Compliance of rooming-in during the immediate postpartum period: the case of the Calderon General Teaching Hospital

Abstract

Abstract Background:According to article 45 of the National Maternal Breastfeeding Policy of the Ministry of Public Health of Ecuador, rooming-in and early mother-child interaction is mandatory; however, several studies visualize its lack of fulfillment. Objective: To analyze the accomplishment about rooming-in during the immediate postpartum period in a hospital in Quito, the degree of knowledge, and the level of satisfaction that mothers have about this practice. Methods: Descriptive and cross-sectional design in 116 mother-child dyads attended at the Calderon General Teaching Hospital in the period October 2018-March 2019, in order to evaluate rooming-in care accomplishment in each mandatory step such as immediacy, privacy, efficacy, and continuity. Knowledge and satisfaction level with rooming-in and early mother-child interaction were established through surveys and evaluated by chi square and Phi Crammer (P >0.05). Results: This study showed the immediacy, privacy and efficacy parameters are accomplished in 81%, 86% and 92%, respectively; while the continuity parameter is fulfilled in 48%. Time between the newborn and mother does not exceed 60 minutes in 52% of mother-child dyads. The highest degree of happiness is observed in 92% of mothers satisfied with rooming-in practice. Conclusions: Rooming-in and early mother-child interaction as a practice integrated in the Ecuadorian Ministry of Health Normative Protocol during the postpartum from a cephalo-vaginal delivery without risk, is partially fulfilled.