Factors associated with duration of breastfeeding

被引:46
作者
Chaves, Roberto G. [1 ,2 ]
Lamounier, Joel A. [3 ,4 ]
Cesar, Cibele C. [1 ,5 ]
机构
[1] Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil
[2] Univ Itauna, Itauna, MG, Brazil
[3] Univ Calif Los Angeles, Los Angeles, CA USA
[4] Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil
[5] Univ Fed Minas Gerais, Inst Ciencias Exatas, Belo Horizonte, MG, Brazil
关键词
D O I
10.2223/JPED.1610
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives: To determine rates of exclusive breastfeeding and of complementary feeding and to identify variables that interfere with breastfeeding in the municipality of Itauna, MG, Brazil. Methods: A longitudinal study was undertaken enrolling 246 women who gave birth at the maternity unit of the Manoel Goncalves Hospital, in Itauna, MG. The mothers and their infants were seen monthly for the first 12 months after birth or until they stopped breastfeeding. Survival analysis procedures were used to study the duration of exclusive breastfeeding and of complementary feeding. The impact on breastfeeding duration of a series of co-variables was assessed by means of Cox regression modeling. Results: The prevalence of exclusive breastfeeding at 6 months was 5.3%, and for breastfeeding at 12 months it was 33.7%. The median duration of exclusive breastfeeding was 40 days, and median breastfeeding duration was 237 days. Multivariate analysis demonstrated a negative association (p < 0.05) between duration of exclusive breastfeeding and the following variables: intended breastfeeding duration (< 12 months), birth weight of child (< 2,500 g) and use of a pacifier. Shorter breastfeeding duration was associated (p < 0.05) with maternal age (< 20 years), number of prenatal consultations (< 5 and > 9 consultations), use of alcohol ortobacco, delay before first feed (> 6 hours) and use of a pacifier. Conclusions: Breastfeeding rates in Itauna (MG) are well below those recommended by the World Health Organization. The principal variables with a negative relationship with duration of exclusive breastfeeding and of complementary feeding are related to mother and baby health care and, therefore, interventions are possible.
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页码:241 / 246
页数:6
相关论文
共 30 条
[1]  
American Academy of Pediatrics Committee on Drugs, 2001, Pediatrics, V108, P776
[2]  
[Anonymous], EV CIENT DEZ PASS SU
[3]  
[Anonymous], 1998, WHONUT981
[4]   Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums [J].
Arifeen, S ;
Black, RE ;
Antelman, G ;
Baqui, A ;
Caulfield, L ;
Becker, S .
PEDIATRICS, 2001, 108 (04) :E67
[5]   Can breast feeding modify the adverse effects of smoking during pregnancy on the child's cognitive development? [J].
Batstra, L ;
Neeleman, J ;
Hadders-Algra, M .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2003, 57 (06) :403-404
[6]  
Bautista L. E., 1997, Revista Panamericana de Salud Publica/Pan American Journal of Public Health, V1, P104
[7]   Optimal duration of exclusive breast feeding in, low income countries - Six months as recommended by WHO applies to populations, not necessarily to individuals [J].
Black, RE ;
Victora, CG .
BRITISH MEDICAL JOURNAL, 2002, 325 (7375) :1252-1253
[8]   MILK CONSUMPTION AND HYDRATION STATUS OF EXCLUSIVELY BREAST-FED INFANTS IN A WARM CLIMATE [J].
BROWN, KH ;
DEKANASHIRO, HC ;
DELAGUILA, R ;
DEROMANA, GL ;
BLACK, RE .
JOURNAL OF PEDIATRICS, 1986, 108 (05) :677-680
[9]  
Caldeira A P, 2000, J Pediatr (Rio J), V76, P65
[10]   EFFECT OF DIFFERENT DOSES OF ETHANOL ON MILK-EJECTING REFLEX IN LACTATING WOMEN [J].
COBO, E .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1973, 115 (06) :817-821