Breastfeeding in the first six months of life for babies seen by Lactation Consulting

Abstract

Objective: to identify breastfeeding patterns, survival of exclusive breastfeeding and factors associated with its interruption, in the first six months of life of babies seen by Lactation Consulting. Method: a prospective cohort, with 231 mother-babies in a Baby-Friendly Hospital. An initial questionnaire was applied after 24 hours of birth, after consulting, as well as a follow-up questionnaire, applied by telephone at 15, 30, 60, 120 and 180 days, with sociodemographic and obstetric variables, maternal habits, father’s schooling, birth data and baby feeding. Survival Analysis was carried out. Results: at 180 days of age, exclusive breastfeeding was 12.7% and the probability was 19.6% in the analysis of the survival curve. The factors associated with its interruption were smoking during pregnancy (HR 1.66; CI 1.05 - 2.61), age ≥ 35 years old (HR 1.73; CI 1.03 - 2.90), difficulty in breastfeeding after hospital discharge (HR 2.09; CI 1.29 - 3.41), search for professional assistance (HR 2.45; CI 1.69 - 3.54) and use of a pacifier (HR 1.76; IC 1.21 - 2.58). Conclusion: lactation consultancy contributed to the improvement of the exclusive breastfeeding rates, although there are opportunities for advances.

Exclusive breastfeeding abandonment in adolescent mothers: a cohort study within health primary services

“…This abandonment rate is consistent with low- and middle-income countries where the EB rate was 37% at 6 months 14 . A study carried out in Mexico found a lower (28%) prevalence of EB at 6 months 15 , as well as studies conducted in Spain and Brazil 16 - 17 . The rate found in Peru was 46.4% at 6 months 18 .…”

Aleitamento materno em tempos de COVID-19: uma scoping review

“…Notou-se, em estudo realizado antes da atual pandemia, que o apoio adequado à amamentação tem papel fundamental no sucesso do aleitamento materno percebido, em que a ausência de dificuldades para amamentar e receber apoio, em caso de dificuldades, foi associada a um menor risco de amamentação não exclusiva (57) . Mulheres que buscaram ajuda profissional por dificuldades na amamentação apresentaram maiores chances de interromper o aleitamento materno exclusivo (58) . Também, algumas puérperas, durante a pandemia de COVID-19, pararam de amamentar mais cedo do que desejavam por falta de apoio no hospital e em casa (59) .…”

Abandono do aleitamento materno exclusivo em mães adolescentes: um estudo de coorte em serviços primários de saúde

“…Essa taxa de abandono é consistente com países de baixa e média renda, que têm uma taxa de AME de 37% em seis meses (14) . Um estudo realizado no México encontrou menor prevalência (28%) de AME aos seis meses de vida dos bebês (15) , resultado partilhado por estudos conduzidos na Espanha e no Brasil (16)(17) . A taxa encontrada no Peru foi de 46,4% aos seis meses (18) .…”