Apoyo a la lactancia materna en una zona básica de salud; prevalencia y factores sociosanitarios relacionados

Gimeno, M. Concepción; Ferrer, E. Fabregat; Manuel, S. Folch; Garcia, Blanca; Peña, Fernández; Segarra, C. Gil

doi:10.4321/s1139-76322011000100005

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…Revisions of other studies show us that education and supportive interventions, both for breast-feeding women as well as for healthcare professionals, can increase the proportion of women that use EBF [ 29 , 30 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study

Martín-Iglesias

Santamaría-Martín

Alonso-Álvarez

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe World Health Organization leads a global strategy to promote the initiation and maintenance of breast-feeding.Existing literature shows that education and supportive interventions, both for breast-feeding mothers as well as for healthcare professionals, can increase the proportion of women that use exclusive breast-feeding, however, more evidence is needed on the effectiveness of group interventions.MethodsThis study involves a community-based cluster randomised trial conducted at Primary Healthcare Centres in the Community of Madrid (Spain). The project aims to evaluate the effectiveness of an educational group intervention performed by primary healthcare professionals in increasing the proportion of mother-infant pairs using exclusive breastfeeding at six months compared to routine practice.The number of patients required will be 432 (216 in each arm). All mother-infant pairs using exclusive breastfeeding that seek care or information at healthcare centres will be included, as long as the infant is not older than four weeks, and the mother has used exclusive breastfeeding in the last 24 h and who gives consent to participate.The main response variable is mother-infant pairs using exclusive breast-feeding at six months.Main effectiveness will be analysed by comparing the proportion of mother-infant pairs using exclusive breast-feeding at six months between the intervention group and the control group. All statistical tests will be performed with intention-to-treat. The estimation will be adjusted using an explanatory logistic regression model. A survival analysis will be used to compare the two groups using the log-rank test to assess the effect of the intervention on the duration of breastfeeding. The control of potential confounding variables will be performed through the construction of Cox regression models.DiscussionWe must implement strategies with scientific evidence to improve the percentage of exclusive breast-feeding at six months in our environment as established by the WHO. Group education is an instrument used by professionals in Primary Care that favours the acquisition of skills and modification of already-acquired behaviour, all making it a potential method of choice to improve rates of exclusive breast-feeding in this period.Trial registrationThe trial was registered with ClinicalTrials.gov under code number NCT01869920 (Date of registration: June 3, 2013).

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study

Martín-Iglesias

Santamaría-Martín

Alonso-Álvarez

et al. 2018

BMC Pregnancy Childbirth

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“…El estudio Zorrotzaurre 39 no encuentra dicha relación. Sin embargo, la dependencia entre alto nivel académico y duración de la lactancia materna exclusiva sí es afirmada y mostrando diferencias estadísticamente significativas por otros estudios 26,41,42 . Concretamente, Ramiro et al 26 señalaron que el hecho de poseer mayores conocimientos sobre la importancia de la lactancia materna para la salud, parecía generar mayor predisposición para buscar apoyo y soluciones a los posibles inconvenientes que surjan en torno al amamantamiento, lo que daría como resultado lactancias maternas más prolongadas en el tiempo.…”

Section: Discussionunclassified

“…El 59,1% de los nacimientos fueron eutócicos y de todos ellos, el 81,6% practicaban la lactancia materna exclusiva en el momento del alta. La relación positiva entre ambos hechos está apoyada en la bibliografía [41][42][43]49 así como la realidad de que el nacimiento por cesárea dificulta el inicio de la lactancia 42,50,51 .…”

Section: Discussionunclassified

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Determining factors on the initiation and duration of exclusive breastfeeding in a hospital in Cadiz

Rodríguez Villa

2023

Enferm. Cuid.

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Introduction: Breastfeeding is the natural way of feeding the baby and the child as it guarantees the optimal development, growth and health of the baby. It is a complex sociological phenomenon in which multiple factors intervene and interact. Objectives: To determine the prevalence of exclusive breastfeeding at hospital discharge at month one, three and six of the baby´s life. To identify the causes of abandonment of breastfeeding. To study the evolution and self-efficacy on breastfeeding during the research time. Methods: Descriptive, exploratory, and prospective study. Measurements of the different study variables were made on four occasions during the six-month duration of this study using a sample of 66 women. Results and discussion: The prevalence of breastfeeding at discharge, at month one, three and six of the baby´s life was 71.9%, 69.2%, 71.7% and 47.6% respectively. Early onset of breastfeeding after delivery was significantly related to breastfeeding at discharge. At six months, the main cause of abandonment was returning to work. Levels of self-efficacy for breastfeeding, measured according to the score on the BSES-SF scale, evolved favourably throughout the follow-up. Conclusions: The knowledge and understanding of those factors that influence breastfeeding is essential for the development and implementation of strategies whose objective is to improve breastfeeding outcomes.

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“…19, y 76,7% 20 de LME, pero al alta hospitalaria; a los 2 meses porcentajes parecidos al nuestro son un 45,26 % 21 y un estudio más reciente un 59,4% 22 , ambos porcentajes son de LME al segundo mes.…”

Section: Discussionunclassified

Influencia del contacto precoz, nacionalidad, tipo de parto y prematuridad en la lactancia materna

Castan

2014

Duazary

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InfluencIa del contacto precoz, nacIonalIdad, tIpo de parto y prematurIdad en la lactancIa materna Influence of early skIn-to-skIn contact, natIonalIty, type of bIrth and premature bIrth In breast feedIng ResumenConocer si en el HUMS existe asociación entre lactancia materna y nacionalidad, prematuridad, tipo de parto, contacto precoz piel con piel. Estudio de cohortes, en una muestra de 541 puérperas del HUMS en octubre-noviembre 2011. Las variables: nacionalidad, tipo de parto, contacto precoz, parto prematuro e inicio lactancia materna se recogieron antes del alta hospitalaria mediante cuestionario. A los dos meses postparto se contactó telefónicamente con las madres para conocer el tipo de lactancia en ese momento. El 70,32 % iniciaron la lactancia materna en las dos primeras horas postparto y el 55,58% daban Lactancia materna exclusiva (LME) a los dos meses. Influyen en la lactancia materna el tipo de parto, contacto precoz y parto prematuro. La probabilidad de lactancia materna es 3,65 veces más alta si se ha realizado contacto precoz (RR 3,65; IC 95% 2,72-4,88; p=0,001). El inicio de lactancia materna en las 2 primeras horas y la nacionalidad española influye positivamente en la LME a los 2 meses. Las prácticas hospitalarias en el postparto deben promover el contacto precoz madre-recién nacido y el inicio de lactancia materna en las dos primeras horas, principalmente en las cesáreas.Palabras clave: Lactancia materna, nacionalidad, cesárea, parto prematuro. AbstractTo know if there is any relationship between breast feeding and nationality, premature birth, type of birth and early skin-to-skin contact at Hospital Universitario Miguel Servet. Cohort study in a simple of 541 puerperal women at Hospital Miguel Servet, Zaragoza, from October to November 2011.The variables nationality, type of birth, early skin-to-skin contact, premature birth and beginning of breast feeding were collected before hospital discharge by means of a questionnaire.Two months after the birth, mothers were phoned to know the type of breastfeeding until

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Apoyo a la lactancia materna en una zona básica de salud; prevalencia y factores sociosanitarios relacionados

Cited by 7 publications

References 12 publications

Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study

Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study

Determining factors on the initiation and duration of exclusive breastfeeding in a hospital in Cadiz

Influencia del contacto precoz, nacionalidad, tipo de parto y prematuridad en la lactancia materna

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