Breastfeeding difficulties and influence in the early weaning

Abstract

RESUMOO estudo objetivou verifi car o tempo médio do aleitamento materno exclusivo (AME) de crianças nascidas em Hospital Amigo da Criança (IHAC) e correlacioná-lo com as variáveis: estado civil, idade materna, peso do bebê, difi culdades na amamentação e orientações recebidas. Trata-se de estudo de coorte com amostra de 225 mães entrevistadas no puerpério mediato e no 15º, 30º, 60º, 120º e 180º dias após a alta, por telefone. O monitoramento do AME demonstrou mediana de 113 dias e que 34,1% das mães aleitaram exclusivamente por 180 dias. Houve correlação estatisticamente signifi cativa entre o tempo de AME e difi culdades na amamentação. Não houve correlação entre o tempo de AME e as variáveis: estado civil, idade materna, peso do recém-nascido e orientações recebidas. Houve diferença signifi cativamente maior de desmame aos 60 dias nas mulheres que tiveram difi culdade na pré-alta. O estudo demonstrou a infl uência positiva da IHAC na adesão das mães ao AME. Descritores: Aleitamento Materno; Desmame; Nutrição da Criança; Políticas Públicas. ABSTRACTThe study aimed to verify the average time of exclusive breastfeeding (AME) of infants born at Baby-Friendly Hospital Initiative (BFHI) and to associate it with the following variables: marital status, mother's age, infant's weight, diffi culties found and instructions received. This is a cohort study with a sample of 225 mothers interviewed postpartum and on the 15 th days after discharge, by telephone. The monitoring of AME showed median of 113 days and 34,1% of the mothers kept it for up 180 days. There was a signifi cant statistical correlation between the time of AME and diffi culties found. There was no signifi cant statistical correlation between time of AME and the variables: marital status, mother's age, infant's weight and instructions received. This research showed increased weaning at 60 days in women who have had diffi culty in pre-discharge. The study showed the positive infl uence of the BFHI in adherence of mothers to the AME. Key words: Breastfeeding; Weaning; Child Nutrition; Public Policies. RESUMENEl estudio tuvo como objetivo verifi car el tiempo medio de la lactancia materna exclusiva (LME) de niños nacidos en Hospital Amigo da Crianza (IHAC) y correlacionar con las variabais: estado civil, edad materna, peso del bebé, difi cultades en la lactancia orientaciones recibidas. Se trata de estudio de coorte con muestra de 225 madres entrevistadas en el puerperio mediato y en el 15º, 30º, 60º, 120º y 180º días después del alta, por teléfono. El monitoreo del LME demostró mediana de 113días y que 34,1% de las madres que lactaran exclusivamente por 180 días. Hubo correlación estadísticamente signifi cativa entre el tiempo de LME y la variable difi cultad en la lactancia. No hube correlación entre el tiempo de LME y las variabais: estado civil; edad materna; peso del recién-nacido y orientaciones recibidas. Hubo diferencia signifi cativamente mayor de desmame a los 60 días en las mujeres que tuvieron difi cultad en la pre-alta. El estudio demostró la in...

Health Education to Strengthen Breastfeeding Actions

“…Corroborating the data found in the study [10] developed in a tertiary public maternity hospital of the Northeast Region of Brazil, which found a mean maternal age of 26±7 years in their results, and the study that found a mean age of 25.7 years [11].…”

Breastfeeding self-efficacy: a cohort study

“…The percentage of 79% of children being exclusively breastfed, identified in this study, can be considered adequate, since the WHO attributes this concept when 50% to 89% of children under six months of age are exclusively breastfed. (11) The application of the scale allowed to identify that mothers presented high and moderate efficacy and none of them obtained results consistent with low self-efficacy.…”

“…(11) Rates of exclusive breastfeeding in Brazil are on a rise, but still below what is recommended by the WHO, which is 180 days. The percentage of 79% of children being exclusively breastfed, identified in this study, can be considered adequate, since the WHO attributes this concept when 50% to 89% of children under six months of age are exclusively breastfed.…”

Child Care among Primiparous and Multiparous Women in a Birth Cohort Study

“…A similar result was identified in a hospital with the title of IHAC, in São Paulo, Brazil [11]. Researchers revealed that, regardless of obstetric conditions, one-third of the primiparous and multiparous women with or without experience who sought to breastfeed failed to initiate it, which requires educational efforts directed towards support for both groups [12].…”