Factores asociados a la lactancia materna exclusiva / Determinants of exclusive breastfeeding in health centers in Santiago, Chile
Rev. chil. pediatr
;
83(2): 161-169, abr. 2012. tab
Article
in Spanish
| LILACS
| ID: lil-639752
ABSTRACT
Introduction:
Limited information is available regarding factors contributing to exclusive breastfeeding until the sixth month. This information is needed to design appropriate policy interventions.Methods:
A survey about socio-demographic characteristics, information received, onset and duration of breastfeeding and causes of weaning was applied. Factors associated with exclusive breastfeeding for 6 months were determined by multivariate logistic regression.Results:
256 mothers attending a public sector hospital and 158 mothers attending a private sector hospital responded to the survey. The following factors were higher in the private sector group Education level, primiparity, cesarean sections and work outside the home (p < 0.02). 45.8 percent of mothers continued exclusive breastfeeding up to 6 months, with no difference seen between groups. The main causes of weaning were maternal decision (27.2 percent), perceived hunger (24.1 percent), esthetic factors (17.3 percent) and child's illness (13.0 percent). Exclusive breastfeeding up to 6 months was associated with a previous successful breastfeeding (OR 5.4, 95 percent CI 2.2-13.2), female child (OR 5.5 CI 2.5-12.3), lower maternal education (OR 5.4 CI 2.4-11.7) and public health system (OR 2.1 CI 1.0-4.5).Conclusion:
Weaning is often associated with maternal perceptions rather than objective data. Socio-demographic variables influence successful prolonged breastfeeding. Better education in health factors and breastfeeding might improve this situation.RESUMEN
Introducción:
Existe limitada información de los factores que contribuyen a una lactancia materna exclusiva hasta el sexto mes, datos necesarios para diseñar adecuadas políticas de intervención. Pacientes yMétodo:
Estudio de corte transversal. Se aplicó una encuesta sobre características socio-demográficas, información recibida, inicio y duración de la lactancia y causas de destete. Por regresiones logísticas multivariadas se determinaron factores asociados a lactancia exclusiva de 6 meses.Resultados:
256 madres del sector público y 158 del sector privado fueron incluidas. Se observó mayor escolaridad, primiparidad, cesáreas y trabajo fuera del hogar en sistema privado (p < 0,02); 45,8 por ciento de madres mantuvo lactancia exclusiva hasta 6 meses, sin diferencias entre grupos. Principales causas de destete decisión materna (27,2 por ciento), percepción de hambre (24,1 por ciento), factores estéticos (17,3 por ciento) y enfermedad del niño (13,0 por ciento). La lactancia exclusiva hasta los 6 meses se asoció con una lactancia previa exitosa (OR 5,4, 95 por ciento IC 2,2-13,2) sexo femenino del hijo (OR 5,5, IC 2,5-12,3), menor escolaridad materna (OR 5,4, IC 2,4-11,7) y sistema público de salud (OR 2,1, IC 1,0-4,5).Conclusión:
El destete muchas veces está relacionado con percepciones maternas más que con datos objetivos. Variables socio-demográficas influyen en lactancia exitosa. Mayor educación en controles de salud y clínicas de lactancia mejorarían esta situación.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Weaning
/
Breast Feeding
/
Maternal Behavior
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Infant
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. pediatr
Journal subject:
Pediatrics
Year:
2012
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL
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