How exclusive is exclusive breastfeeding? A comparison of data since birth with current status data

Aarts, Clara; Kylberg, Elisabeth; Hörnell, Agneta; Hofvander, Y; Gebre‐Medhin, Mehari; Greiner, Ted

doi:10.1093/ije/29.6.1041

Cited by 132 publications

(145 citation statements)

References 21 publications

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“…Foi utilizado um questionário estruturado que versava sobre caracterís-ticas maternas e do bebê e sobre as várias ações da atenção integral à saúde da criança. Para a coleta dos dados referentes ao tipo de aleitamento materno praticado pela criança, foi utilizado o recordatório das últimas 24 horas -current status 21 22 , e aquelas que chegaram à unidade básica de saúde já no primeiro atendimento sem estarem sendo amamentadas, restando 1.029 crianças para análise.…”

Section: Metodologiaunclassified

Fatores associados ao aleitamento materno exclusivo: o papel do cuidado na atenção básica

et al. 2010

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Este estudo teve o objetivo de analisar a associação entre ações de promoção, proteção e apoio à amamentação realizadas em unidades básicas de saúde (UBS) e a prevalência de aleitamento materno exclusivo nos primeiros seis meses de vida. Estudo transversal realizado em amostra representativa de 1.029 mães de crianças menores de seis meses assistidas em unidades básicas de saúde do Município do Rio de Janeiro, Brasil. As razões de prevalência (RP) foram obtidas por regressão de Poisson. A prevalência de aleitamento materno exclusivo foi de 58,1%. Estiveram associadas à maior prevalência de aleitamento materno exclusivo: a cor branca (RP = 1,20; IC95%: 1,05-1,36) e a escolaridade alta (RP = 1,19; IC95%: 1,05-1,35); ter companheiro (RP = 1,72; IC95%: 1,02-2,90); experiência prévia com amamentação (RP = 1,27; IC95%: 1,08-1,49); alta hospitalar em aleitamento materno exclusivo (RP = 2,01; IC95%: 1,20-3,36; ter recebido orientação em grupo (RP = 1,14; IC95%: 1,01-1,28); e ter sido mostrado como amamentar (RP = 1,20; IC95%: 1,08-1,33). A prevalência de aleitamento materno exclusivo diminuiu 17% a cada mês de vida do bebê. Os grupos de apoio à amamentação e a orientação sobre seu manejo contribuíram para o aleitamento materno exclusivo na atenção básica.

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Section: Metodologiaunclassified

Fatores associados ao aleitamento materno exclusivo: o papel do cuidado na atenção básica

et al. 2010

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“…In field studies on large samples it is difficult to distinguish exclusive breastfeeding from predominant or full breast-feeding 9 . Moreover, different methods and definitions are in use in breast-feeding epidemiology 2,20 . With our questionnaires we asked explicitly for non-milk fluid consumption and found differences of up to 17% between exclusive and full breast-feeding depending on age ( Table 4).…”

Section: Breast-feeding Prevalencesmentioning

confidence: 99%

Assessment of breast-feeding promotion in hospitals and follow-up survey of mother–infant pairs in Germany: the SuSe Study

Kersting

Dulon

2002

Public Health Nutr.

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Objective: To assess breast-feeding promotion in maternity hospitals and breastfeeding prevalences during the first year of life in mother-infant pairs in Germany. Design: Cross-sectional assessment of breast-feeding practices in a random sample of German maternity hospitals by use of a postal questionnaire. Follow-up of motherinfant pairs recruited in the participating hospitals to assess breast-feeding prevalences and infant feeding practices by use of a telephone interview 14 days after birth and food-frequency questionnaires mailed at the end of the 2nd, 4th, 6th, 9th and 12th month of life. Use of indicators for breast-feeding proposed by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF). Setting: Nation-wide survey. Subjects: One hundred and seventy-seven maternity hospitals, 1717 mother -infant pairs.Results: There were wide variations in breast-feeding promotion in hospitals as evaluated by the practice of the '10 Steps to Successful Breastfeeding' given by WHO and UNICEF for certification as a 'Babyfriendly Hospital'. Some steps (3,4,8) were practised in about 90% of the hospitals, others (steps 7, 9) in only 10%. Prevalences for exclusive (total) breast-feeding as defined by WHO were: 73% (86%) at discharge, 60% (85%) at 14 days, 42% (70%) at 2 months, 33% (59%) at 4 months, 10% (48%) at 6 months, ,1% (26%) at 9 months and 0 (13%) at 12 months. Conclusions: By use of indicators proposed by WHO and UNICEF, a differentiated insight into the breast-feeding situation in Germany has become possible. Moderate levels of breast-feeding promotion in hospitals resulted in almost satisfactory early breast-feeding prevalences but were not effective for long-term breast-feeding success in most mothers.

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“…The reason for this very great difference was that mothers of infants who had not recorded having introduced water and tea in the 24-hour dietary recall, had offered these liquids to their infants in a certain moment of their lives. 1 Findings from the present study lead to a refl ection on the role of health services in the promotion of exclusive breastfeeding, once the level of implementation of both the mother-infant welcoming strategy and the Breastfeeding-Friendly Primary Care Initiative, developed by the city of Rio de Janeiro, is still low. The low implementation of these strategies is evidenced by the high proportion of mothers who had not received the mother-infant welcoming card at the moment of discharge from the maternity hospital, had not had the fi rst contact with the PHC unit in the infant's fi rst week of life, had not received guidance on breastfeeding in the fi rst visit to the PHC unit after child birth and had not received any guidance on breastfeeding in the PHC unit after child birth.…”

Section: Discussionmentioning

confidence: 75%

Acolhimento e características maternas associados à oferta de líquidos a lactentes

et al. 2010

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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.

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How exclusive is exclusive breastfeeding? A comparison of data since birth with current status data

Abstract: Current status indicators based on a 24-hour period may be inadequate and even misleading for many purposes. We propose that in many studies an indicator called 'exclusive breastfeeding since birth' could be added.

Cited by 132 publications

References 21 publications

Fatores associados ao aleitamento materno exclusivo: o papel do cuidado na atenção básica

Fatores associados ao aleitamento materno exclusivo: o papel do cuidado na atenção básica

Assessment of breast-feeding promotion in hospitals and follow-up survey of mother–infant pairs in Germany: the SuSe Study

Acolhimento e características maternas associados à oferta de líquidos a lactentes

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