Monteiro Fernanda R, Buccini Gabriela Dos S, Venâncio Sônia I, da Costa Teresa H M
Universidade de Brasília (UnB), Faculdade de Ciências da Saúde, Programa de Pós-graduação em Ciências da Saúde, Brasília, DF, Brazil.
Universidade de São Paulo (USP), Faculdade de Saúde Pública, Departamento de Nutrição, São Paulo, SP, Brazil.
J Pediatr (Rio J). 2017 Sep-Oct;93(5):475-481. doi: 10.1016/j.jped.2016.11.016. Epub 2017 Jul 21.
To describe the profile of women with children aged under 4 months living in the Brazilian state capitals and in the Federal District according to their working status and to analyze the influence of maternity leave on exclusive breastfeeding (EBF) among working women.
This was a cross-sectional study with data extracted from the II National Maternal Breastfeeding Prevalence Survey carried out in 2008. Initially, a descriptive analysis of the profile of 12,794 women was performed, according to their working status and maternity leave and the frequency of maternity leave in the Brazilian regions and capitals. The study used a multiple model to identify the influence of maternity leave on EBF interruption, including 3766 women who declared they were working and were on maternity leave at the time of the interview. The outcome assessed in the study was the interruption of the EBF, classified by the WHO.
Regarding the working status of the mothers, 63.4% did not work outside of their homes and among those who worked, 69.8% were on maternity leave. The largest prevalence among workers was of women older than 35 years of age, with more than 12 years of schooling, primiparous and from the Southeast and South regions. The lack of maternity leave increased by 23% the chance of EBF interruption.
Maternity leave contributed to increase the prevalence of EBF in the Brazilian states capitals, supporting the importance of increasing the maternity leave period from four to six months.
根据工作状况描述居住在巴西各州首府和联邦区且子女年龄在4个月以下的女性概况,并分析产假对在职女性纯母乳喂养(EBF)的影响。
这是一项横断面研究,数据取自2008年开展的第二次全国孕产妇母乳喂养患病率调查。首先,根据工作状况、产假以及巴西各地区和首府的产假频率,对12794名女性的概况进行描述性分析。该研究使用多元模型来确定产假对纯母乳喂养中断的影响,其中包括3766名宣称在接受访谈时正在工作且处于产假中的女性。研究评估的结果是纯母乳喂养的中断情况,由世界卫生组织进行分类。
关于母亲的工作状况,63.4%的母亲不在家工作,在工作的母亲中,69.8%处于产假。在职女性中患病率最高的是年龄超过35岁、受教育年限超过12年、初产且来自东南部和南部地区的女性。没有产假会使纯母乳喂养中断的几率增加23%。
产假有助于提高巴西各州首府纯母乳喂养的普及率,支持将产假从四个月延长至六个月的重要性。