Contacto piel a piel al nacimiento

Abstract

Introduction

Skin-to-skin contact (CPP) is the placement of the naked newborn on the mother's breast, covered only with a cap, sheet or gown.

Objective

To determine the effect of skin-to-skin contact in the breastfeeding of infants in the National Institute of Perinatology.

Material and methods

Prospective, descriptive, observational, and cross-sectional study was performed, including a search for the information in the database of the Immediate Care Unit for the Newborn from 1 August 2015 to 31 July 2016. The data obtained were Gestational age, weight, Apgar, maternal pathology, skin-to-skin contact, duration, and feeding.

Results

There were 3175 births, with 2228 term neonates. CPP was performed in 1486 neonates (78.95%), with a weight of 2,045 to 4,200 g. The majority of patients who were breastfed (78.7%) had had skin-to-skin contact. Likewise, it was observed that CPP significantly favoured breastfeeding (RR=143.28; 95% CI: 75.5-271.7).

Discussion

CPP favours breastfeeding (99.2%), making the first food human milk, and reducing the use of substitutes.

Conclusions

Skin-to-skin contact is the best opportunity for the initiation of breastfeeding. The separation of mothers and their children at birth has become a common practice in the delivery and operating rooms, due to hospital routines, placing the infant in a cradle of radiant heat, and initiating breastfeeding after one hour of life.