Instituto Fernandes Figueira Rio de JaneiroRJ Brazil Instituto Fernandes Figueira, Rio de Janeiro, RJ, Brazil.
Centro Universitário UNINOVAFAPI TeresinaPI Brazil Centro Universitário UNINOVAFAPI, Teresina, PI, Brazil.
Rev Bras Ginecol Obstet. 2024 Jul 26;46. doi: 10.61622/rbgo/2024rbgo59. eCollection 2024.
To assess the association between sociodemographic and perinatal factors and hospital practices to encourage exclusive breastfeeding in neonates in maternity hospitals.
This is a prospective cohort of live births from the survey "To be born in Brazil" conducted between 2011 and 2012. The weighted number of newborns who met the neonatal near miss criteria was 832. Exclusive breastfeeding at hospital discharge and 45 days after delivery were dependent variables of the study. The sociodemographic and perinatal factors of the puerperal women and hospital practices to encourage breastfeeding were independent variables. The data were analyzed with Poisson regression and set with p value<0.05. Is exclusive breastfeeding in neonatal associated with factors related to sociodemographic conditions, maternal characteristics and the organization of health services?
Data from 498 women and their children were analyzed. Mothers with incomplete primary education were more likely (36%) to have exclusive breastfeeding (RR: 1.36; 95% CI: 1.06-1.74) at discharge. Women who did not offer the breast to the newborn in the joint accommodation (65%) were less likely to be breastfeeding exclusively (RR: 0.65; 95% CI: 0.56-0.75) at discharge. Variables that increased the probability of exclusive breastfeeding after 45 days of delivery were primiparity (RR: 1.36; 95% CI: 1.08-1.69) and having the newborn in the delivery room (RR: 1.90; 95% CI: 1.12-3.24).
Exclusive breastfeeding in neonatal was associated with maternal characteristics and important hospital practices, such as being breastfed in the joint accommodation and the newborn being in the mother's lap in the delivery room.
评估社会人口学和围产期因素与医院实践之间的关联，以鼓励新生儿在产科医院进行纯母乳喂养。
这是一项对 2011 年至 2012 年期间进行的“在巴西出生”调查的活产儿进行的前瞻性队列研究。符合新生儿接近错失标准的新生儿人数为 832 人。出院时和产后 45 天的纯母乳喂养是本研究的因变量。产妇的社会人口学和围产期因素以及鼓励母乳喂养的医院实践是自变量。采用泊松回归分析数据，并设置 p 值<0.05。新生儿的纯母乳喂养是否与社会人口状况、产妇特征和卫生服务组织有关？
对 498 名妇女及其子女的数据进行了分析。未完成小学教育的母亲更有可能（36%）在出院时进行纯母乳喂养（RR：1.36；95%CI：1.06-1.74）。在联合住宿中未给新生儿提供乳房的母亲（65%）不太可能进行纯母乳喂养（RR：0.65；95%CI：0.56-0.75）。增加产后 45 天纯母乳喂养概率的变量是初产妇（RR：1.36；95%CI：1.08-1.69）和新生儿在产房（RR：1.90；95%CI：1.12-3.24）。
新生儿的纯母乳喂养与产妇特征和重要的医院实践有关，例如在联合住宿中母乳喂养和新生儿在母亲的腿上在产房。
