The role of skin-to-skin contact in exclusive breastfeeding: a cohort study

Marivanda Julia Furtado Goudard; Zeni Carvalho  Lamy; Sérgio Tadeu Martins  Marba; Geisy Maria de Souza Lima; Alcione Miranda dos  Santos; Marynea Silva do  Vale; Talyta Garcia da Silva Ribeiro; Roberta Costa; Vivian Mara Gonçalves de Oliveira Azevedo; Fernando Lamy-Filho

doi:10.11606/s1518-8787.2022056004063

Autores

Marivanda Julia Furtado Goudard Universidade Federal do Maranhão . Departamento de Saúde Pública . Programa de Pós-Graduação em Saúde Coletiva . São Luís , MA , Brasil https://orcid.org/0000-0003-3231-7793
Zeni Carvalho Lamy Universidade Federal do Maranhão . Departamento de Saúde Pública . Programa de Pós-Graduação em Saúde Coletiva . São Luís , MA , Brasil https://orcid.org/0000-0002-9332-0542
Sérgio Tadeu Martins Marba Universidade Estadual de Campinas . Departamento de Pediatria da Faculdade de Ciências Médicas . Campinas , SP , Brasil https://orcid.org/0000-0003-2903-6915
Geisy Maria de Souza Lima Instituto de Medicina Integral Professor Fernando Figueira . Departamento de Neonatologia . Recife , PE , Brasil https://orcid.org/0000-0002-8656-205X
Alcione Miranda dos Santos Universidade Federal do Maranhão . Departamento de Saúde Pública . Programa de Pós-Graduação em Saúde Coletiva . São Luís , MA , Brasil https://orcid.org/0000-0001-9711-0182
Marynea Silva do Vale Hospital Universitário da Universidade Federal do Maranhão . Departamento de Neonatologia . São Luís , MA , Brasil https://orcid.org/0000-0002-1544-5470
Talyta Garcia da Silva Ribeiro Universidade Federal do Maranhão . Faculdade de Medicina . São Luís , MA , Brasil https://orcid.org/0000-0002-5254-3408
Roberta Costa Universidade Federal de Santa Catarina . Departamento de Enfermagem . Florianópolis , SC , Brasil https://orcid.org/0000-0001-6816-2047
Vivian Mara Gonçalves de Oliveira Azevedo Universidade Federal de Uberlândia . Faculdade de Educação Física e Fisioterapia . Uberlândia , MG , Brasil https://orcid.org/0000-0002-7514-1508
Fernando Lamy-Filho Universidade Federal do Maranhão . Departamento de Saúde Pública . Programa de Pós-Graduação em Saúde Coletiva . São Luís , MA , Brasil https://orcid.org/0000-0002-7858-4195

DOI:

https://doi.org/10.11606/s1518-8787.2022056004063

Palavras-chave:

Infant, Low Birth Weight, Premature Birth, Breast Feeding, Kangaroo-Mother Care Method, Intensive Care, Neonatal

Resumo

OBJETIVE To understand the role of exposure to skin-to-skin contact and its minimum duration in determining exclusive breastfeeding at hospital discharge in infants weighing up to 1,800g at birth. METHODS A multicenter cohort study was carried out in five Brazilian neonatal units. Infants weighing ≤ 1,800g at birth were eligible. Skin-to-skin contact time was recorded by the health care team and parents on an individual chart. Maternal and infant data was obtained from maternal questionnaires and medical records. The Classification Tree, a machine learning method, was used for data analysis; the tree growth algorithm, using statistical tests, partitions the dataset into mutually exclusive subsets that best describe the response variable and calculates appropriate cut-off points for continuous variables, thus generating an efficient explanatory model for the outcome under study. RESULTS A total of 388 infants participated in the study, with a median of 31.6 (IQR = 29–31.8) weeks of gestation age and birth weight of 1,429g (IQR = 1,202–1,610). The exclusive breastfeeding rate at discharge was 61.6%. For infant’s weighting between 1,125g and 1,655g, exposed to skin-to-skin contact was strongly associated with exclusive breastfeeding. Moreover, infants who made an average > 149.6 min/day of skin-to-skin contact had higher chances in this outcome (74% versus 46%). In this group, those who received a severity score (SNAPPE-II) equal to zero increased their chances of breastfeeding (83% versus 63%). CONCLUSION Skin-to-skin contact proved to be of great relevance in maintaining exclusive breastfeeding at hospital discharge for preterm infants weighing 1,125g–1,655g at birth, especially in those with lower severity scores.

Referências

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The role of skin-to-skin contact in exclusive breastfeeding: a cohort study

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