Impacto da implementação da Iniciativa Unidade Básica Amiga da Amamentação nas prevalências de aleitamento materno e nos motivos de consulta em uma unidade básica de saúde

Abstract

Objective: To compare the prevalence rates of breastfeeding and the principal causes of consultations at the infant and neonatal clinic of a basic healthcare center in the city of Rio de Janeiro, before and after its being accredited by the Breastfeeding Friendly Primary Care Initiative. Methods:Information was analyzed from 121 and 200 children followed-up at the healthcare center before and after certification, respectively. Type of feeding was classified as exclusive breastfeeding, predominant breastfeeding or breastfeeding, and the 10th International Classification of Diseases was used to classify the complaints causing consultations.Results: A statistically significant increase was observed in the prevalence of exclusive breastfeeding, both among those less than 4 months old (68 vs. 88%; p < 0.0001) and among children aged from 4 to 6 months (41 vs. 82%; p < 0.0001). Furthermore, an impressive increase was observed in the prevalence of breastfeeding in children more than 6 months old, especially those aged 9 to 12 months (24 vs. 82%; p < 0.0001). After certification, there was also a reduction in the number of consultations motivated by some type of disease among infants more than 4 months old. Conclusion:Implementation of the Breastfeeding Friendly Primary Care Initiative proved to be an important strategy for increasing the rate of breastfeeding and reducing consultations due to disease among infants less than one year old cared for at this health center.

Tendência temporal da amamentação na cidade do Rio de Janeiro: 1996-2006

“…7 Apparently, the Breastfeeding-Friendly Primary Care Initiative implementation influenced the sharper increase in BF and EBF, according to what is suggested by findings from a primary care unit of the city of Rio de Janeiro. 2 In conclusion, the results shown by the present study reveal the dynamics of evolution of BF and EBF during one decade, in the state capital of a developing country. It was shown how this practice can change in short periods, suggesting that investing in promotion actions can in fact have positive repercussions for the increase in prevalence.…”

Análise de implantação da Rede Amamenta Brasil: desafios e perspectivas da promoção do aleitamento materno na atenção básica

“…Impacto favorável dessa iniciativa foi verificado em relação à prevalência de aleitamento materno em menores de seis meses e de amamentação até o primeiro ano de vida 18 . Ainda em relação à IUBAAM, pesquisa realizada no Município de Montes Claros, Minas Gerais, constatou que, nos locais onde essa estratégia foi adotada, a duração de aleitamento materno exclusivo foi significantemente maior 19 .…”

Iniciativa Unidade Basica Amiga da Amamentacao e sua relacao com o aleitamento materno exclusivo

“…An increase in checkups (asymptomatic) and a decrease in appointments with complaints of diarrhea (from 11.0% to 3.4%) (p < 0.05) was observed after certification. 4 In the multiple analysis, the prevalence of exclusive breastfeeding was found to be 20.0% lower in mothers with low levels of schooling. In studies in Joinville, SC, 12 in Pernambuco, 3 in the city of Rio de Janeiro, 5,18 in Cuiabá 9 and in municipalities in the state of Sao Paulo, 23 low levels of schooling was found to be associated with stopping exclusive breastfeeding.…”