Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study

Silva, Laís Araújo Tavares; Oliveira, Maria Inês Couto de; Costa, Ana Carolina Carioca da; Santos, Samira Fernandes Morais dos; Silva, Juliana Fonseca Moreira da; Fonseca, Vânia

doi:10.1016/j.jped.2021.12.009

Cited by 3 publications

(5 citation statements)

References 24 publications

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“…The positive association between the initiative and exclusive breastfeeding rates was stronger in mothers of low-birthweight newborns. In our results, in line with previous results from France, Spain and Brazil, 10 , 12 , 30 low-birthweight newborns are less breastfed than average-weight newborns. A lack of appropriate advice on lactation, stress management and infant behaviour from health professionals during the first days after birth, along with the marketing of commercial milk formula, may lead parents to introduce formula.…”

Section: Discussionsupporting

confidence: 93%

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

Guajardo-Villar,

Pelat,

Blondel

et al. 2024

International Journal of Epidemiology

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Background The Baby-Friendly Hospital Initiative (BFHI) is associated with improved breastfeeding outcomes in many high-income countries including the UK and the USA, but its effectiveness has never been evaluated in France. We investigated the impact of the BFHI on breastfeeding rates in French maternity units in 2010, 2016 and 2021 to assess if the BFHI aids to reduce inequalities in breastfeeding. Methods We examined breastfeeding in maternity units (exclusive, mixed and any breastfeeding) in mothers of singleton full-term newborns using the 2010 (n = 13 075), 2016 (n = 10 919) and 2021 (n = 10 209) French National Perinatal Surveys. We used mixed-effect hierarchical multinomial regression models adjusting for neonatal, maternal, maternity unit and French administrative department characteristics, and tested certain interactions. Results The adjusted rate of exclusive breastfeeding was higher by +5.8 (3.4–8.1) points among mothers delivering in BFHI-accredited maternity units compared with those delivering in non-accredited units. When compared with average-weight newborns, this difference was sharper for infants with low birthweight: +14.9 (10.0–19.9) points when their birthweight was 2500 g. Mixed breastfeeding was lower by -1.7 points (-3.2–0) in BFHI-accredited hospitals, with no notable difference according to the neonatal or maternal characteristics. Conclusion Mothers delivering in BFHI-accredited maternity units had higher exclusive breastfeeding rates and lower mixed breastfeeding rates than those delivering in non-accredited maternity units. The positive impact of the BFHI was stronger among low-birthweight neonates, who are less often breastfed, helping reduce the gap for this vulnerable group while favouring mothers with higher education levels.

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Section: Discussionsupporting

confidence: 93%

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

Guajardo-Villar,

Pelat,

Blondel

et al. 2024

International Journal of Epidemiology

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“…reveals that children born by cesarean section in private hospitals and those whose mothers with higher educational levels belonged to the wealthiest families were the most vulnerable to exposure to infant formulas in the early days of life. 10 The results confirm the literature on the supply of foods other than breast milk during the first days of life in developing countries, which shows that mothers from higher socioeconomic levels, whose deliveries took place in a private institution 5 and who underwent cesarean delivery 11 were at greater risk of offering milk-based prelacteal foods.…”

supporting

confidence: 85%

“…The study by Silva and collaborators (2022), entitled “Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study ” and presented in this issue of Jornal de Pediatria , used data from “Nascer no Brasil” to show that around one in five newborns received infant formulas while still in maternity hospitals, 10 a period during which these babies should be receiving only breast milk. 4…”

mentioning

confidence: 99%

“…The frequency of formula used in the first days of life of the study by Silva et al. 10 ( 21.2%) was similar to that observed in the 2006 Brazilian National Demographic Survey (PNDS, 20.5%) 12 and close to the frequency of “mixed” breastfeeding (breastfeeding concomitant with the use of infant formulas) of the ENANI - 2019 (19.8%), 3 indicating relative stability in the prevalence of this practice in Brazil over the last decades. The use of infant formulas in a study that evaluated data from 90 developing countries was inversely associated with continued breastfeeding in the first year of life and directly associated with higher levels of country wealth and family.…”

mentioning

confidence: 99%

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Is there an “acceptable” percentage of using infant formula during hospital stays?

Boccolini

Victora²

2022

Jornal de Pediatria

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“…Mothers as well as some healthcare providers, however, might be unsure if immediate breastfeeding after anesthesia for cesarean section or other surgeries is possible and safe for the newborn. Postdelivery, newborns are breastfed significantly less following cesarean section compared to vaginal deliveries [32][33][34]. The UNICEF 'Baby-Friendly Hospital Initiative' specifically recommends to 'support mothers to initiate and maintain breastfeeding and manage common difficulties' (https://www.unicef.org/documents/baby-friendlyhospital-initiative).…”

Section: Breastfeeding After Caesarean Sectionmentioning

confidence: 99%

Analgesia after cesarean section – what is new?

Lewald

Girard

2023

Current Opinion in Anaesthesiology

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Purpose of reviewCesarean section is the most frequent surgical intervention, and pain following cesarean delivery unfortunately remains a common issue. The purpose of this article is to highlight the most effective and efficient options for postcesarean analgesia and to summarize current guidelines.Recent findingsThe most effective form of postoperative analgesia is through neuraxial morphine. With adequate dosing, clinically relevant respiratory depression is extremely rare. It is important to identify women with increased risk of respiratory depression, as they might require more intensive postoperative monitoring. If neuraxial morphine cannot be used, abdominal wall block or surgical wound infiltration are very valuable alternatives. A multimodal regimen with intraoperative intravenous dexamethasone, fixed doses of paracetamol/acetaminophen, and nonsteroidal anti-inflammatory drugs reduce postcesarean opioid use. As the use of postoperative lumbar epidural analgesia impairs mobilization, double epidural catheters with lower thoracic epidural analgesia are a possible alternative.SummaryAdequate analgesia following cesarean delivery is still underused. Simple measures, such as multimodal analgesia regimens should be standardized according to institutional circumstances and defined as part of a treatment plan. Neuraxial morphine should be used whenever possible. If it cannot be used, abdominal wall blocks or surgical wound infiltration are good alternatives.

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Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study

Cited by 3 publications

References 24 publications

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

The impact of the Baby-Friendly Hospital Initiative on breastfeeding rates at maternity units in France

Is there an “acceptable” percentage of using infant formula during hospital stays?

Analgesia after cesarean section – what is new?

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