Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question "Would you be willing to try to breastfeed exclusively for the first 6 months?", in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4-19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35-1.98) and in those who intended to smoke 4-7 days/week after delivery (PR, 1.42; 1.11-1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19-0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38-0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.

Método canguru: percepções da equipe de enfermagem em terapia intensiva neonatal / Kangaroo method: perceptions of the nursing team in neonatal intensive therapy / Método madre canguro: percepciones del equipo de enfermería en terapia intensiva neonatal

Objetivo: conhecer a percepção da equipe de enfermagem de um hospital privado quanto à prática do Método Canguru, implementada durante a internação de recém-nascidos na Unidade de Tratamento Intensivo Neonatal. Método: estudo qualitativo, exploratório e descritivo, realizado na Unidade de Tratamento Intensivo Neonatal em um hospital privado de Porto Alegre/RS. Participaram 15 profissionais da equipe de enfermagem, por meio de entrevista semiestruturada. Resultados: emergiram quatro categorias: a percepção da equipe de enfermagem quanto à prática do Método Canguru; as dificuldades encontradas no processo de implementação dessa prática; os benefícios encontrados no processo de implementação desse método; e as contribuições da equipe de enfermagem neonatal na implementação do método. Conclusão: a proposta do Método Canguru requer mudanças de paradigmas relativos ao cuidado humanizado do recémnascido prematuro e de baixo peso.

Aim: this study aims at investigating the perceptions of a private hospital nursing staff on the Kangaroo Care practices applied to newborns hospitalized in the Neonatal Intensive Care Unit. Method: qualitative, exploratory and descriptive study, conducted at the Neonatal Intensive Care Unit a private hospital in Porto Alegre/RS. Fifteen professionals from the nursing team participated in the study and semi-structured interview was used. Results: four thematic categories emerged: the perception of the nursing team and the practice of Kangaroo Care; the difficulties found in the implementation of these practice; the benefits found after implementing the method; the contributions of neonatal nursing staff for the implementation of the method. Conclusion: the propose to implement Kangaroo Care method requires a change of paradigms on the humanized care of the premature and the underweight newborn.

Objetivos: investigar la percepción del equipo de enfermería de un hospital privado sobre la práctica del Método Madre Canguro implementado durante la hospitalización de recién nacidos en una Unidad de Cuidados Intensivos Neonatales (UCIN). Método: estudio cualitativo, exploratorio y descriptivo, realizado en la UCIN de un hospital privado de Porto Alegre/RS. Participaron 15 profesionales del equipo de enfermería, por medio de entrevista semiestructurada. Resultados: se identificó cuatro categorías temáticas: la percepción del equipo de enfermería sobre la práctica del Método Madre Canguro; las dificultades encontradas en el proceso de implementación de esta práctica; los beneficios encontrados en el proceso de implementación de este método; y las contribuciones del equipo de enfermería neonatal en la aplicación del método. Conclusión: la propuesta del Método Madre Canguro necesita cambios de paradigma en relación al cuidado humanizado de los recién nacidos prematuros y de bajo peso.