Observational studyRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2025
Golden Hour perception in a public maternity hospital: challenges and potentialities under a multi-professional team's vision.
Observational study in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe aim of this study was to investigate the self-perception of health professionals regarding the difficulties in the implementation of breastfeeding, skin-to-skin contact, and delayed cord clamping in the delivery room, and how difficulties and practices are related.
methodsThis is an observational, cross-sectional, and quantitative study conducted with health professionals who work in the delivery room in a public maternity hospital in the state of São Paulo. The questionnaire was self-answered in January 2025. The epidemiological characteristics of health professionals, and questions related to breastfeeding, skin-to-skin contact, and delayed cord clamping in the delivery room were analyzed. Descriptive statistics were performed. The cutoff to consider an item as a difficulty was an agreement below 50%. Difficulties with breastfeeding, skin-to-skin contact, and delayed cord clamping were analyzed through multiple correspondence analyses.
resultsA total of 75 health professionals were included. The lack of health professionals (38%), inadequate physical space (36%), and low adherence of obstetricians (34%) were considered difficulties. Correspondence analysis revealed that difficulties did not correspond to practices. Inadequate physical space and a lack of health professionals were correlated. When doctors indicate breastfeeding, they indicate delayed cord clamping, suggesting that these practices go hand in hand.
conclusionsThe findings suggest a lack of alignment among health professionals. Insufficient numbers of health professionals, physical limitations, and non-adherence of obstetricians are barriers to overcome. Breastfeeding and delayed cord clamping appear to be integrated practices. Other factors may influence these practices, as difficulties did not correspond with them.
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