Rimes Karina Abibi, Oliveira Maria Inês Couto de, Boccolini Cristiano Siqueira
Universidade Federal Fluminense. Instituto de Saúde Coletiva. Programa de Pós-Graduação em Saúde Coletiva. Niterói, RJ, Brasil.
Universidade Federal Fluminense. Instituto de Saúde Coletiva. Departamento de Epidemiologia e Bioestatística. Niterói, RJ, Brasil.
Rev Saude Publica. 2019 Jan 31;53:10. doi: 10.11606/S1518-8787.2019053000244.
To analyze the association between maternity leave and exclusive breastfeeding and to estimate the prevalence of exclusive breastfeeding in children under six months of life.
Cross-sectional study, with mothers of children under six months of life, attended in primary health care units with Breast Milk Collection Services in the municipality of Rio de Janeiro, Brazil, in 2013 (n = 429). We analyzed characteristics concerning: maternal sociodemographic aspects, household, prenatal care, childbirth, maternal lifestyle, the child, health care, and infant feeding. Adjusted prevalence ratios (APR) were obtained by Poisson regression with robust variance according to hierarchical approach, and we kept in the final model variables that were associated (p ≤ 0.05) with exclusive breastfeeding (outcome).
Among the interviewed mothers, 23.1% were on maternity leave and 17.2% were working. The prevalence of exclusive breastfeeding was 50.1%. The maternal work with maternity leave was associated with higher prevalence of the outcome (APR = 1.91; 95%CI 1.32-2.78), compared with mothers who worked without maternity leave.
Maternity leave has contributed to the practice of exclusive breastfeeding for children under six months of life, which indicates the importance of this benefit in protecting exclusive breastfeeding for women inserted in the formal labor market.
分析产假与纯母乳喂养之间的关联，并估算6个月以下儿童的纯母乳喂养率。
采用横断面研究，研究对象为2013年在巴西里约热内卢市设有母乳收集服务的初级卫生保健单位就诊的6个月以下儿童的母亲（n = 429）。我们分析了以下方面的特征：母亲的社会人口学特征、家庭情况、产前护理、分娩情况、母亲生活方式、孩子情况、医疗保健以及婴儿喂养情况。根据分层方法，通过具有稳健方差的泊松回归获得调整患病率比（APR），并在最终模型中保留与纯母乳喂养（结果）相关（p≤0.05）的变量。
在接受访谈的母亲中，23.1%休产假，17.2%在职工作。纯母乳喂养率为50.1%。与未休产假而工作的母亲相比，休产假的母亲从事的工作与该结果的较高患病率相关（APR = 1.91；95%CI 1.32 - 2.78）。
产假有助于6个月以下儿童的纯母乳喂养实践，这表明这项福利对于保护进入正规劳动力市场的女性进行纯母乳喂养具有重要意义。
