|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;|
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.