母乳喂养咨询门诊指导下的婴儿在生命最初 6 个月的母乳喂养情况。
Breastfeeding in the first six months of life for babies seen by Lactation Consulting.
机构信息
Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
出版信息
Rev Lat Am Enfermagem. 2021 Apr 9;29:e3412. doi: 10.1590/1518-8345.3538.3412. eCollection 2021.
OBJECTIVE
to identify breastfeeding patterns, survival of exclusive breastfeeding and factors associated with its interruption, in the first six months of life of babies seen by Lactation Consulting.
METHOD
a prospective cohort, with 231 mother-babies in a Baby-Friendly Hospital. An initial questionnaire was applied after 24 hours of birth, after consulting, as well as a follow-up questionnaire, applied by telephone at 15, 30, 60, 120 and 180 days, with sociodemographic and obstetric variables, maternal habits, father's schooling, birth data and baby feeding. Survival Analysis was carried out.
RESULTS
at 180 days of age, exclusive breastfeeding was 12.7% and the probability was 19.6% in the analysis of the survival curve. The factors associated with its interruption were smoking during pregnancy (HR 1.66; CI 1.05 - 2.61), age ≥ 35 years old (HR 1.73; CI 1.03 - 2.90), difficulty in breastfeeding after hospital discharge (HR 2.09; CI 1.29 - 3.41), search for professional assistance (HR 2.45; CI 1.69 - 3.54) and use of a pacifier (HR 1.76; IC 1.21 - 2.58).
CONCLUSION
lactation consultancy contributed to the improvement of the exclusive breastfeeding rates, although there are opportunities for advances.
目的
在婴儿母乳喂养咨询门诊中，识别婴儿生命最初 6 个月的母乳喂养模式、纯母乳喂养的存活率及其中断的相关因素。
方法
这是一项前瞻性队列研究，在一家爱婴医院中纳入了 231 对母婴。在出生后 24 小时内、咨询后以及在 15、30、60、120 和 180 天通过电话进行随访时，分别应用初始问卷、后续问卷进行调查，问卷内容包括社会人口统计学和产科变量、产妇习惯、父亲的教育程度、分娩数据和婴儿喂养情况。进行生存分析。
结果
在 180 天时，纯母乳喂养率为 12.7%，生存曲线分析的概率为 19.6%。与纯母乳喂养中断相关的因素包括妊娠期间吸烟（HR 1.66；95%CI 1.05-2.61）、年龄≥35 岁（HR 1.73；95%CI 1.03-2.90）、出院后母乳喂养困难（HR 2.09；95%CI 1.29-3.41）、寻求专业帮助（HR 2.45；95%CI 1.69-3.54）和使用安抚奶嘴（HR 1.76；95%CI 1.21-2.58）。
结论
母乳喂养咨询有助于提高纯母乳喂养率，但仍有改进的空间。
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