Feeding practices and early weaning in the neonatal period: a cohort study
Rev. saúde pública (Online)
; 55: 1-12, 2021. tab
Artigo
em Inglês
| LILACS, BBO - Odontologia
| ID: biblio-1347814
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT OBJECTIVE To describe feeding practices and the risk factors for the mixed breastfeeding and early weaning in the neonatal period. METHODS Cohort study, which we collected socioeconomic, demographic, health care and feeding data from 415 mother/child binomials born in four public maternity hospitals in Natal/Brazil. They were followed-up at 48 hours, 7 and 28 days after birth. The association was established using Pearson's Chi-square test and Poisson's regression, after adjusting it to other variables. RESULTS The prevalence of mixed breastfeeding in the first 2 days was 47,2% and early weaning in 7 and 28 days was 8,4% and 16,2% in that order. The main reasons for mixed breastfeeding and early weaning were colostrum deficiency (33.8%), difficulty in latching/sucking (23.5%) and "little milk" (70.0%). The use of formula/milk/porridge remained associated with maternal age ≤ 20 years (RR = 0.64; 95%CI 0.47-0.86), age 20-29 years (RR = 0,70; 95%CI 0,57-0,87), primiparity (RR = 1.37; 95%CI 1.11-1.60) and cesarean delivery (RR = 1.20; 95%CI 1.00-1.45) at 2 days; absence of paternal support (RR = 4.98; 95%CI 2.54-9.79) and pacifier use (RR = 3.21; 95%CI 1.63-6.32) at 7 days; and only pacifier use (RR = 2.48; 95%CI 1.53-4.02) at 28 days. CONCLUSIONS Early weaning was associated with maternal and health care factors, thus suggesting the need to readjust good practices and educational actions to achieve the exclusive offer to the maternal breast in the neonatal period.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
BBO - Odontologia
/
LILACS
Assunto principal:
Aleitamento Materno
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Criança
/
Feminino
/
Humanos
/
Lactente
/
Recém-Nascido
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Rev. saúde pública (Online)
Assunto da revista:
Sa£de P£blica
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal do Rio Grande do Norte/BR