| Revue: | Revista de saude publica |
| Base de datos: | |
| Número de sistema: | 000535830 |
| ISSN: | 0034-8910 |
| Autores: | Pinheiro, Josilene Maria Ferreira1 Flor, Taiana Brito Menêzes1 Araújo, Mayara Gabrielly Germano de2 Xavier, Ana Márcia Soares Fernandes2 Mata, Amanda Michelly Braga da2 Pires, Vanessa Cristina da Costa2 Oliveira, Luana Isabelly Carneiro de3 Andrade, Fábia Barbosa de1 |
| Instituciones: | 1Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Saúde Coletiva, Natal, Rio Grande do Norte. Brasil 2Universidade Federal do Rio Grande do Norte, Hospital Universitário Onofre Lopes, Natal, Rio Grande do Norte. Brasil 3Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte. Brasil |
| Año: | 2021 |
| Volumen: | 55 |
| País: | Brasil |
| Idioma: | Inglés |
| Resumen en inglés | 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. |
| Keyword: | Breast Feeding, Weaning, Mixed Feeding, Infant Formula, Infant Nutrition, Cohort Studies |
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