Feeding practices and early weaning in the neonatal period: a cohort study
Rev. saúde pública (Online)
;
55: 1-12, 2021. tab
Artículo
en Inglés
| LILACS, BBO
| ID: biblio-1347814
ABSTRACT
ABSTRACT 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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Lactancia Materna
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Factores de riesgo
Límite:
Adulto
/
Niño
/
Femenino
/
Humanos
/
Lactante
/
Recién Nacido
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. saúde pública (Online)
Asunto de la revista:
Sa£de P£blica
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Federal do Rio Grande do Norte/BR
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