Lapráctica del cuarto paso de la iniciativa hospitalaria amiga del bebé en maternidad de referencia

Objective: to identify the frequency and practice of the fourth step of the Baby Friendly Hospital Initiative in a reference maternity hospital in the southwest of Maranhão. Method:Documentary research, retrospective, quantitative approach, carried out between August and November 2019. For data collection, follow-up forms were used in the maternity center, information on skin-to-skin contact between mother and child, breastfeeding maternal in the first hour of life, as well as the sociodemographic, obstetric and delivery characteristics of the participants. The sample consisted of 254 records. The data were descriptively analyzed according to the absolute and relative frequencies of the variables. Results:Cesarean deliveries were 50.4% and 49.6% normal. 46.1% had immediate and uninterrupted skin-to-skin contact at birth and were breastfed in the first hour of life. The age of the parturients ranged from 13 to 46 years and the nurse was present in 96% of the deliveries. Conclusion:Less than half of the children studied performed the fourth step of the Baby Friendly Hospital Initiative, assuming that cesarean delivery was the main indication for noncompliance with this step and normal delivery was considered as a contributing factor for this performance. Therefore, itis suggested that there be supplementary support for postpartum women undergoing caesarean section to help them initiate early contact and breastfeeding as soon as possible Objetivo:identificar a frequência e a prática da quarta etapa da Iniciativa Hospital Amigo da Criança em uma maternidade de referência no sudoeste do Maranhão. Método:Pesquisa documental, retrospectiva, com abordagem quantitativa, realizada entre agosto e novembro de 2019. Para a coleta de dados foram utilizados formulários de acompanhamento na maternidade, informações sobre contato pele a pele mãe e filho, aleitamentomaterno na primeira hora de vida, bem como as características sociodemográficas, obstétricas e do parto das participantes. A amostra foi composta por 254 prontuários. Os dados foram analisados descritivamente de acordo com as frequências absolutas e relativas das variáveis. Resultados:os partos cesáreos foram 50,4% e 49,6% normais. 46,1% tiveram contato pele a pele imediato e ininterrupto ao nascer e foram amamentadas na primeira hora de vida. A idade das parturientes variou de 13 a 46 anos e o enfermeiro esteve presente em 96% dos partos. Conclusão:Menos da metade das crianças estudadas realizou a quarta etapa