Figueredo Sonia Fontes, Mattar Maria José Guardia, Abrão Ana Cristina Freitas de Vilhena
Hospital Maternidade Leonor Mendes de Barros, Brasil, São PauloSP, Mestre em Ciências. Enfermeira do Hospital Maternidade Leonor Mendes de Barros , São Paulo , SP , Brasil
Ministério da Saúde, Brasil, São PauloSP, Pediatra. Consultora da Área Técnica da Saúde da Criança e Aleitamento Materno pelo Ministério da Saúde para o Estado de São Paulo. São Paulo , SP , Brasil
Rev Esc Enferm USP. 2013 Dec;47(6):1291-7. doi: 10.1590/S0080-623420130000600006.
The objective of this research was to identify the pattern of exclusive breastfeeding (EBF) in the first 6 months of infants born in a Baby-Friendly Hospital and the factors that contribute to early weaning. This was a prospective cohort study with 261 mothers and children. The data were analyzed via the construction of a Kaplan-Meier survival curve, and the log-rank test was used for the univariate analysis. A multivariate analysis was performed using the Cox proportional-hazards regression model. During the 6 months, the percentage of mothers who practiced EBF for 30, 90, 120, 150 and 180 days was 75%, 52%, 33%, 19% and 5.7%, respectively. In the multivariate analysis, the variables that conferred a risk for early weaning were the hospital and the occurrence of a follow-up visit due to mammary complication, improper positioning and the association of both of these factors. The Baby-Friendly Hospital Initiative favored EBF.
本研究的目的是确定在一家爱婴医院出生的婴儿出生后头6个月内纯母乳喂养（EBF）的模式以及导致早期断奶的因素。这是一项针对261对母婴的前瞻性队列研究。通过构建Kaplan-Meier生存曲线对数据进行分析，并使用对数秩检验进行单因素分析。使用Cox比例风险回归模型进行多因素分析。在这6个月期间，纯母乳喂养30天、90天、120天、150天和180天的母亲比例分别为75%、52%、33%、19%和5.7%。在多因素分析中，导致早期断奶风险的变量是医院以及因乳腺并发症、姿势不当以及这两个因素共同作用而进行的随访。爱婴医院倡议有利于纯母乳喂养。
