federal do Amazonas, Manaus, Brasil.
authors.forename: Rossiclei de
authors.initials: Rd
authors.lastname: Souza Pinheiro
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
authors.forename: Annelise de
authors.initials: Ad
authors.lastname: Carvalho Gonçalves
authors.affiliation: Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueiras, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Maria do
authors.initials: Md
authors.lastname: Carmo Leal
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D001942:Breast Feeding / Q000706:statistics & numerical data; D002585:Cesarean Section / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007224:Infant Care / Q000592:standards* / Q000706:statistics & numerical data; D007231:Infant, Newborn; D009321:Natural Childbirth / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000592:standards* / Q000706:statistics & numerical data; D055815:Young Adult