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The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
Goudard, Marivanda Julia Furtado; Lamy, Zeni Carvalho; Marba, Sérgio Tadeu Martins; Lima, Geisy Maria de Souza; Santos, Alcione Miranda dos; Vale, Marynea Silva do; Ribeiro, Talyta Garcia da Silva; Costa, Roberta; Azevedo, Vivian Mara Gonçalves de Oliveira; Lamy-Filho, Fernando.
  • Goudard, Marivanda Julia Furtado; Universidade Federal do Maranhão. Departamento de Saúde Pública. Programa de Pós-Graduação em Saúde Coletiva. São Luís. BR
  • Lamy, Zeni Carvalho; Universidade Federal do Maranhão. Departamento de Saúde Pública. Programa de Pós-Graduação em Saúde Coletiva. São Luís. BR
  • Marba, Sérgio Tadeu Martins; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Pediatria. Campinas. BR
  • Lima, Geisy Maria de Souza; Instituto de Medicina Integral Professor Fernando Figueira. Departamento de Neonatologia. Recife. BR
  • Santos, Alcione Miranda dos; Universidade Federal do Maranhão. Departamento de Saúde Pública. Programa de Pós-Graduação em Saúde Coletiva. São Luís. BR
  • Vale, Marynea Silva do; Universidade Federal do Maranhão. Hospital Universitário. Departamento de Neonatologia. São Luís. BR
  • Ribeiro, Talyta Garcia da Silva; Universidade Federal do Maranhão. Faculdade de Medicina. São Luís. BR
  • Costa, Roberta; Universidade Federal de Santa Catarina. Departamento de Enfermagem. Florianópolis. BR
  • Azevedo, Vivian Mara Gonçalves de Oliveira; Universidade Federal de Uberlândia. Faculdade de Educação Física e Fisioterapia. Uberlândia. BR
  • Lamy-Filho, Fernando; Universidade Federal do Maranhão. Departamento de Saúde Pública. Programa de Pós-Graduação em Saúde Coletiva. São Luís. BR
Rev. saúde pública (Online) ; 56: 71, 2022. tab, graf
Article in English | LILACS, BBO | ID: biblio-1390018
ABSTRACT
ABSTRACT 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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Breast Feeding / Infant, Low Birth Weight / Infant, Premature / Intensive Care Units, Neonatal Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Risk factors Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto de Medicina Integral Professor Fernando Figueira/BR / Universidade Estadual de Campinas/BR / Universidade Federal de Santa Catarina/BR / Universidade Federal de Uberlândia/BR / Universidade Federal do Maranhão/BR

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Full text: Available Index: LILACS (Americas) Main subject: Breast Feeding / Infant, Low Birth Weight / Infant, Premature / Intensive Care Units, Neonatal Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Risk factors Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto de Medicina Integral Professor Fernando Figueira/BR / Universidade Estadual de Campinas/BR / Universidade Federal de Santa Catarina/BR / Universidade Federal de Uberlândia/BR / Universidade Federal do Maranhão/BR