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Pesqui. bras. odontopediatria clín. integr ; 24: e230030, 2024. tab, graf
Article in English | LILACS, BBO | ID: biblio-1550597


ABSTRACT Objective: To assess global trends in the publication of studies investigating the association between ankyloglossia and breastfeeding. Material and Methods: An electronic search was performed in the Scopus database without restrictions. Observational studies and clinical trials were included. Bibliometric indices such as publication year, authors, co-authors, journals, field of knowledge, countries, and the most cited keywords were analyzed using the VOSviewer program. Results: The search retrieved 350 studies, and 68 were selected. The first article was published in 2000 in the United States. The United States presented the highest number of publications (n=21), followed by Brazil (n=9) and the United Kingdom (n=9). An increase in publications on this theme was observed in 2013; 2021 was the year with the highest number of publications (n=14). The most common word was "frenulum". The authors with the highest number of publications were Botze and Dollbert from Israel (n=3), Ghaheri, and Mace from the United States (n=3). Among the journals, "Breastfeeding Medicine" presented the highest number of publications (n=7), followed by the "International Journal of Pediatric Otorhinolaryngology" (n=6), "CODAS" (n=5), "Journal of Human Lactation" (n=4) and "Pediatrics" (n=3); the latter published the top-cited studies, with 412 citations. Conclusion: There has been an increase in recent articles evaluating the correlation between ankyloglossia and breastfeeding, indicating the growing interest of researchers in this field.

Breast Feeding/trends , Bibliometrics , Ankyloglossia , Lingual Frenum
Rev. Bras. Saúde Mater. Infant. (Online) ; 23: e20210223, 2023. tab, graf
Article in English | LILACS, BVSAM | ID: biblio-1449159


Abstract Objectives: to analyze the trend and correlation of obesity and the increase in continued breastfeeding in children aged six to 23 months in Brazil, from 2015-2019. Methods: ecological time series study with data from the Sistema de Vigilância Alimentar e Nutricional (Food and Nutritional Surveillance System). The dependent variable was the prevalence of obesity. Prais-Winsten linear regression was used to verify the trend. Spearman's correlation was used to verify the relationship between the prevalence of obesity and the increase in continued breastfeeding. Results: there was a trend towards a reduction in the prevalence of obesity in all regions in Brazil (Annual Percentage Variation [APV]: -4.14; CI95%=-4.50; -3.79). The prevalence of continued breastfeeding showed an upward trend in the North (APV=4.89; CI95%=2.92; 6.90), Southeast (APV=3.36; CI95%=2.32; 4 .41) and South (APV=2.67; CI95%=0.98; 4.38). There was a negative and significant correlation between obesity and continued breastfeeding in the North, Northeast, Southeast and South regions. Conclusion: the reduction in the prevalence of obesity and the increase in continued breastfeeding occurred only in some regions, requiring the implementation of effective strategies to be present throughout the country. Actions to promote, protect and support continued breastfeeding and healthy eating should be more prioritized to promote the child's healthy growth.

Resumo Objetivos: analisar a tendência e a correlação de obesidade e o aumento do aleitamento materno continuado em crianças de seis a 23 meses no Brasil, de 2015-2019. Métodos: estudo ecológico de série temporal com dados do Sistema de Vigilância Alimentar e Nutricional. A variável dependente foi a prevalência de obesidade. A regressão linear de Prais-Winsten foi usada para verificar a tendência. Adotou-se a correlação de Spearman para verificar a relação entre as prevalências de obesidade e o aumento do aleitamento materno continuado. Resultados: verificou-se tendência de redução da prevalência de obesidade em todas as suas regiões do Brasil (Variação Percentual Anual [VPA]: -4,14; IC95%=-4,50; -3,79). A prevalência do aleitamento materno continuado apresentou tendência de aumento nas regiões Norte (VPA=4,89; IC95%=2,92; 6,90), Sudeste (VPA=3,36; IC95%=2,32; 4,41) e Sul (VPA= 2,67; IC95%=0,98; 4,38). Houve correlação negativa e significativa entre obesidade e aleitamento materno continuado nas regiões Norte, Nordeste, Sudeste e Sul. Conclusão: a redução da prevalência da obesidade e o aumento do aleitamento materno continuado ocorreram somente em algumas regiões, requerendo implementação de estratégias eficazes para esteja presente em todo o país. Ações de promoção, proteção e apoio ao aleitamento materno continuado e a alimentação saudável devem ser mais priorizadas para promover o crescimento saudável da criança.

Humans , Female , Infant, Newborn , Infant , Food and Nutritional Surveillance , Breast Feeding/trends , Infant Nutrition , Pediatric Obesity/epidemiology , Primary Health Care , Brazil/epidemiology , Time Series Studies , Nutritional Status
Rev. bras. enferm ; 73(3): e20180338, 2020.
Article in English | LILACS, BDENF | ID: biblio-1092585


ABSTRACT Objectives: to understand breastfeeding meanings and practices produced by women attending prenatal care at a Basic Health Unit in the Brazilian Northeast. Methods: a social research characterized as participant research. A Focal Group was conducted with nine pregnant women who had other children. For the analysis, Discursive Practices and Production of Meanings in Everyday Life perspectives were worked out. Results: prenatal care, mother-baby relationship, family, and pain/suffering categories were produced. Final Considerations: breastfeeding benefits for the child, wife, family and society are numerous, but it is necessary for the woman to have access to a prenatal care and a qualified puerperium so that she feels supported by a perspective of comprehensive care.

RESUMEN Objetivos: comprender los sentidos y las prácticas sobre la lactancia producidos por las mujeres acompañadas en el prenatal en una Unidad Básica de Salud en el nordeste brasileño. Métodos: investigación social caracterizada como investigación participante. Ha realizado un Grupo Focal con nueve gestantes que ya tuvieron otros hijos. Para los análisis, la perspectiva de las prácticas discursivas y Producción de Sentidos en el Cotidiano fueron trabajadas. Resultados: Han producido las categorías: prenatal, relación madre-bebé, familia, y dolor/sufrimiento. Consideraciones Finales: son innumerables los beneficios de la lactancia para el niño, la mujer, la familia y la sociedad, pero es necesario que la mujer tenga acceso a un prenatal y una atención al puerperio calificado para que ella se sienta amparada desde una perspectiva del puerperio calificado, cuidado integral.

RESUMO Objetivos: compreender os sentidos e as práticas sobre a amamentação produzidos pelas mulheres acompanhadas no pré-natal em uma Unidade Básica de Saúde no nordeste brasileiro. Métodos: pesquisa social caracterizada como pesquisa participante. Foi realizado um Grupo Focal com nove gestantes que já tiveram outros filhos. Para as análises, a perspectiva das práticas discursivas e da Produção de Sentidos no Cotidiano foram trabalhadas. Resultados: foram produzidas as categorias: pré-natal, relação mãe-bebê, família, e dor/sofrimento. Considerações Finais: são inúmeros os benefícios da amamentação para a criança, a mulher, a família e a sociedade, porém é necessário que a mulher tenha acesso a um pré-natal e uma atenção ao puerpério qualificado para que ela se sinta amparada em uma perspectiva do cuidado integral.

Adult , Female , Humans , Pregnancy , Prenatal Care/standards , Breast Feeding/psychology , Patient Education as Topic/standards , Prenatal Care/psychology , Prenatal Care/methods , Brazil , Breast Feeding/trends , Breast Feeding/methods , Patient Education as Topic/trends , Patient Education as Topic/methods , Qualitative Research , Mother-Child Relations
Buenos Aires; ASAPER; 2020. 216 p. ilus, graf.(Clínicas Perinatológicas Argentinas, 2019-2020).
Monography in Spanish | LILACS, InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1342955


Número que reúne material del curso a distancia Clínicas Perinatológicas Argentinas 201-2020, desarrollado por la Asociación Argentina de Perinatología.

Humans , Female , Pregnancy , Infant, Newborn , Perinatology/instrumentation , Perinatology/methods , Breast Feeding/trends , Pregnancy , Syphilis/complications , Perinatal Care , Perinatal Death , Postpartum Hemorrhage , Neonatology
Rev. Paul. Pediatr. (Ed. Port., Online) ; 38: e2018401, 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1136715


ABSTRACT Objective: To evaluate the feeding practices for infants under one year of age, according to food and nutrition policies. Methods: This is a descriptive cross-sectional study based on secondary data from the Chamada Neonatal project (research on prenatal, childbirth, and infant care) in the state of Rio Grande do Norte. The sample analyzed comprised 837 mother/child (under one year of age) pairs. We found a prevalence of data on exclusive breastfeeding (EBF) in the first hour of life - partial and total -, as well as on food consumed by children 24 hours prior to the interview. We estimated the probability of consumption according to the child's age in days using the probit analysis. Results: Among the interviewed mothers, 64.8% (95%CI 62.4-70.8) declared breastfeeding in the first hour of life, and 60% (95%CI 56.41-63.07) of the children were still breastfed at the end of their first year of life. The median duration of EBF was 63 days (95%CI 60-67). Water or tea, dairy products, fruits, and vegetables were introduced early, with medians lower than 180 days. The probit analysis revealed that the consumption of breast milk tended to decrease and food intake to increase as the child gets older, with exponential growth in the "unhealthy food" group. Conclusions: Although most children were breastfed up to one year of life, few did so exclusively. Foods were introduced early, with increased consumption of unhealthy ones, resulting in inadequate dietary quality according to recommendations from food and nutrition public policies.

RESUMO Objetivo: Avaliar as práticas alimentares em menores de um ano de idade, de acordo com as políticas de alimentação e nutrição. Métodos: Estudo transversal descritivo, com dados secundários da Chamada Neonatal no Estado do Rio Grande do Norte. A amostra analisada foi de 837 pares mãe/filho menor de um ano de idade, e observou-se a prevalência de dados do Aleitamento Materno Exclusivo (AME), na primeira hora de vida, parcial e total, assim como dos alimentos ingeridos pelas crianças nas últimas 24 horas anteriores à entrevista. Por meio da análise de probitos, estimaram-se as probabilidades de consumo dos alimentos por idade da criança, em dias. Resultados: A prática de aleitamento na primeira hora de vida foi relatada por 64,8% (IC95% 62,4-70,8) das mães entrevistadas e, ao final do primeiro ano de vida, 60% (IC95% 56,41-63,07) das crianças ainda estavam sendo amamentadas. A mediana de aleitamento exclusivo foi de 63 dias (IC95% 60-67). Água ou chá, alimentos lácteos, frutas, legumes e verduras foram introduzidos precocemente, com medianas menores que 180 dias. Observou-se por análise de probitos que o consumo de leite materno tendeu a diminuir e o de alimentos a aumentar, de acordo com a idade da criança, com aumento exponencial do grupo "alimentos não saudáveis". Conclusões: Apesar de a maioria das crianças ser amamentada até um ano de vida, poucas estavam em aleitamento exclusivo. Alimentos foram introduzidos precocemente, com aumento do consumo dos não saudáveis, resultando em inadequação da qualidade alimentar frente ao preconizado pelas políticas públicas de alimentação e nutrição.

Humans , Male , Female , Infant, Newborn , Infant , Adult , Young Adult , Epidemiology/statistics & numerical data , Nutrition Policy/legislation & jurisprudence , Feeding Behavior/psychology , Mothers/statistics & numerical data , Vegetables/supply & distribution , Brazil/epidemiology , Breast Feeding/trends , Prevalence , Cross-Sectional Studies , Interviews as Topic , Dairy Products/supply & distribution , Diet, Food, and Nutrition , Fruit/supply & distribution
Rev. medica electron ; 41(3): 655-668, mayo.-jun. 2019. tab
Article in Spanish | LILACS | ID: biblio-1094074


RESUMEN Introducción: que un niño reciba y se alimente con lactancia materna en las sociedades actuales, cada día es una tarea más compleja. Objetivo: caracterizar el comportamiento de la lactancia materna en el Consultorio Médico de Familia No 16. Policlínico "Manuel Piti Fajardo", municipio Cárdenas. Materiales y métodos: se realizó un estudio observacional, descriptivo, transversal. El universo lo constituyeron 68 madres de nacidos vivos pertenecientes a esa área de salud, en el período de enero 2011 -diciembre 2015. Las variables estudiadas fueron: edad, nivel escolar, ocupación, tiempo de lactancia, factores que incidieron en la suspensión de la lactancia materna, planificación familiar, conocimientos sobre lactancia materna. Los datos se obtuvieron de las historias clínicas familiares e individuales, del registro de nacimientos del Departamento de Estadística del Policlínico, del Análisis Integral de la Situación de Salud del Consultorio, la encuesta y la observación. Resultados: predominó en las madres de nacidos vivos el grupo de edad de 25 a 29 años, con el 41,7 %. El 77,9 % tenían nivel preuniversitario y el 47,0 % eran trabajadoras. El 47,5 % lactan entre 1-3 meses. Incidió en el abandono de la lactancia materna el no tener suficiente leche con un 44,1 %, el 50,0 % no planificaron el embarazo, y el 58,8 % no poseían los conocimientos adecuados. Conclusiones: un elevado porcentaje de las madres lactan hasta los 3 primeros meses de vida, la causa de abandono más frecuente de lactancia materna fue el no tener suficiente leche. Prevaleceieron los conocimientos no adecuados sobre la lactancia materna.

ABSTRACT Introduction: breastfeeding in current societies is a very complex task. Objective: to characterize breastfeeding in the Family Doctor´s Office Nr. 16 of the Policlinic ¨Manuel Pity Fajardo¨, municipality of Cardenas. Materials and methods: a cross-sectional, descriptive, observational study was carried out. The universe was composed by 68 mothers of born-alive children belonging to that health area in the period January 2011-December 2015. The studied variables were age, scholarship, job, breastfeeding time, factors causing breastfeeding delay, family planning, and knowledge on breastfeeding. Data were gathered from the individual and family records, from the births´ register of the Policlinic Statistics Department, from the Comprehensive Analysis of Health Situation, enquire and observation. Results: the 25-29-years-old age group predominated among mothers of born-alive children (41.7 %). 77.9 % had senior high school scholarship, and 47.0 % were workers. 47.5 % of them breastfeed 1-3 months. Not having enough breast milk (44.1 %), a non-planed pregnancy (50.0 %), and not having the adequate knowledge (58.8 %) influenced in breastfeeding delay. Conclusions: a high percent of mothers breastfeed just during the first three months of life; the most common cause of breastfeeding delay was not having enough breast milk. There it was a prevalence of non-adequate knowledge on maternal breastfeeding.

Humans , Female , Infant , Adolescent , Adult , Socioeconomic Factors , Weaning , Breast Feeding/trends , Breast Feeding/statistics & numerical data , Health Behavior , Child Development , Population Studies in Public Health , Infant Welfare/statistics & numerical data , Life Style , Health Knowledge, Attitudes, Practice , Epidemiology, Descriptive , Cross-Sectional Studies , Observational Study , Infant Health , Milk, Human/physiology
Rev. bras. enferm ; 72(1): 3-8, Jan.-Feb. 2019.
Article in English | LILACS, BDENF | ID: biblio-990667


ABSTRACT Objective: To point out limits and possibilities involved in the teaching and learning process of undergraduate students from Health of a Federal Public Higher Education Institution on breastfeeding. Method: Instantaneous photography study carried out in undergraduate courses in the area of Health with professors and students involved in the teaching and learning process on breastfeeding. For data collection, the Focal Group technique was used with the students and the semi-structured interview with the professors. The speeches were submitted to the thematic content analysis of Bardin. Results: It was identified the thematic category: Limits and possibilities for the teaching and learning process on breastfeeding, from two sub-categories: Structural limitations of the courses; and Advances and obstacles in the relationship between theory and practice. Final considerations: Limits indicated as workload deficit and professor-centered teaching made progress in learning about breastfeeding difficult, and interdisciplinarity was a step forward in this process.

RESUMEN Objetivo: Aponte límites y posibilidades involucrados en el proceso de enseñanza-aprendizaje de graduandos del área de la Salud de una Institución de Enseñanza Superior Pública Federal sobre el tema "lactancia materna". Método: Estudio de fotografía instantánea realizado en los cursos de graduación del área de la Salud con profesores y estudiante involucrados en el proceso de enseñanza-aprendizaje de la temática sobre lactancia materna. Para la recolección de datos se utilizó la técnica de Grupo Focal con los estudiantes, y la entrevista semiestructurada con los profesores. Las palabras se sometieron al análisis de contenido temático de Bardin. Resultados: Se identificó la categoría temática: Límites y posibilidades para el proceso de enseñanza-aprendizaje en la temática sobre lactancia materna, a partir de dos subcategorías: Limitaciones de la estructura de los cursos; y Avances y obstáculos en la relación entre teoría y práctica. Consideraciones finales: Los límites apuntados como déficit de carga horaria y enseñanza centrada en el profesor dificultaron el progreso en el aprendizaje de la temática sobre lactancia materna, siendo la interdisciplinaridad un avance para ese proceso.

RESUMO Objetivo: Apontar limites e possibilidades envolvidos no processo de ensino-aprendizagem de graduandos da área da Saúde de uma Instituição de Ensino Superior Pública Federal sobre o tema "aleitamento materno". Método: Estudo de fotografia instantânea realizado nos cursos de graduação da área da Saúde com docentes e discentes envolvidos no processo de ensino-aprendizagem da temática sobre aleitamento materno. Para a coleta de dados foi utilizada a técnica de Grupo Focal com os discentes, e a entrevista semi-estruturada com os docentes. As falas foram submetidas à análise de conteúdo temática de Bardin. Resultados: Foi identificada a categoria temática: Limites e possibilidades para o processo de ensino-aprendizagem na temática sobre aleitamento materno, a partir de duas sub-categorias: Limitações da estrutura dos cursos; e Avanços e entraves na relação entre teoria e prática. Considerações finais: Os limites apontados como déficit de carga horária e ensino centrado no docente dificultaram o progresso na aprendizagem da temática sobre aleitamento materno, sendo a interdisciplinaridade um avanço para esse processo.

Humans , Students/psychology , Breast Feeding/methods , Curriculum/standards , Allied Health Personnel/education , Students/statistics & numerical data , Universities/organization & administration , Universities/statistics & numerical data , Brazil , Breast Feeding/trends , Health Education/methods , Health Education/trends , Data Collection , Interviews as Topic/methods , Surveys and Questionnaires , Focus Groups/methods , Qualitative Research , Allied Health Personnel/psychology , Allied Health Personnel/statistics & numerical data
Rev. pesqui. cuid. fundam. (Online) ; 11(1): 248-254, jan.-mar. 2019.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-968577


Objetivo: Identificarel conocimiento científico acerca de la percepción de las mujeres con respecto a la lactancia materna. Método: Una revisión integradora para buscar artículos en MEDLINE, Pub / Med, LILACS, BDENF base de datos central de PubMed se realizó: PMCE CINAHL, de 2008 a 2015, se seleccionaron 30 artículos. Resultado: Surgió a partir del análisis las categorías: Beneficios de la lactancia materna; mitos y tabúes que rodean a la lactancia materna; sentimientos contradictorios durante la lactancia, aspectos culturales,la gestión de la lactancia materna y recomendaciones para la práctica. Conclusión:Percepciones de las mujeres sobre la lactancia materna, pueden contribuir a la formulación de recomendaciones con el fin de ayudar a la enfermera en una perspectiva que va más allá de la técnica respetando los significados y prácticas atribuidas a las mujeres que amamantan

Objective: Identify the contribution of the research on the scientific knowledge about the perception of women regarding breastfeeding. Method: An integrative review was carried and the search for articles occurred in MEDLINE, Pub/Med, LILACS, BDENF, PubMed Central: PMCe CINAHL, from 2008 to 2015, containing 30 articles. Results: Emerging from the analysis were the following categories: benefits of breastfeeding, myths and taboos surrounding breastfeeding; contradictory feelings when breastfeeding; cultural aspects and management of breastfeeding. Conclusion: The results indicate aspects about women's perceptions regarding breastfeeding, which may contribute to the development of recommendation sin order to assist the breast feeder in a perspective that goes beyond the technical, respecting the perceptions, meanings and practices attributed to breastfeeding by women

Objetivo: Identificar o conhecimento científico produzido acerca da percepção das mulheres quanto à prática do aleitamento materno.Método:Revisão integrativa com busca dos artigos nas bases de dados MEDLINE, Pub/Med, LILACS, BDENF, PubMed Central: PMC e CINAHL, de 2008 a 2015, sendo selecionados 30 artigos. Resultados: Da análise, emergiram as categorias: vantagens do aleitamento materno; mitos e tabus em torno da amamentação; sentimentos contraditórios ao amamentar; aspectos culturais; manejo da amamentação; e recomendações para a prática. Conclusão: As percepções das mulheres em relação à amamentação podem contribuir para a elaboração de recomendações com vistas a assistir a nutriz numa perspectiva que vai além da técnica, respeitando os significados e práticas atribuídas à amamentação pelas mulheres

Humans , Female , Infant, Newborn , Infant , Breast Feeding/methods , Breast Feeding/trends , Health Knowledge, Attitudes, Practice
Article in French | AIM | ID: biblio-1264248


Introduction : Dans un contexte de non atteinte des recommandations de l'OMS et de l'UNICEF con-cernant l'allaitement maternel exclusif, cette étude avait pour objectif de décrire les pratiques et habi-tudes d'allaitement maternel dans une population semi-rurale au sud du Bénin. Matériel et méthode : Cette enquête s'est déroulée à Sèmè-Kpodji située à 15 km au sud-est de la capitale Porto-Novo. Les pratiques d'allaitement maternel exclusif de 0 à 6 mois ont été observées et notées chez 339 femmes ayant accouché entre janvier 2015 et janvier 2016. Résultats : La plupart des enfants (71,40%) ont été mis au sein dès la première de vie ; l'âge moyen de sevrage était de 4,5 mois. Le taux d'allaitement maternel exclusif était de 53,9% et a diminué pro-gressivement en fonction de l'âge de l'enfant. Les taux d'allaitement maternel prédominant et complété ont varié de 25,4% à 49,6% et de 0 à 40,7% respectivement. La durée moyenne des tétées est passée de 24,1 à 15,1 minutes et la fréquence des repas de 9,5 à 6,4 repas par jour. Conclusion : Cette enquête confirme la nécessité de continuer les interventions de santé publique visant à promouvoir l'allaitement maternel exclusif afin d'améliorer les indicateurs de santé materno-infantile

Benin , Breast Feeding/methods , Breast Feeding/statistics & numerical data , Breast Feeding/trends , Child
Rev. medica electron ; 40(5): 1429-1445, set.-oct. 2018. graf
Article in Spanish | LILACS, CUMED | ID: biblio-978681


RESUMEN Introducción: el amamantamiento ha sido la primera forma de alimentación del género humano. Es indiscutible la repercusión de este acto en el desarrollo integral del niño, y el aparato estomatognático no está ajeno a este influjo. Objetivo: identificar el período de lactancia materna y su repercusión en la presencia de los diastemas fisiológicos de crecimiento. Materiales y métodos: se realizó un estudio descriptivo y transversal, se examinaron los 156 niños, de 2 a 5 años de edad, pertenecientes al círculo infantil "Días de Infancia", del área de salud Playa, en el período febrero 2007-febrero 2008. Los datos obtenidos del examen clínico se reflejaron en un formulario confeccionado al efecto. Variables: período de lactancia materna, espacios fisiológicos de crecimiento, espacios de primate. Los datos fueron procesados en tablas y gráficos. Se emplearon análisis estadísticos. Resultados: el 56,4 % de los niños recibieron lactancia por un período menor de 6 meses. El 15.9 % de los que fueron amamantados por un período menor de 6 meses no presentaban estos espacios. Cuando aumentó el periodo de amamantamiento por más de seis meses, la ausencia de espacios disminuyó y solo se evidenció en el 9.0 % de ellos. El 60.6 % reveló la presencia de todos los espacios. El 1.3 % de los niños no recibieron lactancia materna y, sin embargo, si presentaron todos los diastemas fisiológicos de crecimiento. Conclusiones: se determinó que la mayoría de los niños fueron amamantados por un período de 6 meses o menos. Los diastemas fisiológicos de crecimiento estuvieron más representados cuando la lactancia se prolongó por más de 6 meses (AU).

ABSTRACT Introduction: breastfeeding has been the first feeding form of the humankind. The repercussion of this act is undeniable in the comprehensive development of the child, and the stomatognathic system does not escape to this influence. Objective: to identify the period of maternal breastfeeding and its repercussion on the physiologic diastema of growth. Materials and methods: a cross-sectional, descriptive study was carried out in 156 children aged 2-5 years, assisting the day care center "Dias de Infancia", health area Playa, in the period February 2007-February 2008. Data obtained in the clinical examination were shown in a form elaborated for that. The studied variables were maternal breastfeeding period, physiological spaces of growth, primate spaces. Data were processed in tables and graphics. Statistical analyses were used. Results: 56.4 % of the children were breastfed for less than six months. 15.9 % of those who were breastfed for less than six month did not present these spaces. When the breastfeeding period increased for more than six months, the absence of spaces decreased and was evidenced in only 9.0 % of them. 60.6 % showed the presence of all the spaces. 1.3 % of the children were not breastfed, and nevertheless they did show all the physiological diastemata of growth. Conclusions: it was found that most of the children were breastfed for a period of six months or less. Physiological diastemata of growth were more represented when breastfeeding lasted more than six months (AU).

Humans , Male , Female , Breast Feeding/trends , Diastema/physiopathology , Lactation , Oral Medicine , Growth/physiology
Rev. chil. pediatr ; 89(4): 484-490, ago. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-959550


INTRODUCCIÓN: En Chile, el año 2011 entró en vigencia la ley 20.545, correspondiente a la extensión del postnatal de 12 a 21 semanas. La Encuesta Nacional de Lactancia Materna (ENALMA), aplicada posterior al postnatal extendido, reportó un aumento del 12% en la adherencia a la lactancia materna exclusiva (LME) al sexto mes. Sin embargo, un 63% de las mujeres encuestadas eran laboralmente inactivas, por lo que las principales causas de cese de LM (lactancia materna) no estaban relacionadas con el tiempo de descanso materno. OBJETIVOS: Calcular el impacto de los cambios en la adherencia a la LME en pacientes atendidos en control sano, en el período previo y posterior a la entrada en vigencia del post natal extendido. MATERIALES Y MÉTODOS: Se realizó la extracción de datos de las fichas electrónicas del Centro Médico San Joaquín entre los años 2009 a 2013, los cuales fueron reclutados según criterios de inclusión y exclusión especificados (n = 938 pacientes). Posteriormente, fueron divididos en 2 grupos, según la presencia o ausencia de postnatal extendido, con seguimiento a los 3, 6 y 12 meses. Mediante tablas de frecuencia se realizó la caracterización de los grupos al comienzo del periodo de observación. Para evaluar homogeneidad de grupos, las variables del estudio se compararon entre los grupos mediante los test de chi cuadrado y Wilcolxon Mann-Whitney. Se comparó la prevalencia de mantención de LME mediante pr-test entre los grupos a los 3, 6 y 12 meses. Mediante análisis de sobrevida y regresión de Cox, se calculó el impacto del efecto del postnatal extendido entre ambos grupos en los primeros 12 meses. RESULTADOS: Al comienzo de los periodos de observación, no se observaron diferencias entre los grupos en las variables estudiadas. Al comparar ambos grupos, sin y con postnatal extendido, no se encontraron diferencias significativas en la adherencia a la LME a los 3 meses: 327(66%) vs 302(68%), p = 0,492, respectivamente. En contraste, en el seguimiento a 6 y 12 meses se evidenció un aumento en la adherencia a la LME: 164 (33%) a 187 (42%), p = 0,004 y a los 12 meses; de 51 (10%) a 72 (16%), p = 0,007. Al analizar el impacto de la extensión del postnatal en la adherencia a la lactancia materna, determinado por la razón de riesgo, el postnatal extendido podría influir positivamente en la adherencia a la LME en el tiempo, con un HR < 1 (HR: 0,852, p = 0,04 IC 95%: 0,728-0,996). CONCLUSIÓN: el aumento del tiempo de descanso materno, podría influir como factor protector de la adherencia a la LME.

INTRODUCTION: In Chile, Law 20,545 came into force in 2011, extending the maternity leave from 12 to 21 weeks. The National Breastfeeding Survey (ENALMA, in Spanish), applied after the exten ded maternity leave, reported a 12% increase in adherence to exclusive breastfeeding (EBF) at the sixth month. However, 63% of the women surveyed were unemployed, therefore, the main causes of cessation of breastfeeding (BF) were not related to maternal rest time. OBJECTIVES: To calculate the impact of changes in the EBF adherence in patients who attend to well-child visits in the period before and after the entry into force of the extended maternity leave. MATERIALS AND METHODS: Data were collected from electronic medical records of the San Joaquin Health Center between 2009 and 2013, which were recruited according to specified inclusion and exclusion criteria (n = 938 patients). Subsequently, they were divided into two groups according to the presence or absence of the ex tended maternity leave and with follow-up at three, six and 12 months. Using frequency tables, the characterization of the groups was carried out at the beginning of the observation period. To evaluate group homogeneity, study variables were compared between groups using Chi-square and Wico- lxon Mann-Whitney tests. The prevalence of EBF maintenance was compared by pr-test between the groups with follow-up at three, six and 12 months. Using survival analysis and Cox regression, the impact of the extended maternity leave effect between both groups in the first 12 months was cal culated. RESULTS: At the beginning of the observation periods, no differences were observed between the groups in the studied variables. When comparing groups, without and with extended maternity leave, there were no significant differences in EBF adherence at three months: 327 (66%) versus 302 (68%), p = 0.492, respectively. However, in the groups in follow-up at six and 12 months, there was an increase in EBF adherence from 164 (33%) to 187 (42%), p = 0.004 and from 51 (10%) to 72 (16), p = 0.007, respectively. Analyzing the impact of the maternity leave extension on the adherence to breastfeeding, determined by risk ratio, this extension may positively influence on the adherence to EBF over time, with a HR < 1 (HR: 0.852, p=0.04 CI 95%: 0.728-0.996). CONCLUSION: Increased ma ternal resting time may influence as a protective factor for adherence to EBF.

Humans , Male , Female , Infant, Newborn , Infant , Adult , Women, Working , Breast Feeding/trends , Parental Leave/legislation & jurisprudence , Breast Feeding/statistics & numerical data , Chile , Retrospective Studies , Follow-Up Studies
Rev. chil. pediatr ; 89(2): 190-195, abr. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-900086


INTRODUCCIÓN: Dada la implementación de la ley postnatal parental en niños atendidos en sistema público de salud, el objetivo de este estudio es describir la tendencia de la lactancia materna exclusiva (LME) al sexto de mes de vida en Chile antes y después de la implementación de la ley postnatal parental. MATERIAL Y MÉTODO: Estudio observacional de tipo poblacional, a partir de los datos de LME hasta el sexto mes obtenidos de los registros estadísticos mensuales (REM), disponibles en el Departamento de Información y Estadísticas en Salud de niños atendidos en el sistema público de salud. Se determinó la prevalencia y la prevalencia ponderada por región y país. Se analizó la variación porcentual acumulada (VP) y variación porcentual anual (VPA) de la prevalencia utilizando un modelo de regresión lineal en el período antes (2008-2011) y después (2011-2013) de la implementación de la ley. RESULTADOS: La mayor prevalencia de LME se observó en los años 2008 (49,1%) y 2009 (45,1%) y la menor en el año 2011(41,1%). Las regiones de Antofagasta (33,6%) y Atacama (31,6%) presentaron la menor prevalencia ponderada del período 2008-2013. Se observó una VPA negativa en el período 2008-2011 y una VPA positiva en el período 2011-2013 en todas las regiones y en el país, con excepción de la región del Gral. Libertador B. O'Higgins. CONCLUSIONES: La promulgación de la ley que aumenta el postnatal de 12 a 24 semanas revierte la tendencia decreciente de la LME al sexto mes. Esto podría incentivar a otros gobiernos para invertir recursos y esfuerzos en la primera infancia aportando a la equidad y la salud.

INTRODUCTION: To describe the trend of exclusive breastfeeding (EBF) until sixth month of life in Chile before and after the implementation of the parental postnatal law in children treated in the public health system. MATERIAL AND METHOD: An observational and population-based study, using the EBF data up to the sixth month obtained from monthly statistical records (MSR), available at the Department of Information and Statistics on Health of children treated in the public health system. Prevalence and weighted prevalence were determined by region and country. Cumulative percentage variation (PV) and annual percentage variation (APV) of prevalence were analyzed using a linear regression model in the period before (2008-2011) and after (2011-2013) of the implementation of the law. RESULTS: The highest prevalence of EBF was observed in 2008 (49.1%) and 2009 (45.1%) and the lowest in 2011 (41.1%). The Antofagasta (33.6%) and Atacama Region (31.6%) had the lowest weighted prevalence of the period. A negative APV was observed in the period 2008-2011 and a positive APV in the period 2011-2013 in all regions and in the country, except for the B. O'Higgins Region. CONCLUSIONS: The enactment of the law that increases EBF until 24 weeks of life reverses the decreasing tendency previosly observed until the sixth month. This could encourage other governments to invest resources and efforts in early childhood by providing equity and health.

Humans , Female , Infant, Newborn , Infant , Breast Feeding/trends , Parental Leave/legislation & jurisprudence , Linear Models , Chile
Clin. biomed. res ; 38(4): 384-395, 2018.
Article in Portuguese | LILACS | ID: biblio-1024405


Este artigo tem o objetivo de realizar uma revisão analítica de estudos observacionais que avaliaram a relação entre o excesso de peso materno e o tempo de início do aleitamento materno, com enfoque nos fatores que podem atuar como mediadores da associação. Extensa revisão foi realizada nas bases de dados PubMed/MEDLINE, Google Acadêmico e Bireme/Lilacs utilizando um conjunto de termos relacionados ao início do aleitamento materno e ao excesso de peso materno. As referências dos artigos incluídos foram manualmente revisadas para identificar artigos não revelados anteriormente. Os critérios de seleção foram: idioma português, inglês ou espanhol; estudos originais, e estudo realizado em humanos. Vinte e nove artigos, provenientes de 24 diferentes estudos foram incluídos nas análises. A avaliação desses estudos indica que o excesso de peso materno atua como fator de risco importante para o não início do aleitamento materno e que esse risco se acentua com o aumento no grau de excesso de peso materno. Fatores psicológicos, raça, formas corporais e complicações gestacionais/obstétricas são variáveis maternas que parecem interagir com o excesso de peso, influenciando o início da amamentação. (AU)

This paper aims to propose an analytic review of observational studies that addressed the influence of maternal overweight on breastfeeding initiation, with emphasis on the factors that can act as mediators on this association. A search on PubMed/MEDLINE, Google Scholar and Bireme/Lilacs databases was conducted applying a number of descriptors related to breastfeeding and maternal body mass index. The reference lists of included articles were handsearched to identify further relevant studies. Selection criteria were: original articles, with human subjects, published in Portuguese, English or Spanish. A total of 29 papers from 24 different studies were included in the analysis. Maternal overweight was an important risk factor for failure to initiate breastfeeding. The risk was accentuated by the increase in maternal body mass index. Psychological factors, ethnicity, body shape and obstetric complications seem to interact with maternal overweight to interfere in breastfeeding initiation. (AU)

Humans , Female , Pregnancy , Infant, Newborn , Infant , Breast Feeding/trends , Maternal and Child Health , Depression, Postpartum , Obesity/complications , Obesity/psychology , Risk Factors , Obstetric Labor Complications
Cad. Saúde Pública (Online) ; 34(9): e00155117, 2018. tab
Article in Portuguese | LILACS | ID: biblio-952454


Resumo: Este artigo tem como objetivo analisar as articulações entre a produção das biopolíticas de amamentação e os discursos produzidos sobre desenvolvimento social após o período pós-guerra com vistas à problematização da dicotomia natureza/cultura mediante a qual a amamentação é frequentemente operada. Numa perspectiva antropológica, examinaram-se as biopolíticas de amamentação comparativamente às transformações nos discursos desenvolvimentistas. O exame dos movimentos globais realizadas por essas biopolíticas permitiu compreender como uma rede de entidades variadas (como órgãos de governo, organismos multilaterais, agências internacionais de desenvolvimento e organizações não-governamentais) vem configurando ao longo do tempo a amamentação em conformidade com os discursos e práticas desenvolvimentistas em vigor. Inicialmente, o discurso desenvolvimentista girava em torno da industrialização e modernização, e a amamentação não era foco de atenção das políticas públicas. Nas décadas de 1970 e 1980, quando o discurso desenvolvimentista passou a focar a desnutrição e a mortalidade infantil, têm início as primeiras biopolíticas globais de amamentação e a prática da amamentação passa a ser operada como um meio de combater tais males. Já o discurso de desenvolvimento social em jogo na contemporaneidade evoca também um processo de desenvolvimento individual. Simultaneamente, as biopolíticas de amamentação recorrem a tecnologias variadas com este propósito. Conclui-se que os discursos desenvolvimentistas atuam como uma referência sociocultural com base na qual a amamentação é operada, o que permite dizer que a amamentação é uma prática tão natural quanto política, econômica e social.

Abstract: This study aimed to analyze the links between the production of biopolitics for breastfeeding and social development discourses after the post-war period, with a view towards problematizing the nature/culture dichotomy by which breastfeeding is often operationalized. The study adopts an anthropological perspective to compare biopolitics for breastfeeding with the changes in developmentalist discourses. The analysis of global movements by these biopolitics helped explain how a network of distinct entities (e.g., government agencies, multilateral bodies, international development agencies, and nongovernmental organizations) have shaped breastfeeding over time in keeping with the prevailing developmentalist discourses and practices. Initially, the developmentalist discourse focused on industrialization and modernization, and breastfeeding was not the focus of public policies. In the 1970s and 1980s, when the developmentalist discourse shifted the focus to child malnutrition and infant mortality, the first global biopolitics for breastfeeding were launched, and breastfeeding practice began to be operationalized as a means to fight these health problems. Meanwhile, the contemporary social development discourse also evokes a process of individual development. Simultaneously, biopolitics for breastfeeding rely on various technologies for this purpose. The conclusion is that developmentalist discourses act as a sociocultural reference by which breastfeeding is operationalized, and thus that breastfeeding is not only a natural process, but also a political, economic, and social one.

Resumen: El objetivo de este artículo ha sido analizar los vínculos entre la generación de biopolíticas en lactancia materna y los discursos existentes sobre desarrollo social, tras el período de posguerra, relacionados con la problematización de la dicotomía naturaleza/cultura, a través de la cual transita frecuentemente lactancia materna. Desde una perspectiva antropológica, se examinaron comparativamente biopolíticas en lactancia materna con transformaciones surgidas en los discursos desarrollistas. El examen de los movimientos globales, realizados por esas biopolíticas, permitió comprender cómo una red de entidades variadas (como órganos de gobierno, organismos multilaterales, agencias internacionales de desarrollo y organizaciones no gubernamentales) han considerado a lo largo del tiempo la lactancia materna, según los discursos y prácticas desarrollistas en vigor. Inicialmente, el discurso desarrollista giraba en torno a la industrialización y modernización, y la lactancia materna no era el centro de atención de las políticas públicas. En las décadas de los 1970 y 1980, cuando el discurso desarrollista pasó a centrarse en la desnutrición y la mortalidad infantil, comenzaron las primeras biopolíticas globales en lactancia materna y la práctica de la lactancia pasó a ser tratada como un medio de combatir tales males. Ya el discurso de desarrollo social en boga en la contemporaneidad evoca también un proceso de desarrollo individual. Simultáneamente, las biopolíticas en lactancia materna exploran tecnologías variadas con este propósito. Se concluye que los discursos desarrollistas actúan como una referencia sociocultural, basándose en cómo es operada la lactancia materna, lo que permite considerarla una práctica tan natural, como política, económica y social.

Humans , History, 20th Century , History, 21st Century , Politics , Public Policy/trends , Social Change , Breast Feeding/trends , Public Policy/history , Brazil , Breast Feeding/history
Article in French | AIM | ID: biblio-1263847


Introduction : le lait maternel seul est l'aliment de prédilection des enfants de moins de six mois. Ce mode d'alimentation n'est pas toujours bien respecté ; d'où cette étude pour évaluer la pratique de l'allaitement maternel exclusif chez les nourrissons de 0 à six mois dans le district de Tchaoudjo. Méthodes : Il s'agissait d'une étude transversale, descriptive et analytique conduite du 02 mai au 29 juillet 2017 auprès des mères de nourrissons de 0 à six mois. La technique par sondage aléatoire simple était utilisée pour choisir les cibles. Résultats : L'étude avait concerné 374 mères. L'âge moyen des mères était 27,5 ans avec des extrêmes de 15 et de 49 ans, le niveau primaire (38,8%) et les ménagères (71,1%) étaient majoritaires, 72,2 % avaient pratiqué l'AME. Les facteurs influençant positivement la pratique de l'AME étaient, l'accouchement dans un centre de santé, l'assistance de l'accouchement par un personnel qualifié, la prise de décision d'allaiter au cours de la grossesse et le soutien du conjoint à l'AME. Conclusion : La pratique de l'AME était de 72,2% chez les nourrissons de 0 à six mois à Tchaoudjo et des facteurs l'influençant ont été identifiés en vue de l'améliorer

Breast Feeding/methods , Breast Feeding/statistics & numerical data , Breast Feeding/trends , Infant , Togo
Rev. medica electron ; 39(5): 1052-1060, set.-oct. 2017.
Article in Spanish | LILACS, CUMED | ID: biblio-902224


Introducción: la superioridad de la leche materna en la alimentación del recién nacido humano, es incuestionable por ello es un objetivo esencial del Programa Materno Infantil en Cuba. Objetivo: identificar causas y consecuencias del abandono de la lactancia materna exclusiva. Materiales y Métodos: se realizó una investigación descriptiva en el Policlínico de Contreras "José Luis Dubrocq", de Matanzas, de enero 2013 a febrero 2015. La muestra fue de 255 madres con lactantes menores de 6 meses, que cumplieron los criterios de inclusión. Las variables estudiadas: tipo de lactancia, edad de abandono de la lactancia materna exclusiva, causas, consecuencias y valoración nutricional. Para la recogida de la información se aplicó un cuestionario y se revisaron las historias clínicas. Se tuvo en cuenta el consentimiento informado y la voluntariedad. Resultados: la lactancia artificial fue la más utilizada, con un 57,6 %. La edad de dos meses predominó en el abandono de la lactancia materna, para un 38,4 %. La hipogalactia prevaleció como causa para abandonarla (47,1 %). Hubo un 63,2 % de incidencia de enfermedades alérgicas en niños con lactancia artificial, mayor presencia de infecciones respiratorias agudas, con un 87,1 %; enfermedades diarreicas agudas (51,7 %), y malnutridos el 48,3 %. Se encontró el 63,8 % de niños normopeso con lactancia materna exclusiva. Conclusiones: predominó la lactancia artificial a partir de dos meses, con la hipogalactia como causa de abandono de la lactancia materna. De forma proporcional aumentó la aparición de enfermedades alérgicas, infecciones respiratorias agudas, enfermedades diarreicas agudas y niños mal nutridos (AU).

Introduction: it is unquestionable the superiority of breast milk in feeding the new-born human individual. Therefore, it is an essential objective of the Maternal-Infantile Program in Cuba. Objective: to identify causes and effects of the exclusive maternal breastfeeding. Materials and Methods: a descriptive study was carried out in the policlinic "José Luis Dubrocq" of Contreras, from January 2013 to February 2015. The sample was 255 mothers with nursing infants aged less than 6 months, who fulfilled the inclusion criteria. The studied variables were: kind of feeding, age of exclusive breastfeeding discontinuation, causes, consequences and nutritional assessment. For gathering information, a questionnaire was applied and clinical records were reviewed. The informed consent and voluntariness were taken into account. Results: the bottle feeding was the most used one, with 57,6 %. The age of two months predominated in maternal breastfeeding discontinuation, for 38,4 %. Hypogalactia prevailed as a cause for discontinuing it (47,1 %). There it was 63,2 % of allergic diseases incidence in children with bottle feeding, higher presence of acute respiratory infections, with 87,1 %, acute diarrheic infections (51,7 %), and malnutrition (48,3 %). It was found a 63,8 % of norm-weight children with exclusive maternal breastfeeding. Conclusions: bottle feeding predominated beginning form the age of two months, with hypogalactia the cause of discontinuing maternal breastfeeding. In a proportional way, allergic diseases, acute respiratory infections, acute diarrheic infections and malnourished children increased (AU).

Humans , Female , Breast Feeding/trends , Infant , Sucking Behavior , Causality , Impacts of Polution on Health/analysis , Disasters Consequence Analysis , Observational Studies as Topic