Momentos críticos de abandono de la lactancia materna en un seguimiento de 6 meses / Critical moments for weaning in a 6-month follow-up study

Objetivo. Identificar los momentos críticos de la lactancia materna (LM) completa (LMC) y de abandono total de la LM a lo largo de un seguimiento de 6 meses. Método. Estudio descriptivo longitudinal, seguimiento de 6 meses de una muestra accidental de 270 madres con lactantes amamantados sanos. Análisis de supervivencia, cálculo de la densidad de incidencia (DI) de abandono de la LMC y LM por quincenas. Resultados. Pérdida de muestra 10% (4 meses) y 17% (6 meses). Mediana LMC de 120 días (intervalo de confianza [IC] del 95%, 111,17-128,83) y LM de 171 días (IC del 95%, 151,40 a > 180). La mediana de duración de la LM parcial (LMP) fue de 30 días (IC del 95%, 19,49-40,51). Picos de DI de LMC en la primera y segunda semanas y a partir de la semana 17. Los aumentos de DI de LM coinciden con los picos de la LMC e incluyen también las semanas posteriores. Conclusiones. El alta hospitalaria y el final de la prestación por maternidad son los momentos de mayor DI de abandono para la muestra estudiada. El abandono de la LMC y el de la LM están relacionados. Estos resultados sugieren la necesidad de aumentar el apoyo tras el alta, especialmente a las madres que ofrecen LMP y al reiniciar el trabajo

Objective. To identify critical moments for discontinuing full breast feeding (FBF) and any breast feeding (BF) in the first 6 months. Method. We performed an observational, 6-month follow-up study of an accidental sample of 270 mothers with healthy breastfed infants. Survival analyses and the incidence rates (IR) of discontinuance of FBF and ABF every fortnight were obtained. Results. Loss to follow-up: 10% at 4 months and 17% at 6 months. The median length of FBF was 120 days (95%CI = 111.17-128.83) and the median length of BF was 171 days (95% CI =151.40-190.60). The median duration of partial breast feeding (PBF) was 30 days (95% CI=19.49-40.51). IR peaks of BF were found in the first and second weeks and after week 17. Increases of the IR of BF coincided with IR peaks of FBF and also included subsequent weeks. Conclusions. The highest IR for discontinuance of BF were found at hospital discharge and return to work. PBF was related to weaning. These results suggest the need to increase support after discharge, especially to mothers PBF and those returning to work

[The climacteric and physical exercise: the experience of 6 health centers of the Community of Valencia]. / Climaterio y ejercicio físico: la experiencia de 6 centros de salud de la Comunidad Valenciana.

OBJECTIVE: To determine whether physical exercise improves the functional motor capacity of menopausal women who practise it. DESIGN: Retrospective study. SETTING: Six Health Centres in the province of Valencia. PARTICIPANTS: 226 menopausal women. INTERVENTION: Assessment of a functional motor capacity test at the start and at 6 and 12 months with two groups of menopausal women, one in a Physical Exercise programme and the other not. RESULTS: Variation of functional capacity over time was measured and the number of women who improved, equalled or diminished their capacity was obtained, both for the group doing physical exercise and the group not doing it. At the six-month assessment, the percentage of women who did physical exercise and improved their functional motor capacity (64.71%) was significantly higher (p = 0.025) than those who didn't exercise and improved this capacity (45.45%). The differences at twelve months were much more significant (p = 0.0079), with percentages of 61.99% and 38.18% respectively. CONCLUSION: Menopausal women who practise appropriate and controlled physical exercise improve their functional motor capacity more than those who do not.