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

Rev Bras Enferm. 2021 Jun 11;74(suppl 4):e20200138. doi: 10.1590/0034-7167-2020-0138. eCollection 2021.
[Article in English, Portuguese]

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.

MeSH terms

  • Brazil
  • Cesarean Section*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant, Newborn
  • Mothers*
  • Pregnancy
  • Social Determinants of Health