Universidade Federal do Maranhão (UFMA), Hospital Universitário, São Luís, MA, Brazil.
Universidade Federal do Maranhão (UFMA), Department of Medicine III, São Luís, MA, Brazil.
J Pediatr (Rio J). 2018 Nov-Dec;94(6):596-601. doi: 10.1016/j.jped.2017.10.005. Epub 2017 Nov 12.
To investigate the association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding.
A cross-sectional study was conducted with 427 babies/mothers. Socio-demographic, perinatal data, and information about the use of artificial nipples (pacifier and/or bottle) were collected through a questionnaire. The breastfeeding aspects regarding position, affectivity, sucking behavior, baby responses, and breast anatomy were evaluated through observation during breastfeeding. The chi-squared test and the multiple linear regression analysis were used to investigate the association between the variables.
The aspects of breastfeeding that showed higher percentages of the category "poor" were sucking behavior (22.5%) and position (22.2%). The group of infants who used pacifiers and/or bottle showed higher percentages in the poor and fair categories when compared with the good category for all five breastfeeding aspects evaluated (p<0.001). The linear regression analysis revealed that the increase in the number of unfavorable behaviors regarding position, affectivity, sucking behavior, and baby responses were independently associated with both pacifier and bottle use (β positive, p<0.05), while breast anatomy was independently associated only with bottle use.
The findings suggest that the use of pacifiers and/or bottle-feeding may be associated with unfavorable behaviors during breastfeeding, especially the use of bottle-feeding.
研究安抚奶嘴使用和奶瓶喂养与母乳喂养期间不良行为之间的关系。
采用横断面研究方法，对 427 名婴儿/母亲进行研究。通过问卷收集社会人口统计学、围产期数据以及人工奶嘴（安抚奶嘴和/或奶瓶）使用信息。通过观察母乳喂养期间的姿势、情感、吸吮行为、婴儿反应和乳房解剖结构，评估母乳喂养的各个方面。采用卡方检验和多元线性回归分析来调查变量之间的关联。
吸吮行为（22.5%）和姿势（22.2%）是母乳喂养方面表现出较高“差”分类比例的方面。与良好分类相比，使用安抚奶嘴和/或奶瓶的婴儿组在所有五个评估的母乳喂养方面中，不良和一般分类的比例更高（p<0.001）。线性回归分析显示，位置、情感、吸吮行为和婴儿反应方面不良行为的增加与安抚奶嘴和奶瓶的使用均独立相关（β 为正，p<0.05），而乳房解剖结构仅与奶瓶使用独立相关。
研究结果表明，安抚奶嘴和/或奶瓶喂养的使用可能与母乳喂养期间的不良行为有关，特别是奶瓶喂养的使用。
