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足月新生儿在公立妇产医院中早期断奶的相关因素。

Factors related to early weaning in babies born at term in a public maternity.

机构信息

Programa de Pós-graduação em Ciências Fonoaudiológicas, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

Residência Multiprofissional, Hospital Metropolitano Odilon Behrens - Belo Horizonte (MG), Brasil.

出版信息

Codas. 2024 Aug 5;36(5):e20240030. doi: 10.1590/2317-1782/20242024030pt. eCollection 2024.

Abstract

PURPOSE

to analyze how socioeconomic, pregnancy and childbirth factors relate to the feeding situation in the sixth month of life of full-term babies.

METHODS

longitudinal observational study, with 98 mothers of full-term babies. Data collection was structured by capturing information regarding the clinical history and moment of birth in the babies' medical records, followed by the application of two questionnaires to the postpartum women, with questions regarding sociodemographic data, pre- and post-pregnancy data and the baby's nutrition. baby, the first being answered during hospital stay and the second, by telephone, in the 6th month of life. A descriptive analysis of the data was performed, using the frequency distribution of categorical variables, inferential analysis using Pearson's Chi-square test and multivariate analysis using binary logistic regression, adopting, for inclusion in the final model, the significance level of 5%.

RESULTS

there was an association between exclusive breastfeeding in the 6th month and maternal education and between the period of food introduction and family income. Mothers with higher education were 4.82 times more likely to breastfeed their children exclusively until the sixth month. Families with lower income (up to one minimum wage) were 2.54 times more likely to start food introduction before the sixth month than families with higher income.

CONCLUSION

higher maternal education was a predictive factor for exclusive breastfeeding at the 6th month and higher military income was a predictive factor for introducing food after the 6th month.

摘要

目的

分析社会经济、妊娠和分娩因素与足月婴儿生命的第六个月喂养状况的关系。

方法

这是一项纵向观察研究,共纳入 98 名足月婴儿的母亲。通过在婴儿病历中记录临床病史和出生时刻来收集数据,随后对产后妇女进行了两次问卷调查,问题涉及社会人口统计学数据、妊娠前后数据和婴儿营养。第一次问卷在住院期间回答,第二次在婴儿生命的第六个月通过电话回答。对数据进行描述性分析,使用分类变量的频率分布,使用 Pearson 卡方检验进行推断分析,使用二元逻辑回归进行多变量分析,并采用 5%的显著性水平纳入最终模型。

结果

第六个月的纯母乳喂养与母亲的教育程度有关,而食物引入的时间与家庭收入有关。接受过高等教育的母亲更有可能在第六个月前纯母乳喂养孩子。与高收入家庭相比,低收入(至多一个最低工资)家庭在第六个月前开始引入食物的可能性高 2.54 倍。

结论

母亲的受教育程度越高,第六个月时纯母乳喂养的可能性越大,军人收入越高,第六个月后开始引入食物的可能性越大。

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1
Feeding practices and early weaning in the neonatal period: a cohort study.新生儿期喂养方式与早期断奶:队列研究。
Rev Saude Publica. 2021 Oct 25;55:63. doi: 10.11606/s1518-8787.2021055003248. eCollection 2021.
5
Interventions for promoting the initiation of breastfeeding.促进母乳喂养启动的干预措施。
Cochrane Database Syst Rev. 2016 Nov 9;11(11):CD001688. doi: 10.1002/14651858.CD001688.pub3.
7
Complementary feeding in the MENA region: practices and challenges.中东和北非地区的补充喂养:实践与挑战。
Nutr Metab Cardiovasc Dis. 2012 Oct;22(10):793-8. doi: 10.1016/j.numecd.2012.05.010. Epub 2012 Jul 16.

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