Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort

Abstract

Objective: to evaluate the incidence of exclusive breastfeeding and the risk factors associated to its interruption in premature infants after hospital discharge. Method: this is a prospective cohort with 113 premature infants in a neonatal unit, whom were followed-up from 7 to 15 days after hospital discharge. The outcome was the interruption of exclusive breastfeeding. Maternal and neonatal exposure variables were evaluated by a regression model and described by the confidence interval (95%) and risk ratio. Results: exclusive breastfeeding rate was 81.4% at discharge and 66.4% at 7 to 15 days after discharge. Double gestation, time of mechanical ventilation and birth weight were associated with higher risks of interruption of exclusive breastfeeding after discharge. Conclusion: there is a need for the implementation of actions that promote the early onset and maintenance of exclusive breastfeeding of premature infants.

Breastfeeding and complementary feeding in premature infants treated by a secondary reference service: a cohort study

“…Brazilian cohort reveals a reduction in exclusive breastfeeding rates between seven and 15 days after discharge of premature infants, with variations of 81.5% at discharge and 66.4% between seven and 15 days after. Its interruption was associated with the variables birth weight, double pregnancy and duration of ventilation (LUZ et. al., 2018).…”

“…They also emphasize that the guidelines of the "Child-Friendly Hospital" do not consider the particularities of the premature infant and the difficulties generated by the hospitalization process itself in a neonatal unit. Thus, it is essential to implement actions based on scientific evidence by the multiprofessional health team and its articulation with the Primary Care health team for the continuity of care at home, aiming at maintaining exclusive breastfeeding until six months of age (LUZ et. al., 2018).…”

Por que amamentar?: Uma revisão de literatura

“…Em contrapartida, um estudo realizado por Pachu e Viana (2018) narram o oposto ao que foi apresentado anteriormente, onde mais de 70% dos RN da unidade estavam recebendo o aleitamento materno exclusivo. Após a alta, ambiciona-se que desses RN que estavam mamando durante a internação, mais de 80% prossigam no aleitamento (Luz et al, 2018). Congiu et al (2019) evidencia dados relevantes sobre o leite de mães com recém nascidos prematuros, apresentando-se com diferença significativa no conteúdo de proteínas e no conteúdo da lactose.…”

A aplicação da laserterapia no tratamento de traumas mamilares: revisão de literatura

“…Exclusive breastfeeding (EB) is considered the best food for the newborn (NB) up to six months of life, contributing to growth, development and strengthening of the maternal-child bond, reducing the number of neonatal deaths, pathologies and comorbidities. In addition to that, EBF reduces the risk of postpartum hemorrhage, breast cancer, etc (1) .…”

“…Despite the countless advantages that EBF offers the binomial (mother and baby), breastfeeding is a difficult process, which requires learning and constancy to carry out the practice of offering milk. It is common for lactating women to experience difficulty in breastfeeding, reporting pain and with the possibility of presenting fissures, thus opting for early weaning and complementary or supplemental breastfeeding (1) .…”