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

Pinheiro, Josilene Maria Ferreira; Menêzes, Taiana Brito; Brito, Kátia Maria Fernandes; Melo, Andressa Názara Lucena de; Queiroz, Dayanna Joyce Marques; Sureira, Thaiz Mattos

doi:10.1590/1678-98652016000300007

Cited by 14 publications

(22 citation statements)

References 22 publications

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“…Difficulty in the breastfeeding technique is not among the reasons that justify milk supplementation. However, it also appeared as a reason in a study developed in an institution accredited as a Baby-Friendly Hospital (BFH), where 22.1% of supplementations resulted from sucking and latching difficulties (18) . This can be harmful, since supplementation may make sucking even more difficult due to the reduced frequency of breastfeeding and nipple stimulation (18) .…”

Section: Discussionmentioning

confidence: 99%

“…Several studies indicate that the use of milk supplementation in the first hours of life increases the probability of inclusion of other milks after hospital discharge, resulting in decreased breast milk production, shorter BF time, and early weaning (11,18) . A study carried out in Canada found that formula supplementation in the first 72 hours of life was associated with 3-fold greater risk of breastfeeding cessation by day 60 (12) .…”

Section: Discussionmentioning

confidence: 99%

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Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month

Gasparin

Strada

Moraes

et al. 2019

Rev. esc. enferm. USP

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Objective: To analyze the survival of exclusive breastfeeding and the factors associated with its cessation in the first month among pairs seen by a lactation consulting team. Method: This is a prospective cohort conducted with mother-infant pairs treated at the Hospital de Clínicas of Porto Alegre. Results: The sample consisted of 150 pairs. The survival curve indicates that 52.9% of the children remained on exclusive breastfeeding. The hierarchical model was constructed in four levels, and the factors associated with the cessation of exclusive breastfeeding were the milk supplementation during hospitalization, breast problems after hospital discharge and use of pacifiers. Conclusion: Awareness of these factors favors the early detection of pairs that may be predisposed to cessation of exclusive breastfeeding, who require greater support, dedication and care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month

Gasparin

Strada

Moraes

et al. 2019

Rev. esc. enferm. USP

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“…33 Considering also that maternal and child health is one of the millennium goals for reducing infant mortality and morbidity, it is suggested that the promotion of breastfeeding be done effectively, taking into account the particularities of the binomial; making the family and the professionals aware of their importance in this process; allowing a more careful assessment of the indication, type and volume of the food supplement, based on the recommendations of the Iniciativa Hospital Amigo da Criança (IHAC) [Baby Friendly Hospital Initiative]; orienting the choice of the childbirth type, since the cesarean procedure was associated with the use of supplement. 34 The factor that may contribute to the promotion of breastfeeding in the delivery room and skin-to-skin contact is normal birth, possibly because it is a procedure that does not offer barriers to breastfeeding in the first hour of life when compared to cesarean procedure. 35 A systematic review on this topic pointed to cesarean section as the main risk factor for not breastfeeding in the first hour of life.…”

Section: Resultsmentioning

confidence: 99%

Childbirth Influence Towards the Weaning During Puerperium Period / Influência do Parto Sobre o Desmame No Puerpério

Vieira

Costa

Sousa

et al. 2019

R. pesq. cuid. fundam. online

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Objetivo: analisar a influência do parto sobre o desmame no puerpério. Métodos: Trata-se de um estudo observacional, descritivo, transversal, de caráter quantitativo. A realização do estudo ocorreu em uma maternidade do município de Caxias-Maranhão. Resultados: a maioria das puérperas eram multíparas, que atingiram o número de consultas recomendadas pelo Ministério da Saúde durante pré-natal, pouco mais da metade (55,9%) tiveram parto vaginal e a grande maioria (71,0%) realizaram a amamentação na primeira hora pós-parto, o que tem favorecido a adesão ao AME refletindo positivamente sobre a saúde da mulher e da criança. Conclusão: a identificação dos fatores associados á interrupção do aleitamento materno durante a consulta pré-natal, assim como, no puerpério, decorrentes do tipo de parto, contribui com planejamento de ações e políticas no sentido de melhorar os índices de desmame precoce.

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“…In this context, the Baby-Friendly Hospital Initiative (BFHI) advocates prevalence above 80% for breastfeeding within the rst hour after birth [4]. Nevertheless, studies have pointed out that such a target has not been achieved [5,6]. Therefore, it is fundamental to know the factors that contribute to the failure of EB.…”

Section: Introductionmentioning

confidence: 99%

Determinants of the offer of breast milk complements for newborns

Pinheiro¹,

Flor²,

Pires³

et al. 2020

Preprint

Self Cite

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Background: Although exclusive breastfeeding is recommended in the first hours of life, it is common to offer infant formula to the newborn, resulting in a negative effect on breastfeeding. This study has the objective of identifying the prevalence of the offer of food complements, its characteristics and the determining factors. Methods: Cross-sectional study, linked to a cohort study that assessed the newborn care in four public maternity wards in Natal. The sample was composed of 415 mothers and full-term newborns, with appropriate weight for gestational age and Apgar scores in 1st and 5th minutes ≥ 7. In order to analyze the association between the socioeconomic, biological and welfare characteristics and the offer of the complement for the newborn, we used Pearson’s Chi-Square, Student’s t-test, and Poisson’s regression.Results: Of the 415 newborns, 51.3% received complements (57.6% in the first hour of life), of which 92% with infant formula. Of these, only 50.7% were prescribed by the doctor. Colostrum deficiency was the main reason for indication (33.8%). The maternal age ≤ 20 years (PR=0.64; 95% CI=0.47-0.86) and between 20-30 years (PR=0.70; 95% CI=0.57-0.87) were shown as protective factors, while being primiparous (PR=1.37; 95% CI=1.11-1.60) and had undergone cesarean section (PR=1.2; 95% CI=1.00-1.45) as predictive factors. Conclusion: We observed that maternal characteristics are determinants for the offer of complement to the newborn in the first hours of life. The high prevalence shows the need for interventions that minimize the inadequate offer of infant formula and promote exclusive breastfeeding before hospital discharge.

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

Cited by 14 publications

References 22 publications

Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month

Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month

Childbirth Influence Towards the Weaning During Puerperium Period / Influência do Parto Sobre o Desmame No Puerpério

Determinants of the offer of breast milk complements for newborns

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