Carvalho Maria José Laurentina do Nascimento, Carvalho Michelle Figueiredo, Santos Carlos Renato Dos, Santos Paula Thianara de Freitas
Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil.
Rev Paul Pediatr. 2018 Jan 15;36(1):8. doi: 10.1590/1984-0462/;2018;36;1;00001. Print 2018 Jan-Mar.
To investigate the influence of the first postpartum visit, family income, pacifier habit, number of siblings and birth weight on the maintenance of exclusive breastfeeding in infants aged one week up to six months.
In this cross-sectional study, data were collected through a survey, which included social and demographic characteristics of the families and the breastfeeding practice in children aged one week to six months, who received care at family health units in the municipality of Vitória de Santo Antão, Pernambuco, Northeast Brazil, between December 2014 and February 2015. Prevalence ratio was used to indicate how many times the outcome prevalence was increased by the influence of the studied variables, as well as a binary logistic regression model for the analysis and reliability of the results.
The prevalence of exclusive breastfeeding was 41.7%. Family income, pacifier habit, number of siblings and birth weight did not show statistical association with the maintenance of exclusive breastfeeding. However, the absence of postpartum home visits adversely influenced the outcome (p=0.009). The children who received home visits had a higher chance of being exclusively breastfed for six months or more (PR 2.28, 95%CI 1.17-4.42). In the logistic regression, only the visit showed significance to estimate the probability of exclusive breastfeeding.
The absence of postpartum home visits negatively influenced the duration of exclusive breastfeeding. This finding fills a gap in the knowledge of determinants of exclusive breastfeeding and may guide the planning of local strategies and actions to promote, protect and support exclusive breastfeeding.
探讨产后首次访视、家庭收入、使用安抚奶嘴习惯、兄弟姐妹数量及出生体重对1周龄至6月龄婴儿纯母乳喂养维持情况的影响。
在这项横断面研究中，通过一项调查收集数据，该调查包括家庭的社会和人口学特征以及在巴西东北部伯南布哥州圣安东尼奥维多利亚市家庭健康单位接受护理的1周龄至6月龄儿童的母乳喂养情况。患病率比用于表明研究变量的影响使结局患病率增加了多少倍，同时使用二元逻辑回归模型对结果进行分析和可靠性评估。
纯母乳喂养的患病率为41.7%。家庭收入、使用安抚奶嘴习惯、兄弟姐妹数量及出生体重与纯母乳喂养的维持情况未显示出统计学关联。然而，产后未进行家访对结局有不利影响（p = 0.009）。接受家访的儿童纯母乳喂养6个月及以上的几率更高（患病率比2.28，95%置信区间1.17 - 4.42）。在逻辑回归中，只有家访对估计纯母乳喂养的概率具有显著性。
产后未进行家访对纯母乳喂养的持续时间有负面影响。这一发现填补了纯母乳喂养决定因素知识方面的空白，并可为促进、保护和支持纯母乳喂养的地方策略和行动规划提供指导。
