Elements that influenced immediate mother-neonate contact during the golden hour.
Bruna Rodrigues Monteiro, Valéria Gomes Fernandes da Silva, Anny Suelen Dos Santos Andrade and 3 others
PMID 36018826WHAT IT FOUND
In two Brazilian maternity hospitals, only three of 105 usual-risk mother-baby pairs had uninterrupted skin-to-skin contact for the full first hour; neonatal procedures interrupted 71 contacts.
Key findings
01Only three of 105 mother-baby pairs had uninterrupted skin-to-skin contact for the full first hour, and seven had no skin-to-skin contact at all.
02Neonatal procedures interrupted immediate contact in 71 of 105 births, and pediatricians were the main staff responsible for interrupting contact in 85 cases.
0378 of 105 mothers reported no knowledge of their right to skin-to-skin contact.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was a convenience sample from two public maternity hospitals in northeastern Brazil, so it may not reflect other services. It included only usual-risk vaginal births and excluded surgical or instrumental births, so it does not apply to higher-risk births. The researchers could not observe simultaneous births because there were too few observers, and health professionals distrusted the observation. The study described interruptions but did not test whether changing routines or delaying procedures improved contact or outcomes. The authors state that limitations made association testing impossible, so causes cannot be confirmed. Birth weight was not recorded in 81 cases and malformation was not recorded in 15 cases, so neonatal risk details are incomplete.
Declared interests
The work was supported by CAPES in Brazil, Financing Code 00.
The easy way to misread this
Do not read this as proof that delaying newborn procedures improves outcomes. It observed interruptions in usual-risk births at two Brazilian hospitals and did not test a care change.