Prevalência de aleitamento materno exclusivo nos 3 primeiros meses de vida e seus determinantes no Sul do Brasil

Abstract

Objective: To determine the prevalence of exclusive breastfeeding during the first 3 months of life and its determinant factors in a city in the South region of Brazil.Methods: Prospective study of a cohort of babies born between September 2002 and May 2003 in the city of Pelotas, RS. Data were obtained in interviews, at maternity units and during home visits, with mothers of babies aged between 1 and 3 months. Factors related to the cessation of breastfeeding were subjected to univariate, bivariate and multivariate analysis.Results: Nine hundred and forty mothers of children aged 3 months or less were interviewed, 39% of whom were still exclusively breastfeeding and around 1/3 of whom no longer breastfed. Multivariate analysis by logistic regression demonstrated a significant association between interruption of exclusive breastfeeding before 3 months and maternal employment, use of a pacifier, low family income (between one and three times the minimum wage), and less than 5 years paternal education.Conclusions: Exclusive breastfeeding throughout the first 3 months of life is an uncommon practice among the population of Pelotas, RS, in particular when the mother works away from home, the father has little education and the child is given a pacifier, which reinforces the need to continue stimulating exclusive breastfeeding during the first months of life.

Desnutrição em crianças menores de 60 meses em dois municípios no Estado do Acre: prevalência e fatores associados

“…This association could be the result of the father's or stepfather's limited ability to help the mother with their children's adequate health and food habits, due to the difficulty in understanding the information provided by health services or originated from other sources 17 . Thus, the father's or stepfather's reduced length of time of study can also influence the acquisition of household goods or allocation of income aimed at child care.…”

Prevalence and associated factors for early interruption of exclusive breastfeeding: meta-analysis on Brazilian epidemiological studies

“…1,326 articles in the database were identified, in which 25 were selected for qualitative synthesis 2,10-33 and 22 were included in the meta-analysis. 2,[10][11][12][13][14][15][16][17][18][19][21][22][23]25,[27][28][29][30][31][32] The reasons for the exclusion of the articles were the absence of the association measurements, non-observational study designs, the EBF interruption assessment in groups of adolescent mothers and only breastfeeding analysis in the first month of life.…”

O ato de amamentar: um estudo qualitativo

“…No estudo de Ichisato e Shimo (2001), as mães recebem informações de pessoas que elas têm total confiança, principalmente das avós, e estas influenciam negativamente na prática do aleitamento materno, pois elas com frequência estimulam a inserção de chá na alimentação, para evitar as cólicas. Essa introdução diminui a proteção do leite materno contra processos infecciosos, assim como a duração do aleitamento materno (MASCARENHAS et al, 2006). O marido exerce influência positiva na prática do aleitamento materno (PONTES et al, 2008), pois a mulher leva em consideração o que os maridos ou parceiros dizem, e assim motivam e encorajam-nas a amamentar.…”