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. 2021 Feb;43(2):91-96.
doi: 10.1055/s-0040-1718450. Epub 2021 Jan 19.

Factors Associated with Exclusive Breastfeeding in a Maternity Hospital Reference in Humanized Birth

Gabriela Pinheiro Brandt  1 , Alan Messala A Britto  2   3 , Camila Carla De Paula Leite  1 , Luciana Garangau Marin  1
Affiliations

Factors Associated with Exclusive Breastfeeding in a Maternity Hospital Reference in Humanized Birth

Gabriela Pinheiro Brandt et al. Rev Bras Ginecol Obstet. 2021 Feb.

Abstract
in English, Portuguese

Objective: To analyze the factors associated with the prevalence of exclusive breastfeeding (EBF) for up to six months in mother/infant binomials cared for at a usual-risk maternity hospital.

Methods: The present is a descriptive, longitudinal, prospective, quantitative study. Socioeconomic, obstetric and perinatal variables from 101 mother/infant binomials in a Public Maternity Hospital in the city of Curitiba, state of Paraná, Brazil, were investigated during hospitalization after delivery and 6 months after birth. For the statistical analysis, the Chi-squared test was used. The variables that showed values of p < 0.25 for the Chi-squared test were also submitted to an odds ratio (OR) analysis.

Results: The prevalence (42.6%) of EBF was observed. Most women (93.1%) had had more than 6 prenatal consultations, and the variables maternity leave and support to breastfeeding were associated with EBF. Support to breastfeeding by professionals and family members increased 4-fold the chance of maintenance of EBF (OR = 0.232; 95% confidence intercal [95%CI]: 0.079 to 0.679; p = 0.008). Cracked nipples were the biggest obstacle to breastfeeding, and low milk production was the main responsible factor for weaning.

Conclusion: The encouragement of breastfeeding and the mother's stay for a longer period with the child contributed to the maintenance of EBF until the sixth month of life of the infant.

Objetivo: Analisar os fatores associados à prevalência do aleitamento materno exclusivo (AME) até seis meses em binômios mãe/recém-nascido atendidos em uma maternidade de risco habitual. MéTODOS: Trata-se de um estudo descritivo, longitudinal, prospectivo e quantitativo. Foram investigadas variáveis socioeconômicas, obstétricas e perinatais de 101 binômios mãe/recém-nascido de uma maternidade pública em Curitiba-PR no internamento após o parto e 6 meses após o nascimento. Para a análise estatística, utilizou-se o teste do qui-quadrado. As variáveis cujo teste do qui-quadrado tiveram valores de p < 0,25 foram testadas para análises de razão de probabilidades (RP).

Resultados: Observou-se a prevalência (42,6%) do AME. A maioria das mulheres (93,1%) havia realizado mais de 6 consultas de pré-natal, e as variáveis licença maternidade e apoio para amamentar estiveram associadas ao AME. O apoio para amamentar por parte do profissional e do familiar aumentou em 4 vezes a chance da permanência em AME (RP = 0,232; intervalo de confiança de 95% [IC95%]: 0,079 a 0.679; p = 0,008). A fissura foi o maior obstáculo para a amamentação, e a baixa produção de leite, o principal responsável pelo desmame. CONCLUSãO: O incentivo ao aleitamento e a permanência da mãe por mais tempo com a criança contribuíram para a manutenção do AME até o sexto mês de vida do bebê.

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Conflict of interest statement

The authors have no conflict of interests to declare.

Figures

Fig. 1
Fig. 1
Flowchart of the data collection and selection of mother/infant binomials.
See this image and copyright information in PMC

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