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
Article
in En
|
LILACS-Express
| LILACS
| ID: biblio-1405481
Responsible library:
BR1.1
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.
Full text:
1
Collection:
01-internacional
Database:
LILACS
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Journal:
J. pediatr. (Rio J.)
Journal subject:
PEDIATRIA
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil