Acolhimento e características maternas associados à oferta de líquidos a lactentes

Abstract

OBJECTIVE:To identify the maternal characteristics and welcoming actions towards mothers of infants aged less than six months associated with early liquid offer. METHODS:Cross-sectional study performed in 2007, with a representative sample of mothers of infants aged less than six months (n=1,057), users of Primary Health Care (PHC) Units, in the city of Rio de Janeiro, Southeastern Brazil. A multivariate logistic regression model was used to estimate the association between explanatory variables and liquid offer, with weighing and design effect and controlled for infant age. RESULTS:Of all mothers, 32% did not receive the welcoming card in the maternity hospital, 47% did not receive guidance on breastfeeding at their fi rst visit to the PHC unit after childbirth and 55% reported they had offered liquids to their infants. Women without at least six months of previous breastfeeding experience were more likely to offer liquids than those with such experience (OR=1.57; 95% CI: 1.16;2.13). Mothers who had not received guidance on breastfeeding at their fi rst visit to the UBS after childbirth were 58% more likely to offer liquids than those who had received it. Liquid offer was positively associated with adolescence among women with a partner (OR=2.17; 95% CI: 1.10;4.30) and negatively associated with adolescence among those without a partner (OR=0.31; 95% CI: 0.11;0.85). Among women with less than eight years of education, those who had not received guidance on breastfeeding after childbirth were 1.8 times more likely to offer liquids than others who had received it.CONCLUSIONS: Age, marital status and previous breastfeeding experience are maternal characteristics associated with liquid offer to infants aged less than six months. Receiving early guidance on breastfeeding could reduce liquid offer to infants.

Uso de instrumento de acompanhamento do crescimento e desenvolvimento da criança no Brasil – Revisão sistemática de literatura

“…Ten articles29 – 38 were excluded for not quantitatively assessing the children's health monitoring tools (Table 1). Of the eight included articles (Table 2), five evaluated the filling out of CHC17 , 20 – 23 and three24 – 26 of CHR.…”

“…Dez 29 - 38 foram excluídos por não fazerem avaliação quantitativa do preenchimento dos instrumentos de acompanhamento de saúde da criança (tabela 1). Dos oito artigos incluídos (tabela 2), cinco avaliaram o preenchimento do CC 17 , 20 - 23 e três da CSC.…”

Exclusive breastfeeding practices reported by mothers and the introduction of additional liquids

“…Feeding additional liquids (water, tea, fruit juice, etc.) to breastfed infants under six months old is a common practice; however, even when sporadically performed, this practice might result in reduced breast milk intake and consequent decreases in milk extraction and production, which might contribute to effects such as premature weaning, lesser weight gain and increased risk of diarrhea ( 1 , 3 - 4 ) . Several diseases are associated with non-EB, such as "necrotizing enterocolitis, diabetes, allergies, pneumonia, among others" ( 4 ) .…”

“…Several diseases are associated with non-EB, such as "necrotizing enterocolitis, diabetes, allergies, pneumonia, among others" ( 4 ) . Mothers might believe that feeding liquids other than milk before the age of six months is innocuous and helps to solve problems such as colic, infant gas, or even thirst ( 3 ) .…”

Práticas Alimentares Dos Lactentes

“…Tabela 1 -Freqüência e Percentagem de aleitamento materno e consumo de outro tipos de leite em lactentes, Santa Cruz, Estado do Rio Grande do Norte, Brasil, 2013 No aleitamento materno exclusivo é desnecessário e inadequado a oferta de líquidos (chás, sucos e água) nos primeiros 6 meses de vida por reduzir o consumo de leite materno total e aumentar os riscos de morbimortalidade por diarréia 12 . Nesse estudo 36,5% lactentes tem de zero a 6 meses de idade e na tabela 2 observa-se que 79,5% dos lactentes de zero a dois anos tomam água e 7% tomam chá, o que representa que algumas dessas crianças menores de 6 meses não tem seu aleitamento materno exclusivo.…”