Prevalência do uso de chupeta em lactentes amamentados e não amamentados atendidos em um hospital universitário

Abstract

Prevalence of pacifier among breastfed and not breastfed infants attending a university hospital ABSTRACTObjective: To evaluate the prevalence of pacifier use in relation to breastfeeding, to find out the reasons why mothers planned or not to introduce this habit and the arguments for changing their minds about the pacifier used.Methods: Cross sectional study comprising 642 motherinfant pairs (0-12months) at a University Hospital, in Campinas, São Paulo, Brazil. The mother was questioned about her original intention regarding the pacifier, the current outcome and the explanation for changing or not her mind. After a descriptive analysis, the logistic regression was applied to verify the association between the pacifier and breastfeeding.Results: The prevalence of pacifier use was 48% (95%CI 44-52), being greater among non-breastfeed infants (70%) compared those breastfed (36%; p=0.029). Among the infants exclusively breastfed, 29% used pacifier (p<0.001). The chance to be breastfed was smaller when the infant used a pacifier (OR=0.22; 95%CI 0.15-0.33). Among the mothers, 60% changed their minds regarding their previous intention about pacifier use. The main reasons for changing plans were: infant rejection (95% -for those who wanted to use the pacifier), and to soothe the baby (72% -for those who initially did not want to use the pacifier). Conclusions:The prevalence of pacifier use is high. This habit is more frequent among non-breastfed infants; among the breastfed ones, it is less frequent for those exclusivelybreastfed. The majority of mothers changed their minds regarding their initial plans about pacifier use. Few worried about the possibility that the pacifier could interfere on breastfeeding.Key-words: pacifiers; breast feeding; weaning. RESUMOObjetivo: Avaliar a prevalência do uso da chupeta em relação ao tipo de aleitamento, as razões das mães para introduzi-la ou não e os fatores associados à mudança de opinião quanto à sua intenção inicial a esse respeito.Métodos: Estudo transversal que avaliou 642 crianças (0-12 meses) atendidas no Hospital da Pontifícia Universidade Católica de Campinas quanto ao tipo de alimentação e uso de chupeta. A mãe foi questionada sobre sua intenção inicial quanto à chupeta, quanto ao seu uso e, se utilizada, porquê. Após análise descritiva, aplicou-se a regressão logística para verificar a associação da chupeta com a amamentação.Resultados: A prevalência de uso de chupeta foi de 48% (IC95% 44-52), sendo maior entre as crianças não amamentadas (70%) comparadas às amamentadas (36%; p=0,029).

Primeira Visita Domiciliar Puerperal: Uma Estratégia Protetora Do Aleitamento Materno Exclusivo

“… 27 However, there is no consensus on the adverse effects of pacifiers and many results are controversial in the literature. 6 , 14 , 15 , 16 Boccolini et al 16 pointed out that the use of pacifiers was the aspect most strongly associated with the early interruption of exclusive BF in the studies evaluated. Its use may imply a decrease in the frequency of sucking, resulting in less stimulation of the nipple-areolar complex and consequent reduction in the production of breast milk.…”

“… 1 , 12 , 13 The pacifier habit is a predictive factor for the interruption of exclusive BF, since it can reduce the frequency with which the child sucks on the breast, reducing the production of breast milk and changing the infant’s oral dynamics, which reinforces the orientation that the mothers should not offer it to the newborn; 6 however, studies are still controversial. 6 , 14 , 15 , 16 The number of children is another relevant aspect, since it is closely related to previous experiences with breastfeeding. There is an increase in the prevalence of exclusive BF among mothers who have breastfed, correlating with their previous experiences.…”

Interferência dos bicos ortodônticos e convencionais no sistema estomatognático: revisão sistemática

“…From these three studies, only one investigated myofunctional orofacial aspects, in addition to the occlusal conditions, and an evaluation was conducted by a single audiologist, collecting qualitative data (31) . The use of equipment for quantitative measurements should be considered, as well as the addition of investigations on orofacial functions, in order to link the execution of harmful habits with early weaning (interference in the nutritive sucking function) as an example (12,13) . Regarding the methodological rigor, it was observed that a study conducted the calibration of examiners and intra-and interexaminers validation (30) , while the other two studies conducted to data collection through one examiner, who was blind about the history of pacifier-sucking habit (31,32) .…”

“…Literature agrees that breastfeeding for a long time is related to a lower incidence of non-nutritive sucking habits (10,11) . Thus, the use of bottles and pacifiers may result in the interruption of breastfeeding (12,13) or in it becoming complementary and non-exclusive (12) . Harmful oral habits, such as thumb sucking or the use of pacifiers and bottles, are learned and often repeated patterns of muscle contraction (14) and may cause damage to the morphophysiology of the stomatognathic system (7)(8)(9) .…”