Feeding practices and early weaning in the neonatal period: a cohort study
Rev. saúde pública (Online)
;
55: 1-12, 2021. tab
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Allaitement naturel
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Adulte
/
Enfant
/
Femelle
/
Humains
/
Bébé
/
Nouveau-né
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Anglais
Texte intégral:
Rev. saúde pública (Online)
Thème du journal:
Sa£de P£blica
Année:
2021
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade Federal do Rio Grande do Norte/BR
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