BREASTFEEDING PATTERNS ANO FACTORS THAT INTERFERE IN EARLY WEANING AMONG PRIMIGRAVIDAS

Authors

  • Tânia Mara Cardoso de Oliveira
  • Cecília Santos de Oliveira
  • Felicia Campos Perez
  • Mariana Campanhã
  • Marina Damha Hipólito
  • Tatiane de Lima Fuentes Andrades

Keywords:

Breast feeding, wesaning, health sevices

Abstract

Objective

To study the proportions in breastfeeding patterns and factors associated with weaning in primigravidas.

Methods

A cross-sectional study was carried out in the Chi/d Care Out-Patient Clinic of the Hospital and Maternity Celso Pierro, /ocated in the suburb of Campinas. From September 1, 2000 to August 37, 2007, 254 questionnaires were app!ied to primigravidas who were awaiting an appointment and whose children aged from 6 to 12 months. Surviva! analysis was used to ca/culate the prevalence and median duration of breastfeeding patterns. Prevalence ratio was used to measure the association strength, with a confidence interva! of 95%. Logistic regression ana!ysis was used to identify risk factors associated with early weaning.

Results

The general breastfeeding median was of five months and of exclusive breastfeeding, it was of one and a half months. Overall breastfeeding índices were good (98.4%) and exclusive (91.7%) only in the first month of life, with a sharp decrease in the second month. On the fourth month of /ife, only 28. 7% of the mothers were breastfeeding exc!usively, 50% were mostly breastfeeding and 61.8% were genera!!y breastfeeding. At the end of the first year, only 31.8% of the mothers were sti/1 breastfeeding. Factors associated with ear!y breastfeeding were: delay to take the chi/d to a health service, low family income, breastfeeding difficu!ties at home and working out.

Conclusion

The data obtained indicate the need to adopt measures that will motivate and promote breastfeeding for two years and exclusive breastfeeding for six months.

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References

Organização Mundial de Saúde. Indicadores para avaliar as práticas de lactancia materna. Genebra; 1992.

Fundo das Nações Unidas para a Infância. Situação mundial da infância. New York; 1996.

Brasil. Ministério da Saúde. Secretaria de Política de Saúde. Guia alimentar para crianças menores de 2 anos. Brasília: Ministério de Saúde; 2002.

World Health Organization. Collaborative StudyTeam on the Role of Breastfeeding protect against infant and child mortality due to infectious diseases? A pooled analysis of six studies from less developed countries. Lancet. 2000; 355(66):451-5.

Victora CG, Fuchs SC, Kirkwood BR, Lombardi C, Barros FC. Breast-feeding, nutritional status, and other prognostic for dehydration among young children with diarrhea in Brazil. WHO Buli. 1992; 70(7): 467-75.

Cesar JA, Victora CG, Barros FC, Santos IS, Flores JA. lmpact of breast feeding on admission for pneumonia during postneonatal period in Brazil: a cases-contrai study. Br Med J. 1999; 318(11):1316-20.

Duncan B, Ey J, Holberg CJ, Wright AL, Martinez FD, Taussig LM. Exclusive breast-feeding for at least 4 months protects againsts otitis media. Pediatrics. 1993; 91(24):867-72.

Giugliani ERJ. O aleitamento materno na prática clínica. J Pediatr. 2000; 76(Supl 3):S238-52.

Pisacane A, lmpagliazzo N, Russo M, Valiani R, Mandarina A, et ai. Breastfeeding and multiple sclerosis. Br Med J. 1994; 308(83): 1411-2.

O. Koletzko S, Sherman P, Corey M, Griffiths A, Smith C. Role of infant feeding practices in development of Crohn's disease in childhood. Br Med J. 1989; 298(35):1617-8

Virtanen SM, Rasanen L, Ylonen K, Aro A, Calyton D, Langholz B, et ai. Early introducion of dairy products associed with increased risk of IDDM in Finnish Children. Diabetes. 1993; 42(12):1786-90.

Vieira GO, Silva LR, Vieira TO, Almeida JAG, Cabral VA. Hábitos alimentares de crianças menores de 1 ano amamentadas e não-amamentadas. J Pediatr. 2004; 80(5):411-6.

Von Kries R, Koletzko B, Sauerwald T, Von Mutius E. Does breast-feeding protect against childhood obesity? Adv Exp Med Biai. 2000; 478(20):29-39.

Nacro B, Curtis V, Kanki B, Tall F, Traore E, Diallo 1, et ai. Prolonged breastfeeding no association with increased risk of clinicai malnutritionin young children in Brurkina Faso. Buli WHO. 1993; 71(6): 713-22.

Christensson K, Cabrere T, C h ristensson E, Uvnas-Moberg K, Winberg J. Separation distress call in the human neonate in the absence of maternal body contact. Acta Pediatr. 1996; 6(9):468-73.

Correa AMS. Evaluación dei impacto de las actividades de promoción de la lactancia materna: Hospital Guilherme Alvaro. USAID/LAC, 1994.

Giugliani ERJ, lssler RMS, Justo EB, Seffrin CF, Hartmann RM, Carvalho NM. Risk factors for early termination of breast feeding in Brazil. Acta Paediatr Scand. 1992; 81(7):484-7.

Victora CG, Tomasi E, Olinto MTA, Barros FC. Use of pacifiers and breastfeeding duration. Lancet. 1993; 341(7):404-6.

Guerrero ML, Morrow RC, Calva JJ, Ortega-Gallegos H, Weller SC, Ruiz Palacios GM, et ai. Rapid ethnografic assessment of breastfeeding pratices in periurban Mexico City. Buli WHO. 1999; 77(4) 323-30.

Arlotti JP, Cottrell BH, Lee SH, Curtin JJ. Breastfeeding among low-income women with and without peer support. J Comm Health Nurs. 1998;15(3) 163-78

Horta BL, Victora CG, Menezes AM, Barros FC. Environmental tobacco smoke and breastfeeding duration. Am J Epidemiai. 1997; 146(26):128-33.

Losch M, Dungy CI, Russell D, Dusdieker LB. lmpact of attitudes on maternal decisions regarding infant feeding. J Pediatr. 1995; 126(23):507-14.

Pesquisa Nacional sobre Demografia e Saúde (Benfam). Rio de Janeiro: Unicef; 1997.

Formam MR. Review of research on the factors associated with choice and duration of infant feeding in less-developed coutries. Pediatrics. 1984; 74(25):667-94.

Campinas. Secretaria Municipal de Saúde. Morta­ lidade em Campinas. Boletim. 2000; 27(jan./mar): 1-4.

Barros FC, Victora CG. Epideminologia da saúde infantil. 3.ed. São Paulo: Hucitec; 1998.

Caldeira AP, Goulart EMA. A situação do aleitamento materno em Montes Claros, Minas Gerais: estudo de uma amostra representativa. J Pediatr. 2000; 76(1): 65-71.

Claro RM, Buarraj MC, Silva AT, Zoldan CM, Moura EC. Prevalência e duração da amamentação em crianças de O a 2 anos na periferia de Campinas, São Paulo, Brasil, 2001. Rev Ciênc Méd. 2004; 13(4)337-46.

Silveira FJF, Lamounier JA. Prevalência do aleitamento materno e práticas de alimentação complementar em crianças com até 24 meses de idade na região do Alto Jequitinhonha, Minas Gerais. Rev Nutr. 2004; 17(4):437-47.

Pinto LM, Vítolo MR. O impacto das orientações de alta na aquisição de conhecimento pelas puérperas em Alojamento Conjunto. Rev Ciênc Méd-Puccamp. 1996; 5(1):15-20

Rea MF. A amamentação e o uso do leite humano: o que recomenda a Academia Americana de Pediatria. J Pediatr. 1998; 74(4):171-3.

Ramos CV, Almeida JAG. Alegações maternas para o desmame: estudo qualitativo. J Pediatr. 2003; 79(5):385-90.

Possas FVM, Carvalho RVB, Moura EC. Aleitamento materno no centro de saúde escola do Jardim lpaussurama, Campinas, São Paulo, Brasil. Rev Ciênc Méd. 2002; 11(1) 19-25

World Health Organization. Evidence for the ten steps to sucessful breastfeeding. Geneva; 1998.

Published

2006-02-28

How to Cite

Oliveira, T. M. C. de, Oliveira, C. S. de, Perez, F. C., Campanhã, M., Hipólito, M. D., & Andrades, T. de L. F. (2006). BREASTFEEDING PATTERNS ANO FACTORS THAT INTERFERE IN EARLY WEANING AMONG PRIMIGRAVIDAS. Revista De Ciências Médicas, 15(1). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1132

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Section

Artigos Originais