Universidade Estadual de Feira de Santana (UEFS), Feira de Santana, BA, Brazil.
J Pediatr (Rio J). 2010 Sep-Oct;86(5):441-4. doi: 10.2223/JPED.2010. Epub 2010 Aug 23.
To investigate factors associated with discontinuation of exclusive breastfeeding in the first month of lactation, in the city of Feira de Santana, Brazil.
Cohort study with follow-up of 1,309 mother-child pairs selected from all maternities in the municipality. Data were collected in hospital and in home visits during the first month of life. Logistic regression analysis was used to examine the relationship between outcome and variables of interest.
Lack of prior breastfeeding experience (PR 1.24; 95%CI 1.75-1.43), cracked nipples (PR 1.25; 95%CI 1.09-1.43), use of fixed breastfeeding schedules (PR 1.42; 95%CI 1.09-1.84) and pacifier use (PR 1.53; 95%CI 1.34-1.76) were identified as factors predicting discontinuation of exclusive breastfeeding.
Measures to prevent early discontinuation of exclusive breastfeeding must focus on women without breastfeeding experience and include prevention of nipple trauma, encourage breastfeeding on demand, and discourage the use of pacifiers.
调查巴西费拉迪圣安娜市哺乳期第一个月内停止纯母乳喂养的相关因素。
对全市所有产科的 1309 对母婴进行了队列研究随访。数据在生命的第一个月内于医院和家访中收集。采用逻辑回归分析来检验结局与感兴趣变量之间的关系。
缺乏母乳喂养经验（PR 1.24；95%CI 1.75-1.43）、乳头皲裂（PR 1.25；95%CI 1.09-1.43）、使用固定的母乳喂养时间表（PR 1.42；95%CI 1.09-1.84）和使用安抚奶嘴（PR 1.53；95%CI 1.34-1.76）被确定为预测停止纯母乳喂养的因素。
预防早期停止纯母乳喂养的措施必须针对没有母乳喂养经验的妇女，包括预防乳头创伤、鼓励按需母乳喂养和劝阻使用安抚奶嘴。
