与初级卫生保健背景下纯母乳喂养相关的因素。
Factors related to exclusive breastfeeding in the context of Primary Health Care.
机构信息
Programa de Pós-graduação em Avaliação de Tecnologias para o SUS, Gerência de Ensino e Pesquisa, Grupo Hospitalar Conceição - GHC - Porto Alegre (RS), Brasil.
Residência Multiprofissional em Saúde, Programa Atenção Materno-Infantil e Obstetrícia, Gerência de Ensino e Pesquisa, Grupo Hospitalar Conceição - GHC - Porto Alegre (RS), Brasil.
出版信息
Codas. 2023 Oct 6;35(5):e20210163. doi: 10.1590/2317-1782/20232021163pt. eCollection 2023.
PURPOSE
To identify factors related to exclusive breastfeeding up to the sixth month of life of babies in Primary Health Care services.
METHODS
Quantitative, cross-sectional study, carried out with 261 mothers with 12-month-old babies, coming from health units in Porto Alegre. Data related to exclusive breastfeeding, sociodemographic characteristics, maternal mental health, family relationships and childcare follow-up were analyzed using t-tests, chi-square and Poisson regression model.
RESULTS
The rate of exclusive breastfeeding until the sixth month of life was 41%. The mother having a partner increased the rates of exclusive breastfeeding by 46%, while returning to work before six months reduced the chances of exclusive breastfeeding by 31%. No significant association was identified between exclusive breastfeeding and sociodemographic variables, maternal mental health, family relationships, and child health monitoring.
CONCLUSION
The presence of a maternal partner and the woman's return to work after the baby's six months of life were identified as protectors to exclusive breastfeeding. Health interventions that promote the support network, policies to encourage the practice and transmission of knowledge about breastfeeding are important for better rates of exclusive breastfeeding.
目的
在初级保健服务中确定与婴儿生命的前六个月进行纯母乳喂养相关的因素。
方法
这是一项横断面研究，研究对象为来自阿雷格里港卫生单位的 261 名 12 个月大婴儿的母亲。使用 t 检验、卡方检验和泊松回归模型对纯母乳喂养、社会人口特征、产妇心理健康、家庭关系和儿童保健随访相关的数据进行分析。
结果
纯母乳喂养至生命第六个月的比例为 41%。有伴侣的母亲使纯母乳喂养的比例增加了 46%，而在六个月前重返工作岗位则使纯母乳喂养的可能性降低了 31%。纯母乳喂养与社会人口学变量、产妇心理健康、家庭关系和儿童健康监测之间没有显著关联。
结论
母亲的伴侣的存在和女性在婴儿六个月后重返工作被认为是纯母乳喂养的保护因素。促进支持网络的卫生干预措施、鼓励实践和传播母乳喂养知识的政策对于提高纯母乳喂养率非常重要。
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