Introduction: The literature is unanimous in highlighting the benefits that breastfeeding brings to health in the baby, the mother and society. In 1992, who and the United Nations Children's Fund (UNICEF) launched the Child-Friendly Hospital Initiative (HIAH), which aims to support, protect and promote breastfeeding, the joint accommodation is a tool used in hospitals that have the HAHI seal, in the MOTHER and baby CA remain together 24 hours a day together in the postpartum period , the woman is encouraged to breastfeed and care for the newborn, with the main objective of stimulating breastfeeding and also strengthening the bond between them. Objective: To identify the prevalence of exclusive breastfeeding in a referral hospital in maternal and child care. Methodology: This is a cross-sectional, descriptive, quantitative-qualitative study targeting 30 internal puerperal women of a reference Public Hospital in Maternal And Child care in the city of Belém-PA. The qualitative data were analyzed using the SOFTWARE IRAMUTEQ, In the quantitative data the analysis was made through the BioStat tool. Results: All puerperal women underwent prenatal care, where they received information about the AM, 66.7% reported that they had no skin-to-skin contact with the baby soon after delivery. Regarding the joint housing, it was found that it was not started soon after birth for 60.0% of the postpartum women. Regarding the support received in the joint accommodation, the majority received guidance on the importance of breastfeeding (76.7%) and incentive to breastfeed exclusively (80.0%). Most mothers, when questioned, show interest in breastfeeding their child exclusively for 6 months and extend breastfeeding indefinitely, because they observe benefits such as improved immunity for the child, growth and expected development for age, strengthening the bond between mother and baby and benefits in maternal health itself. Conclusion: it can be observed in the mothers' reports that the majority received information about the AM, empowering them about the importance of breastfeeding, however, the information provided still needs improvement and updates, requiring training of the teams involved in the processes of prenatal, labor and postpartum, being important to include the family in this whole process.
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