Caldeira Antônio P, Gonçalves Eduardo
Departamento de Saúde da Mulher e da Criança, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil.
J Pediatr (Rio J). 2007 Mar-Apr;83(2):127-32. doi: 10.2223/JPED.1596. Epub 2007 Feb 28.
To evaluate the impact of the Baby-Friendly Hospital Initiative on the breastfeeding practices of mothers from the urban area of Montes Claros, MG, Brazil.
A comparative analysis was performed of two cross-sectional breastfeeding indicator studies with randomized samples of children under 2 years of age. One study was carried out before and the other after the Baby-Friendly Hospital Initiative had been implemented throughout all public pregnancy and childbirth care services in the city. Kaplan-Meyer survival curves were constructed for different breastfeeding patterns. Log rank testing was used to calculate the level of significance of differences between curves for before and after the Initiative.
The survival curves demonstrate that breastfeeding rates increased during the study period. The log rank test detected significance for increases in all patterns of breastfeeding (p < 0.000). Median overall breastfeeding duration increased from 8.9 to 11.6 months and median duration of exclusive breastfeeding rose from 27 days to 3.5 months.
Implementation of the Baby-Friendly Hospital Initiative in all public maternity units in Montes Claros significantly increased breastfeeding rates in the city. Since the ideal state of affairs has not yet been reached, further strategies must be implemented to promote and support breastfeeding practices.
评估“爱婴医院倡议”对巴西米纳斯吉拉斯州蒙特斯克拉罗斯市区母亲母乳喂养行为的影响。
对两项针对2岁以下儿童随机样本的横断面母乳喂养指标研究进行比较分析。一项研究在该市所有公共孕期和分娩护理服务机构实施“爱婴医院倡议”之前开展，另一项在之后开展。针对不同母乳喂养模式构建了 Kaplan - Meyer 生存曲线。采用对数秩检验来计算倡议前后曲线差异的显著性水平。
生存曲线表明，在研究期间母乳喂养率有所提高。对数秩检验发现所有母乳喂养模式的增加均具有显著性（p < 0.000）。总体母乳喂养持续时间中位数从8.9个月增加到11.6个月，纯母乳喂养持续时间中位数从27天增至3.5个月。
在蒙特斯克拉罗斯所有公共产科单位实施“爱婴医院倡议”显著提高了该市的母乳喂养率。由于尚未达到理想状态，必须实施进一步策略以促进和支持母乳喂养行为。
