| Revue: | Revista de saude publica |
| Base de datos: | |
| Número de sistema: | 000535697 |
| ISSN: | 0034-8910 |
| Autores: | Goudard, Marivanda Julia Furtado1 Lamy, Zeni Carvalho1 Marba, Sérgio Tadeu Martins2 Lima, Geisy Maria de Souza3 Santos, Alcione Miranda dos1 Vale, Marynea Silva do4 Ribeiro, Talyta Garcia da Silva5 Costa, Roberta6 Azevedo, Vivian Mara Gonçalves de Oliveira7 Lamy Filho, Fernando1 |
| Instituciones: | 1Universidade Federal do Maranhão, Departamento de Saúde Pública, São Luís. Brasil 2Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Campinas, São Paulo. Brasil 3Instituto de Medicina Integral Professor Fernando Figueira, Departamento de Neonatologia, Recife, Pernambuco. Brasil 4Universidade Federal do Maranhão, Hospital Universitário, São Luís. Brasil 5Universidade Federal do Maranhão, Faculdade de Medicina, São Luís. Brasil 6Universidade Federal de Santa Catarina, Departamento de Enfermagem, Florianópolis, Santa Catarina. Brasil 7Universidade Federal de Uberlândia, Faculdade de Educação Física e Fisioterapia, Uberlândia, Minas Gerais. Brasil |
| Año: | 2022 |
| Volumen: | 56 |
| País: | Brasil |
| Idioma: | Inglés |
| Resumen en inglés | OBJETIVE To understand the role of exposure to skin-to-skin contact and its minimum duration in determining exclusive breastfeeding at hospital discharge in infants weighing up to 1,800g at birth. METHODS A multicenter cohort study was carried out in five Brazilian neonatal units. Infants weighing ≤ 1,800g at birth were eligible. Skin-to-skin contact time was recorded by the health care team and parents on an individual chart. Maternal and infant data was obtained from maternal questionnaires and medical records. The Classification Tree, a machine learning method, was used for data analysis; the tree growth algorithm, using statistical tests, partitions the dataset into mutually exclusive subsets that best describe the response variable and calculates appropriate cut-off points for continuous variables, thus generating an efficient explanatory model for the outcome under study. RESULTS A total of 388 infants participated in the study, with a median of 31.6 (IQR = 29–31.8) weeks of gestation age and birth weight of 1,429g (IQR = 1,202–1,610). The exclusive breastfeeding rate at discharge was 61.6%. For infant’s weighting between 1,125g and 1,655g, exposed to skin-to-skin contact was strongly associated with exclusive breastfeeding. Moreover, infants who made an average > 149.6 min/day of skin-to-skin contact had higher chances in this outcome (74% versus 46%). In this group, those who received a severity score (SNAPPE-II) equal to zero increased their chances of breastfeeding (83% versus 63%). CONCLUSION Skin-to-skin contact proved to be of great relevance in maintaining exclusive breastfeeding at hospital discharge for preterm infants weighing 1,125g–1,655g at birth, especially in those with lower severity scores. |
| Keyword: | Infant, Low Birth Weight, Premature Birth, Breast Feeding, Kangaroo-Mother Care Method, Intensive Care, Neonatal |
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