Care for healthy newborns in Brazil: Are we making progress in achieving best practices?

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Abstract

This paper aims to compare best practices for healthy newborns in public and mixed hospitals affiliated with SUS, according to type of birth, between “Nascer no Brasil/2011” (NB – Birth in Brazil) and in the last assessment cycle of Rede Cegonha, here called “Avaliação da Rede Ce-gonha/2017” (ARC – Stork Network Assessment). NB included a sample with national representati-veness of 266 hospitals, and ARC was conducted in 606 maternity hospitals included in the Rede Cegonha strategy, totaling 15,994 and 8,047 pairs of healthy mothers and newborns, respectively.Be-tween the two studies, NB-2011 and ARC-2017, although the proportion of cesarean sections re-mained around 44%, the prevalence of skin-to-skin contact with newborns, breastfeeding in the delivery room and breastfeeding in the first 24h of life increased by 140%, 82% and 6%, respec-tively. The proportion of upper airway aspiration of newborns dropped 65%. The results indicate that the use of evidence-based guidelines for the care of healthy newborns has increased in clinical practice, considering the six-year period between the compared studies. Despite the progress, impor-tant challenges remain to ensure best practices for all women and newborns, especially in relation to cesarean births.

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Moreira, M. E., Gomes, M. A. de S. M., Esteves-Pereira, A. P., Bittencourt, S. D. de A., Augusto, L. C. R., Lamy-Filho, F., … Magluta, C. (2021). Care for healthy newborns in Brazil: Are we making progress in achieving best practices? Ciencia e Saude Coletiva, 26(3), 859–874. https://doi.org/10.1590/1413-81232021263.26032020

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