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母乳喂养意向、母乳喂养持续时间和断奶原因:队列研究,巴西佩洛塔斯,2014 年。

Maternal intention to breastfeed, duration of breastfeeding and reasons for weaning: a cohort study, Pelotas, RS, Brazil, 2014.

机构信息

Programa de Pós-Graduação em Nutrição e Alimentos, Universidade Federal de Pelotas, Pelotas, RS, Brazil.

Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil.

出版信息

Epidemiol Serv Saude. 2020;29(1):e2019219. doi: 10.5123/s1679-49742020000100024. Epub 2020 Apr 6.

Abstract

OBJECTIVE

to evaluate maternal intention to breastfeed, duration of breastfeeding up to 24 months-of-age and reasons for weaning in the first year of life.

METHODS

this was a cohort study conducted in Pelotas, RS, Brazil, with participants from the Multi-Center Body Composition Study; a life table was used to analyze duration of breastfeeding.

RESULTS

of the 1377 mothers screened, 74.3% reported intending to exclusively breastfeed up until 6 months, while 91.1% intended to prolong breastfeeding until at least 12 months; 58.0% of children were breastfed up to at least 6 months; median breastfeeding duration was 10.8 months (IQR: 5.8 - 23.0); the main reasons reported for weaning were insufficient breast milk (57.3%), return to work/school (45.5%), and unexplained refusal by the baby (40.1%).

CONCLUSION

the results show that despite the intention to breastfeed, there are still structural and social barriers that interfere with successful breastfeeding, especially those related to working mothers.

摘要

目的

评估母乳喂养的母婴意愿、母乳喂养至 24 月龄的持续时间以及生命第一年的断奶原因。

方法

这是巴西佩洛塔斯市进行的一项队列研究,参与者来自多中心人体成分研究;使用寿命表来分析母乳喂养的持续时间。

结果

在筛查的 1377 名母亲中,74.3%报告打算纯母乳喂养至 6 个月,而 91.1%打算延长母乳喂养至至少 12 个月;58.0%的儿童至少母乳喂养至 6 个月;母乳喂养的中位数持续时间为 10.8 个月(IQR:5.8-23.0);报告的主要断奶原因是母乳不足(57.3%)、重返工作/学校(45.5%)和婴儿不明原因拒绝(40.1%)。

结论

结果表明,尽管有母乳喂养的意愿,但仍存在结构性和社会性障碍,影响母乳喂养的成功,特别是对工作母亲而言。

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