Factors associated with duration of breastfeeding

Chaves, Roberto Gomes; Lamounier, Joel Alves; César, Cibele Comini

doi:10.2223/jped.1610

Cited by 78 publications

(105 citation statements)

References 17 publications

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“…Some studies found that women who had less than 5 visits breast-fed their children for a shorter period, while those who had a greater number of visits also increased the length of the period of EBF [20][21] .…”

Section: Discussionmentioning

confidence: 99%

Perfil alimentar e nutricional de lactentes atendidos em unidade básica de saúde no Rio Grande do Norte

Mendes

Queiroz

Melo

et al. 2014

J. Hum. Growth Dev.

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Objetivos: Verificar o perfil de aleitamento materno, introdução de alimentos, hábitos alimentares, estado nutricional de lactentes e relacionar o tempo de aleitamento materno exclusivo (AME) e anemia materna. Método: Estudo transversal com 22 lactentes de 6 a 24 meses. As mães responderam a um questionário semiestruturado e o lactente foi submetido à avaliação antropométrica. A análise estatística foi realizada por meio do teste Qui-quadrado, considerandose o nível de significância p < 0,05. Resultados: 22,73% apresentaram excesso de peso, o tempo médio de (AME) foi de 123,2 dias (DP ± 68,9 dias), 63,63% por tempo inferior a 6 meses. A duração do AME foi associada significativamente ao sexo feminino (p = 0,042) e ao número deconsultas de pré-natal (p = 0,002), 36,4% das mães apresentaram anemia na gestação, que foi associada ao saneamento básico (p = 0,03) e ao número de consultas de pré-natal (p = 0.002). Os alimentos mais frequentes introduzidos antes dos seis meses foram respectivamente, suco de frutas (27,3%), açúcar (21%), fruta (13,63%), arroz ou macarrão (9%), carne ou frango ou ovo (5,3%) verduras e legumes (5%) e feijão (4,8%). Conclusão: A prática do AME apresentase baixa, o crescente aumento da introdução precoce de alimentos mostra-se preocupante, sendo fundamental a criação de estratégias de incentivo e apoio a amamentação, assim como a prevenção de excesso de peso nessa faixa etária.

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Section: Discussionmentioning

confidence: 99%

Perfil alimentar e nutricional de lactentes atendidos em unidade básica de saúde no Rio Grande do Norte

Mendes

Queiroz

Melo

et al. 2014

J. Hum. Growth Dev.

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“…15 One factor which might have contributed to the results is the methodology used by initiative Hospital Amigo da Criança ("Friend of Children Hospital", in Portuguese) to increase breastfeeding rates, which is known to influence breastfeeding rates for term and preterm infants and which was being implemented at the neonatal ward at the time of this study. [16][17][18][19] One study limitation is that is was not designed, with breastfeeding as the primary outcome, despite the large sample size being sufficiently robust to explain such results.…”

Section: Discussionmentioning

confidence: 99%

Efeitos da sucção não-nutritiva e da estimulação oral nas taxas de amamentação em recém-nascidos pré-termo de muito baixo peso ao nascer: um ensaio clínico randomizado

Pimenta¹,

Moreira²,

Rocha³

et al. 2008

J. Pediatr. (Rio J.)

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Objective: To determine the influence of non-nutritive sucking and oral stimulation programs on breastfeeding rates at discharge, at 3 and at 6 months of corrected age in preterm infants with very low birth weight.Methods: Preterm infants were randomized into experimental and control groups. Ninety-eight preterm infants were randomized and 96 remained in the study until reaching the corrected age of 6 months. The experimental group received sensory-motor-oral stimulation and non-nutritive sucking, while infants in the control group received a sham stimulation program. Both were administered from reaching enteral feeding (100 kcal/kg/day) until the beginning of oral feeding.Results: Fifty-nine infants (61.5%) were breastfeeding at the time of hospital discharge, 31 (36.9%) at 3 months, and only 18 (20.5%) at 6 months of corrected age. At discharge, 46.9% of the control group and 76.5% of the experimental group were breastfeeding. There were statistically significant differences between rates of breastfeeding at discharge (47 vs. 76%), 3 months (18 vs. 47%) and 6 months after discharge (10 vs. 27%). The experimental group showed significantly higher rates of breastfeeding (p < 0.05). Conclusion:Non-nutritive sucking, associated with oral stimulation programs, can contribute to the improvement of breastfeeding rates among preterm infants with very low birth weight.J Pediatr (Rio J). 2008;84(5):423-427: Preterm infant, breastfeeding, sucking behavior.

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“…This result is similar to that observed in another Brazilian municipality close to the city of Bauru (odds ratio for EBF interruption associated with pacifier use = 2.7) 17 and is in accordance with several other Brazilian studies, which also demonstrated a strong association between the use of pacifier and early EBF cessation or interruption. 12,13,[19][20][21] A longitudinal study, carried out in the city of Porto Alegre, southern Brazil, revealed that almost two thirds of the children who used pacifiers were no longer on EBF after the second month of life; among the nonusers, the rate was 45%. 21 In another longitudinal study, the authors verified that 73% of pacifier users had discontinued EBF before three months of age; for nonusers, the rate was 58%.…”

Section: Worth Mentioning the Marked Drop In Ebf Observedmentioning

confidence: 99%

“…A possible explanation is that the use of pacifiers may hide maternal problems, such as anxiety and insecurity, which negatively affect breastfeeding. 12 A self-effect has also been attributed to the pacifiers, i.e., a causal relation between pacifier use and difficulties in breastfeeding: by reducing the number of breast feedings, there is a reduction in breast stimulation and milk secretion, increasing the chances of EBF interruption. 24 Another hypothesis to explain the effect of pacifier use as a risk factor for weaning is the mechanism called nipple confusion, which is already accepted as an explanation for the negative relationship between bottlefeeding and early weaning.…”

Section: Worth Mentioning the Marked Drop In Ebf Observedmentioning

confidence: 99%

Tendência e determinantes do aleitamento materno exclusivo em crianças menores de 6 meses

Parizoto¹,

Pàrada²,

Venâncio³

et al. 2009

J. Pediatr. (Rio J.)

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Objective: To study the trends and patterns of exclusive breastfeeding (EBF) for under-6-month-old infants in the city of Bauru, southeastern Brazil. Methods:We compared data from three cross-sectional surveys, using similar methodologies, which were part of a project for monitoring breastfeeding indicators in the state of São Paulo, Brazil. The sample included infants aged 0 to 6 months who attended one of the two rounds of the nationwide infant vaccination campaign in 1999, 2003 and 2006 (respectively: 496, 674 and 509 infants). Descriptive statistics were used to compare the prevalence of EBF according to age (in months) and group of children under 6 months of age. Differences in prevalence were expressed as percentage-points and submitted to statistical analysis (Pearson's chi-square and tendency), and the level of significance was set at p < 0.05. Factors associated with EBF interruption in 2006 were evaluated by univariate and multivariate analyses.Results: An increase in the prevalence of EBF was observed in under-6-month-old infants: 1999-2003, increase of 9.1 percentage-points; 2003-2006, increase of 6.6 percentage-points, resulting in an annual increase rate of 2.3 percentage-points for the first period and 2.2 percentage-points for the second period. Significant inverse association was observed between EBF and the use of pacifiers (prevalence ratio = 2.03; 95% confidence interval 1.44-2.84).Conclusion: EBF prevalence in under-6-month-old infants in the city of Bauru, southeastern Brazil, increased almost threefold over the period studied, from 8.5% in 1999 to 24.2% in 2006, a total increase of 184.7%. The use of pacifiers was the only factor strongly associated with the interruption of EBF.J Pediatr (Rio J). 2009;85(3):201-208: Breastfeeding, epidemiology, cross-sectional studies, child nutrition, human milk.

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Factors associated with duration of breastfeeding

Cited by 78 publications

References 17 publications

Perfil alimentar e nutricional de lactentes atendidos em unidade básica de saúde no Rio Grande do Norte

Perfil alimentar e nutricional de lactentes atendidos em unidade básica de saúde no Rio Grande do Norte

Efeitos da sucção não-nutritiva e da estimulação oral nas taxas de amamentação em recém-nascidos pré-termo de muito baixo peso ao nascer: um ensaio clínico randomizado

Tendência e determinantes do aleitamento materno exclusivo em crianças menores de 6 meses

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