Trends in breastfeeding indicators in a city of northeastern Brazil

Vieira, Graciete Oliveira; Reis, Mariana R.; Vieira, Tatiana de Oliveira; Oliveira, Nélson; Silva, Luciana Rodrígues; Giugliani, Elsa Regina Justo

doi:10.1016/j.jpedp.2015.03.004

Cited by 11 publications

(18 citation statements)

References 15 publications

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“…A recent, temporal population-based study evidenced increased breastfeeding prevalence between the years of 1996, 2001 and 2009 in Feira de Santana, in the state of Bahia, with an annual increase in breastfeeding at the first hour of life, of the duration of exclusive breastfeeding in the first six months of life and in the duration of breastfeeding between 9 and 12 months of age 23 . Authors associated this improvement to the breastfeeding incentive strategies, as well as to lower proportion of teenage mothers and higher maternal schooling throughout this period 23 . While not comparable with our study, since this was a population-based study encompassing children of variable ages and many born at term, two of the findings on the changes that occurred over time cause a stir: lower proportion of teenage mothers and greater maternal schooling.…”

Section: Discussionmentioning

confidence: 99%

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Méio

Villela

Júnior

et al. 2018

Ciênc. saúde coletiva

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breastfeeding, anthropometric measurements, social and family information. The proportion of breastfeeding during follow-up was calculated. Survival analysis was conducted to estimate breastfeeding duration. In total, 242 of the 258 infants (93.7%) returned to follow-up; 170 (69.9%) at 6 months and 139 (57.2%) at 12 months (adjusted age). A history of miscarriages (27.5%), stillbirths (11.7%), neonatal deaths (9.5%) and preterm births (21.1%) was noted in 65.5% of women. At hospital discharge: 5.5% received exclusive breastfeeding, 65.8% breastfeeding and formula, 28.6% formula. At month 1, 81.3% received breastfeeding, decreasing to 68.5% at month 2, 62.4% at month 3, 48.1% at month 4 and 22.4% at month 6 (adjusted age). The median of breastfeeding duration was 4 months. Breastfeeding occurred up to four months adjusted age in almost half of the population. Despite the need to improve these rates, the results could reflect the profile of the Child-Friendly Hospital Initiative Unit. Maintaining breastfeeding amongst preterm infants following hospital discharge is still a challenge, for both mothers and health professionals.

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Section: Discussionmentioning

confidence: 99%

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Méio

Villela

Júnior

et al. 2018

Ciênc. saúde coletiva

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“…Em função do impacto do AM na saúde da criança, com repercussão importante nos índices de morbimortalidade infantil, a promoção, a proteção e apoio ao AM têm sido, cada vez mais, priorizados nas políticas públicas de saúde (BRASIL, 2015b;VIEIRA et al, 2015), a fim de que as recomendações de AM e de AME preconizadas pela WHO sejam uma realidade para todos. MONTEIRO, 2013).…”

Section: Aleitamento Materno: Da Prioridade à Realidadeunclassified

O processo de amamentação e suas implicações na vida da mãe adolescente

Leal¹

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“…Tais evidências reforçam a importância das pesquisas regionais para o delineamento de políticas públicas voltadas aos grupos específicos e aos diferentes contextos . Nesse sentido, a avaliação da tendência temporal dos indicadores de AM tem se mostrado uma estratégia poderosa para o monitoramento e a avaliação do grau de implementação e impacto das políticas públicas locais CAMINHA et al, 2010;VIEIRA et al, 2015).…”

Section: Cenário Epidemiológico Da Amamentação Exclusiva No Brasilunclassified

Evolução do uso de chupeta e sua influência no aleitamento materno exclusivo no Brasil, 1999-2008

Buccini¹

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Introduction: The short-and long-term health positive impact that exclusive breastfeeding (EBF) confers to children are well documented. Despite the secular trend for EBF in Brazil has increased, the prevalence of 36% observed in the last national survey conducted in 2013 is still below the 50% considered satisfactory by the World Health Organization. In this scenario, it is important to identify relevant modifiable key risk factors for the premature interruption of EBF. Although pacifier use has been pointed as one of the multiple determinants of exclusive breastfeeding there is no consensus on the effect of this habit in the early interruption of EBF. Objective: To analyze the association between pacifier use and EBF interruption as well as the influence of temporal trends of pacifier use on the EBF in children under 6 months old in Brazilian state capitals and Federal District, 1999-2008. Methods: 4 manuscripts were produced. The first consisted in systematic review and meta-analysis to investigate the association between pacifier use and interruption of exclusive breastfeeding in infants less than 6 months. A wide search in 5 databases (CINAHL, Scopus, Web of Science, LILACS, Medline) from inception through 30 December 2104 without restriction of language yielded 1.866 publications submitted to predetermined inclusion/exclusion criteria peer reviewed (PROSPERO protocol CDR42014014527). In the second and third manuscripts data from 2 waves of infant feeding surveys conducted in 1999 and in 2008 in the Brazilian state capitals and Federal District (I and II PPAM) was used. Methodologically equivalent surveys used representative samples selected based on complex sampling procedures and systematic random selection of children in the queue of each selected immunization center. Questionnaires were composed of closed-ended questions regarding the pacifier use and infant feeding on the day before the survey. In the second manuscript, to find out whether or not pacifier use is an independent risk factor for the EBF interruption were used multivariate regression models in the pooled sample and for each survey wave adjusting for socioeconomic, demographic and biomedical confounders. In the third paper, we calculated the potential impact fraction (IF) of the influence of temporal trends of pacifier use on the decline of EBF interruption. Manuscript 4 resulted from methodological deepening for application of the analysis strategy applied in the previous manuscript, into it we present how estimates of IF that might be used in the analysis of variation in the population outcomes considering shift in its determinants, taking as an example the data about EBF interruption and pacifier in Brazil. Results: The meta-analysis pooled effect was OR 2.48 (CI95%=2.16-2.85) for the association between pacifier use and EBF interruption. The majority heterogeneity was explained by study design (40.2%). Two RCT's with very limited external validity found a null association, but 44 observational studies, including 20 prospective cohort stu...

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Trends in breastfeeding indicators in a city of northeastern Brazil

Cited by 11 publications

References 15 publications

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

O processo de amamentação e suas implicações na vida da mãe adolescente

Evolução do uso de chupeta e sua influência no aleitamento materno exclusivo no Brasil, 1999-2008

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