Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study
J. pediatr. (Rio J.)
;
98(5): 463-470, Sept.-Oct. 2022. tab
Artigo
em Inglês
|
LILACS-Express
| LILACS
| ID: biblio-1405481
ABSTRACT
Abstract Objective To analyze the factors associated with infant formula supplementation in newborns referred to rooming-in in Brazilian hospitals. Method Cross-sectional study with data from 14,531 postpartum women and newborns obtained from the "Birth in Brazil" survey, conducted in 2011-2012. The analysis used a logistic regression model with a hierarchical approach. Results In total, 21.2% newborns received infant formula during hospital stay. After adjustment, the following factors were associated with the use of infant formula maternal age ≥ 35 years (OR = 1.51; IC95%1.30-1.75), prenatal care in a private service (OR = 2,22; IC1.72-2.85)/public and private service (OR = 1.67; IC1.24-2.23), cesarean delivery (OR = 1.83; IC1.41-2.38), multiple pregnancy (OR = 3.786; IC2.02-7.06), non-breastfeeding in the delivery room (OR = 1.780; IC1.43-2.21), birth in a private hospital (OR = 1.695; IC1.02-2.79), prematurity (OR = 1.656; IC1.32-2.06) and extremes of birth weight (< 2.500 g OR = 2.084; IC 1.585-2.741/ ≥4,000g OR = 1.672; IC1.31-2.11). Teenage age (OR = 0.651; IC0.55-0.76), low maternal education (OR = 0.579; IC0.43-0.77), multiparity (OR = 0.588; IC0.510-0.678), and lower economic class (OR = 0.565; IC0.41-0.76) significantly reduced the probability of using infant formula. Conclusions Of the associated factors, the authors highlight cesarean delivery and non-breastfeeding in the delivery room, showing that it is necessary to strengthen policies that encourage good practices during childbirth care in order to promote exclusive breastfeeding and protect mothers and newborns from all social classes against the misuse of infant formula.
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DisponíveL
Índice:
LILACS (Américas)
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
J. pediatr. (Rio J.)
Assunto da revista:
Pediatria
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Fundação Oswaldo Cruz/BR
/
Universidade Federal Fluminense/BR
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