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产次是否会影响婴儿在生命的头六个月的喂养方式?

Can parity influence infant feeding in the first six months of life?

机构信息

Núcleo de Estudos em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul (UFRGS). R. Ramiro Barcelos 2400, Santa Cecília. 90035-003 Porto Alegre RS Brasil.

Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Departamento de Pediatria, Faculdade de Medicina, UFRGS. Porto Alegre RS Brasil.

出版信息

Cien Saude Colet. 2020 Nov;25(11):4593-4600. doi: 10.1590/1413-812320202511.01432019. Epub 2019 Feb 3.

DOI:10.1590/1413-812320202511.01432019
PMID:33175065
Abstract

This article aims to evaluate the influence of parity on breastfeeding and introduction of complementary feeding in children up to six months after childbirth. Longitudinal study conducted through a convenience sample of mother-child pairs, selected at postpartum and accompanied until the sixth month of infant's life, between 2011 and 2016, in Porto Alegre, Brazil. There was an analysis of the time taken in the first feeding after birth, practice and time of breastfeeding, consumption of other types of milk and introduction of complementary feeding. The sample consisted of 161 dyads, with 74 primiparous and 87 multiparous. Multiparous women breastfed their babies sooner in the first 24 hours post-partum (p = 0.019). The offering of other kinds of milk showed no difference in relation to parity, as the moment of introduction to infant nutrition, although both primiparous and multiparous did it before the age of four months. Parity seemed to influence the timing of first breastfeeding offer, but not the introduction of complementary feeding, although this occurred in an early way. In this sense, it is necessary to disseminate more information about breastfeeding and infant feeding during prenatal and childcare, to improve maternal and child health.

摘要

本文旨在评估生育次数对产后 6 个月内母乳喂养和引入补充食物的影响。这是一项纵向研究,通过便利抽样选择了母婴对子,于 2011 年至 2016 年在巴西阿雷格里港进行,随访至婴儿 6 个月时。分析了产后首次喂养的时间、母乳喂养的实践和时间、其他类型牛奶的摄入以及补充食物的引入。样本包括 161 对母婴,其中 74 对是初产妇,87 对是经产妇。与初产妇相比,经产妇在产后 24 小时内更早开始母乳喂养(p = 0.019)。与生育次数无关,两种产妇都在 4 个月前开始引入其他种类的牛奶,但在引入婴儿营养的时间上没有差异。生育次数似乎影响首次母乳喂养的时间,但不影响补充喂养的引入,尽管这发生得较早。在这方面,有必要在产前和儿童保健期间传播更多关于母乳喂养和婴儿喂养的信息,以改善母婴健康。

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