Cunha Joice Ferreira, Gama Silvana Granado Nogueira da, Thomaz Erika Barbara Abreu Fonseca, Gomes Maria Auxiliadora de Souza Mendes, Ayres Bárbara Vasques da Silva, Silva Cosme Marcelo Furtado Passos da, Leal Maria do Carmo, Bittencourt Sonia Duarte de Azevedo
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Departamento de Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2024 Apr;29(4):e04332023. doi: 10.1590/1413-81232024294.04332023. Epub 2023 Jun 25.
Breastfeeding (BF) is a human right, and it must start from birth. The adequacy of Rede Cegonha (RC) strategies can contribute to the promotion of BF. The objective was to identify factors associated with BF in the first and 24 hours of live births at full-term maternity hospitals linked to CR. Cross-sectional study with data from the second evaluation cycle 2016-2017 of the RC that covered all of Brazil. Odds ratios were obtained through binary logistic regression according to a hierarchical model, with 95% confidence intervals and p-value < 0.01. The prevalence of BF in the first hour was 31% and in the 24 hours 96.6%. The chances of BF in the first hour increased: presence of a companion during hospitalization, skin-to-skin contact, vaginal delivery, delivery assistance by a nurse and accreditation of the unit in the Baby-Friendly Hospital Initiative. Similar results at 24 hours, and association with maternal age below 20 years. BF in the first hour was less satisfactory than in the 24 hours, probably due to the high prevalence of cesarean sections, a factor associated with a lower chance of early BF. Continuous training of professionals about BF and the presence of an obstetric nurse during childbirth are recommended to expand BF in the first hour.
母乳喂养是一项人权，且必须从出生就开始。雷迪塞戈尼亚（RC）策略的充分性有助于促进母乳喂养。目的是确定与CR相关的足月产科医院活产儿出生后第1小时和24小时内母乳喂养相关的因素。对RC 2016 - 2017年第二个评估周期覆盖巴西全国的数据进行横断面研究。根据分层模型通过二元逻辑回归获得比值比，95%置信区间且p值<0.01。出生后第1小时母乳喂养的患病率为31%，24小时为96.6%。出生后第1小时进行母乳喂养的几率增加的情况如下：住院期间有陪伴者、皮肤接触、阴道分娩、护士协助分娩以及所在单位获得“爱婴医院倡议”认证。24小时时结果类似，且与母亲年龄低于20岁有关。出生后第1小时的母乳喂养情况不如24小时时理想，这可能是由于剖宫产率较高，而剖宫产是与早期母乳喂养几率较低相关的一个因素。建议持续对专业人员进行母乳喂养培训，并在分娩时有产科护士在场，以提高出生后第1小时的母乳喂养率。
