Recommendation | Brazilian hospital guidelines existence (n = 24) | Available recommendations in Brazilian and international literature [15,16,17,18,19,20,21,22,23,24,25,26,27] | |
---|---|---|---|
Yes (%) | No (RA/NR-%) | ||
Shared decision-making | 18 (75.0) | 6 (25.0)/NR | RCOG, CDC and ABM encourage shared decision-making; WHO suggests the dialog but reinforces the need of speaking about the benefits on breastfeeding; UNICEF, UENPS and SBP do not specify. |
Feeding on demand | 23 (95.8) | 1 (4.1)/NR | None of the guidelines specifies. |
Individual room for dyad | 15 (62.5) | 9 (37.5)/NR | rBLH and UENPS recommend individual room; RCOG and ABM offers as an option; WHO and UNICEF do not specify; CDC recommends separation. |
Dyad separation | 1 (4.1) | 23 (95.8)/RA | UNICEF, RCOG and WHO do not recommend; CDC recommends; UENPS advises against separation, allows only if mother is symptomatic or the hospital logistics forbids it; SBP and ABM do not specify. |
Companion room | 4 (16.6) | 20 (83.3)/RA | CDC limits visits and suggests rules; UENPS and rBLH suspend visits; SBP, RGCO and ABM suggest healthy adult to help; WHO and UNICEF do not specify. |
Use of mask | 23 (95.8) | 1 (4.1)/NR | RCOG, ABM, UNICEF, CDC, UENPS and SBP recommend. |
Washing hands | 23 (95.8) | 1 (4.1)/NR | RCOG, ABM, SBP, WHO, UNICEF, CDC and UENPS recommend. |
Washing the face | 4 (16.6) | 20 (83.3)/NR | WHO, CDC, RCOG, SBP, ABM, UNICEF and UENPS do not specify. |
Cleaning the breast | 7 (29.1) | 17 (70.8)/NR | WHO, CDC, RCOG, SBP, ABM and UENPS do not specify; UNICEF recommends if mother is coughing. |
Changing the clothes | 2 (8.3) | 22 (91.6)/NR | WHO, UNICEF, CDC, RCOG, SBP, ABM and UENPS do not specify. |
2 m distance | 24 (100) | 0 (0)/RA | ABM, CDC, UENPS and rBLH recommend distance; WHO suggests precaution, however keeping mothers and infants together day and night. RCOG, UNICEF does not specify. |
Psychological support | 23 (95.8) | 1 (4.1)/NR | ABM, SBP, UNICEF, WHO and UENPS do not specify; CDC and RCOG recommend. |
Home environment recommendations for the mother | 24 (100) | 0 (0)/NR | ABM and SBP do not specify; rBLH recommends if mother is insecure; WHO, RCOG, CDC, UNICEF and UENPS recommend. |
Home environment recommendations for the family | 18 (75) | 6 (25)/NR | ABM, WHO, UNICEF, UENPS and SBP do not specify; RCOG and CDC recommend. |
Hospital discharge (24-48 h) | 19 (79.1) | 5 (20.8)/RA | UENPS recommends discharge in 48 h, if hospital is crowded; if it is not, it recommends 1 week in the hospital to repeat the swab test; WHO, CDC, RCOG ABM, SBP and UNICEF do not specify. |