Objective: to verify the factors associated with the practice of skin-to-skin contact with breastfeeding in the first hour of life and its influence on exclusive breastfeeding in the first month. Method: a retrospective cross-sectional study with medical records from a breastfeeding outpatient clinic in São Paulo, Brazil. The sample included all the medical records of the mother-baby dyad who had been consulted by nurses between 2004 and 2010. Data were collected from the medical records between 2014 and 2015. Results: 1,030 medical records were identified, 71 were excluded and the final sample was 959. The prevalence of skin-to-skin contact with breastfeeding in the first hour was 37.2%. The Apgar score between 8 and 10 in the first minute of life and the higher birth weight of the newborn were protective factors of contact with early breastfeeding; lower maternal age and cesarean delivery and forceps were risk factors for this practice. Exclusive breastfeeding was statistically higher in the group of newborns who had contact with breastfeeding in the first hour; however, there was no association with duration of exclusive breastfeeding. Conclusion: good birth conditions were protective factors for breastfeeding followed by skin-to-skin contact in the first hour, while younger maternal age and surgical deliveries proved to be risk factors. Exclusive breastfeeding in the baby´s first month of life was not associated with skin-to-skin contact followed by breastfeeding in the first hour of life.

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Objetivou-se nesse estudo compreender os impactos do SARS-CoV-2 no aleitamento materno. Trata-se de uma revisão integrativa da literatura realizada nas bases de dados online LILACS, BDENF e MEDLINE. Os descritores utilizados na busca foram "Aleitamento materno" AND "Coronavírus" AND "Período pós-parto". A busca compreendeu o período janeiro 2021. Foram selecionados estudos com idiomas português e inglês. Onze artigos atenderam aos critérios de elegibilidade e compuseram a leitura da síntese da presente revisão. De acordo com os estudos existem diversos fatores que impactam no aleitamento materno frente ao SARS-CoV-2, podemos citar que a insegurança das lactantes sendo o maior fator que impede a manutenção da amamentação e as incertezas que ao longo da pandemia cercam a mesma. Conclui-se que o aleitamento materno de mães com COVID-19 é seguro, seguindo as medidas de controle de infecção adequadas para evitar o contágio mãe-bebê, e para diminuir o impacto do desmame precoce devemos realizar atividades educativas no período pré-natal e realizar treinamento com a equipe multiprofissional para incentivar o aleitamento exclusivo frente aos seus benefícios.

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