Fatores associados ao uso de suplementos em recém-natos em alojamento conjunto no município do Rio de Janeiro, 2009

Abstract

The scope of this study was to estimate the prevalence of the use of supplements among newborns and analyze the factors associated with their use. A cross-sectional study was conducted in 2009 with a representative sample of 687 mothers interviewed in 15 communal wards in hospitals of the Unified Health System in the city of Rio de Janeiro. Prevalence ratios (PR) of supplement use were obtained by Poisson Regression with robust variance, using a hierarchical model. The prevalence of supplement use was 49.8%. Factors associated with supplement use were: being submitted to the rapid HIV test (PR = 1.37; CI95%:1.18-1.58); cesarean delivery (PR = 1.57; CI95%:1.38-1.79); not being helped to breastfeed in the delivery room (PR = 1.60; CI95%:1.29-1.99); mother-child separation (PR = 1.24; CI95%:1.05-1.46); pacifier use (PR = 1.31; CI95%:1.08-1.58); maternal or neonatal interventions (PR = 1.56; CI95%:1.34-1.82); BFH certification (PR = 0.52; CI95%:0.44-0.61); and not receiving help to breastfeed in the communal ward (PR = 0.78; CI95%:0.66-0.92). Supplements to breast milk are being widely used. Hospital routines should be reviewed, so that exclusive breastfeeding becomes the norm.

Breastfeeding practices on postnatal wards in urban and rural areas of the Deyang region, Sichuan province of China

“…Although Caesarean section (CS) was found to be associated with EBF/AEBF, indirectly it was related to the time of initiating breastfeeding. Many other studies noted that CS delays the initiation of breastfeeding [ 42 , 43 ] and is associated with the use of supplements among newborns [ 44 ] and mothers who had CS experienced more breastfeeding problems [ 45 , 46 ]. Similar to earlier findings in the same study area [ 47 ], the proportion of CS was over 60 % during the study period and CS could defined as one of the risk factors for not exclusively breastfeeding.…”

Prevalência e fatores associados à prescrição/solicitação de suplementação alimentar em recém-nascidos

“…A indicação de suplemento alimentar em alojamento conjunto para o recém-nascido ainda é muito frequente, sendo um dos fatores de risco para interrupção da amamentação [13][14][15][16] . Neste estudo, a prevalência de 16% foi maior que no estudo piloto 9 , mas bem inferior a outros realizados 5,17,18 .…”

Fatores associados ao início tardio da amamentação em hospitais do Sistema Único de Saúde no Município do Rio de Janeiro, Brasil, 2009

“…Após esse período, muitos recém-nascidos entram na fase do sono 14 , prejudicando a amamentação e aumentando o risco da prescrição de complementos 15 .…”