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-%) | ||
Breastfeeding | 24 (100) | 0 (0)/RA | UENPS, WHO and UNICEF clearly stand in favor; rBLH, SBP, ABM, RCOG and CDC recommend if the mother desires. |
Feeding on demand | 24 (100) | 0 (0)/NR | WHO, RCOG, ABM, SBP, CDC, UNICEF and UENPS do not specify. |
Comforting techniques | 11 (45.8) | 13 (54.1)/NR | WHO, UNICEF, CDC, RCOG, ABM, SBP and UENPS do not specify. |
Other person’s neonatal care (not mother’s care) | 16 (66.6) | 8 (33.3)/NR | CDC, ABM and SPB recommend; RCOG, WHO, UNICEF and UENPS do not specify. |
Infant formula | 6 (25) | 18 (75)/RA | RCOG, ABM, SBP and CDC do not specify; UENPS clearly discourages and recommends expressed fresh mother’s milk; WHO, UNICEF suggests infant formula if breast milk is not possible. |
Hygiene measures | 24 (100) | 0 (0)/RA | WHO, UNICEF, CDC, RCOG, ABM, UENPS, SBP and rBLH allow alcohol gel before handling. |
2 m distance | 24 (100) | 0 (00)/RA | ABM, UENPS, SBP and CDC recommend; RCOG, WHO and UNICEF do not specify. |
Separate rooms | 4 (16.6) | 20 (83.3)/NR | Recommendation not specified for home environment; UENPS, SBP, RCOG, WHO and UNICEF do not specify; ABM recommends as an option; CDC recommends. |
Distance between siblings | 15 (62.5) | 9 (37.5)/NR | WHO, UNICEF, CDC, RCOG, SBP, ABM and UENPS do not specify. |
Actions to support breastfeeding | 11 (45.8) | 13 (54.1)/NR | WHO, UNICEF, UENPS, ABM and SBP do not specify; rBLH recommends suspending educational groups on breastfeeding; RCOG and CDC recommend. |
Home visit | 4 (16.6) | 20 (83.3)/RA | RCOG, ABM, SBP, CDC, WHO and UNICEF do not specify; UENPS discourages. |
Telemedicine | 11 (45.8) | 13 (54.1)/NR | WHO, RCOG, CDC and UENPS encourage; ABM does not specify; rBLH recommends for breastfeeding support and encouragement; UNICEF do not specify. |
Reference center to medical evaluation | 5 (20.8) | 19 (79.1)/NR | UENPS recommends return with 7 days, 14 days and 28 days after discharge; WHO, UNICEF, CDC, RCOG, ABM and SBP do not specify. |
Newborn screening in the hospital | 11 (45.8) | 13 (54.1)/NR | WHO, CDC, RCOG, ABM, SBP, UNICEF and UENPS do not specify. |
Psychological call center | 9 (37.5) | 15 (62.5)/NR | ABM, WHO, UNICEF SBP and UENPS do not specify; CDC and RCOG recommend. |