Duração da amamentação em duas gerações

Abstract

OBJECTIVE:To assess the intergenerational repetition of breastfeeding duration in a cohort of adolescent mothers who had been prospectively followed up since birth. METHODS:All hospital births occurred in Pelotas (N=5,914), a Southern Brazilian city, in 1982 were studied prospectively. The cohort was visited in 1984 and 1986, and information on feeding practices was gathered. In 2001, a search was conducted in the Live Birth Information System and adolescents born in 1982 who gave birth between January 1995 and March 2001 were identified. Parous adolescents answered a detailed questionnaire on pregnancy-related variables and breastfeeding duration for each child. For multiparous adolescents, the information from the first live born child was used. Poisson regression with robust adjustment of the variance was used in the univariate and multivariable analysis. RESULTS:A total of 446 parous adolescents belonging to the 1982 cohort were identified, of which 420 (94.2%) were interviewed. After adjustment for confounding variables, mothers who had not been breastfed presented a relative risk of 1.34 (95% CI: 0.35; 5.18) of not breastfeeding their children, compared to mothers who were ever breastfed. Similarly, adolescents who were breastfed for less than one month were slightly -but not significantly -more likely to fail to breastfeed their own infants (RR=1.64; 95% CI: 0.70; 4.03). The proportion of adolescent mothers who breastfed for less than six months was higher among those who were themselves breastfed for less than one month (PR=1.29; 95% CI: 1.02; 1.62)]. CONCLUSIONS:Duration of breastfeeding is slightly higher among infants whose mother was breastfed.

Aleitamento: relação com hábitos de sucção e aspectos socioeconômicos familiares

“…This study also found that there was a predominance of mothers with incomplete or complete elementary school, meeting the present research findings. This predominance was also observed in another study 20 .…”

Influência da escolaridade e do trabalho maternos no aleitamento materno exclusivo

“…No Brasil, estudos recentes têm demonstrado a influência de fatores como escolaridade e idade maternas e práticas associadas ao parto e nascimento sobre a incidência e duração do aleitamento materno 13,14,[16][17][18][19] . Contudo, fica clara a necessidade de se conhecer os fatores associados ao aleitamento materno em cada realidade, com vistas a subsidiar a escolha de estratégias mais efetivas de promoção da amamentação, que focalizem e adeqüem as intervenções aos grupos de maior risco.…”

A dinâmica do aleitamento materno entre famílias em vulnerabilidade social: o que revela o sistema de busca ativa

“…A proposição, por parte do Ministério da Saúde, da Um dos aspectos associados à prática do AM parece ser a experiência bem sucedida da geração anterior; crianças que foram amamentadas serão mães que amamentam por tempo maior do que as que não receberam leite materno 22,23 . Diante do fato de que grande parte das famílias entrevistadas não recebeu orientação na UBS, as ações previstas na Estratégia Saúde da Família devem considerar, como mostram os dados levantados por meio do sistema da busca ativa, que o AME conduzido espontaneamente é bem sucedido, conforme os tempos encontrados neste estudo.…”