Influence of social determinants of health on skin to skin contact between mother and newborn

• Main Authors: Janaiana Lemos Uchoa (Author), Lorena Pinheiro Barbosa (Author), Larissa Bento de Araújo Mendonça (Author), Francisca Elisângela Teixeira Lima (Author), Paulo César de Almeida (Author), Silvana Santiago da Rocha (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2021-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2020-0138
• Keywords: Breast Feeding; Maternal-Child Health Services; Social Determinants of Health; Newborn; Public Health Policy.; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 74, Iss suppl 4 (2021)

ABSTRACT Objective: to analyze the association of skin-to-skin contact and social determinants of health. Methods: this is a cross-sectional study with 187 medical records of newborns from a reference rooming in in northeastern Brazil. An instrument with maternal and neonatal data was used. Analysis was descriptive and inferential statistics. For the associations, a chi-square test was used to measure strength, an Odds Ratio was calculated, with a 95% confidence interval. Results: 62% of newborns who made skin-to-skin contact at birth were eutrophic, full-term, Apgar > 7, mothers with prenatal care and without abortion. The determinants associated with non-skin-to-skin contact were preterm (CR=3.2;95%CI: 2.72-18.98); 1st minute Apgar < 7 (CR:2.9;95%CI: 2.38-3.06), cesarean section (CR:8.4;95%CI: 4.29-16.57), and unhealthy NB (CR 12.7;95%CI: 4.9-32.67). We used STROBE guidelines. Conclusion: skin-to-skin contact was influenced by gestational age, Apgar, delivery, and newborn health.