Determinantes económicos, sociales y de salud que inciden en la lactancia materna exclusiva en Colombia

Arocha-Zuluaga, Gina Paola; Caicedo, Beatriz; Ballesteros, Luis Carlos Forero

doi:10.1590/0102-311xes186621

Cited by 6 publications

(1 citation statement)

References 37 publications

(42 reference statements)

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“…A prevalência de amamentação dentro das 24 horas pós-parto foi bastante satisfatória no segundo ciclo avaliativo, tendo quase todas as puérperas amamentado seus filhos. Estudo conduzido na Colômbia identificou que crianças que iniciaram a amamentação após as 24 horas apresentaram maior risco de abandono do AM exclusivo 38 .…”

Section: Discussionunclassified

Fatores associados ao aleitamento materno ao nascer em maternidades vinculadas à Rede Cegonha, Brasil, 2016-2017

Cunha,

Gama,

Thomaz

et al. 2024

Ciênc. saúde coletiva

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Resumo O aleitamento materno (AM) é um direito humano e deve ser iniciado desde o nascimento. A adequação das estratégias da Rede Cegonha (RC) pode contribuir na promoção do AM. O objetivo foi identificar os fatores associados ao AM na primeira e nas 24 horas de nascidos vivos a termo em maternidades vinculadas à RC. Estudo transversal com dados do segundo ciclo avaliativo 2016-2017 da RC, que abrangeu todo o Brasil. Foram obtidas razões de chance por meio de regressão logística binária segundo modelo hierarquizado, com intervalos de confiança a 95% e p-valor < 0,01. A prevalência de AM na primeira hora foi de 31%, e nas 24 horas, de 96,6%. Aumentaram as chances de AM na primeira hora: presença de acompanhante na internação, contato pele a pele, parto vaginal, assistência ao parto por enfermeira e acreditação da unidade na Iniciativa Hospital Amigo da Criança. Resultados semelhantes nas 24 horas, e associação com idade materna inferior a 20 anos. O AM na primeira hora foi menos satisfatório do que nas 24h, provavelmente pela elevada prevalência de cesariana, fator associado à menor chance de AM precoce. A capacitação dos profissionais sobre AM de forma contínua e a presença de enfermeiro obstetra no parto são recomendadas para ampliar o AM na primeira hora.

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Section: Discussionunclassified

Fatores associados ao aleitamento materno ao nascer em maternidades vinculadas à Rede Cegonha, Brasil, 2016-2017

Cunha,

Gama,

Thomaz

et al. 2024

Ciênc. saúde coletiva

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A Scoping Review of Breastfeeding Interventions and Programs Conducted Across Spanish-Speaking Countries

Blanco,

Aboul-Enein,

Benajiba

et al. 2024

Health Promotion Practice

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Breastfeeding is vital to a child’s lifelong health and has significant positive benefits to mother’s health. World Health Organization recommends beginning exclusively breastfeeding within the first hour after birth and continuing during the first 6 months of infant’s life. The purpose of this review is to identify and examine breastfeeding interventions conducted across the Spanish-speaking countries. A scoping review of the literature was conducted across 14 databases for relevant publications published through April 2023 to find studies in Spanish-speaking countries that involved breastfeeding as an intervention component. A total of 46 peer-reviewed articles were included in this review, across 12 Spanish-speaking countries. Participants ranged from pregnant women, mothers, mother-infant pair, and health care professionals. Intervention at the individual level in combination with support from trained health care professionals or peer counselors seemed to have higher improvements in breastfeeding rates. The greatest improvement in exclusively breastfeeding for 6 months was seen in interventions that included prenatal and postnatal intensive lactation education, for a period of 12 months. The most effective interventions that improved rates of any breastfeeding included promotional activities, educations workshop, and training of health care staff along with changes in hospital care. Breastfeeding promotion is an economical and effective intervention to increase breastfeeding behavior and thereby improving breastfeeding adherence across Spanish-speaking countries.

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Self-efficacy and its association with breastfeeding among women in a family medicine unit in México: prospective cohort study

Sánchez García,

Saucedo Martínez,

Hernández

et al. 2024

IJFCM

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Introduction: The World Health Organization (WHO) reports that in the Americas only 38% of infants are exclusively breastfed (EBF) up to 6 months. Several factors may influence the abandonment of EBF. Variables such as self-efficacy are scarcely described in EBF. In the scientific literature there are descriptive and cross-sectional studies of self-efficacy and EBF, but there are no longitudinal studies. Objective: To associate self-efficacy and EBF abandonment in women in a medical unit in Mexico. Methods: A prospective cohort study with follow-up at 5 days and 6 months postpartum. Multiple binary logistic regression (MLR) was used with variables including low self-efficacy, age >25 years old, and occupation employed. Odds ratio (OR) and 95% CI were calculated. Results: Of 212 women, 53.8% were in union and 62.7% were housewives. A low final self-efficacy was obtained with a relative risk (RR) of 2.6 [95% CI (1.05 - 6.70)] for non-exclusive EBF. MLR at the end of follow-up showed low self-efficacy with an OR of 1. 55 [95% CI (1.50 - 4.71)]; age >25 years old had an OR of 3.44 [95% CI (1.81 - 16.06)], and occupation employed had an OR of 1.13 [(95% CI (1.6 - 3.46)]. Conclusion: Low self-efficacy is a risk factor for the abandonment of EBF, so it is relevant to include it in the dissemination and promotion of EBF by the health team at the primary health care level.

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Determinantes económicos, sociales y de salud que inciden en la lactancia materna exclusiva en Colombia

Cited by 6 publications

References 37 publications

Fatores associados ao aleitamento materno ao nascer em maternidades vinculadas à Rede Cegonha, Brasil, 2016-2017

Fatores associados ao aleitamento materno ao nascer em maternidades vinculadas à Rede Cegonha, Brasil, 2016-2017

A Scoping Review of Breastfeeding Interventions and Programs Conducted Across Spanish-Speaking Countries

Self-efficacy and its association with breastfeeding among women in a family medicine unit in México: prospective cohort study

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