Ruiz Mariana Torreglosa, da Conceição Rodrigues Elisa, Christoffel Marialda Moreira, de Resende Cynthya Viana, Cavalcanti Michele Curcino, Ferreira Marianne Guterres, da Silva Jéssica Aparecida, da Silva Karine Emanuelle Peixoto Oliveira, Wernet Monika, Gomes Ana Letícia Monteiro, Raponi Maria Beatriz Guimarães, de Oliveira Jacqueline Faria, Contim Divanice, Linares Ana Maria
Stricto sensu Graduate Program in Health Care, Federal University of Triangle Mineiro, Av. Getúlio Guaritá, 107, Uberaba, Minas Gerais, 38025-440, Brazil.
Didactic-Scientific Department of Nursing in Hospital Care, Institute of Health Sciences, Federal University of Triangle Mineiro, Av. Getúlio Guaritá, 107, Uberaba, Minas Gerais, CEP: 38025- 440, Brazil.
Int Breastfeed J. 2025 May 21;20(1):41. doi: 10.1186/s13006-025-00710-y.
Breastfeeding counseling is a proven strategy to protect and promote breastfeeding, as evidenced by numerous studies. However, there is limited research on its application during the dyad's stay in rooming-in and its impact on the duration of exclusive breastfeeding. This study aims to evaluate the effectiveness of individualized counseling during the dyad's rooming-in period and its role in maintaining exclusive breastfeeding until the sixth month of life, compared to standard care.
This randomized, multicenter, parallel, and open clinical trial was conducted at two Brazilian university hospitals. A total of 102 primiparous women, who had conditions and intentions favorable to breastfeeding, were enrolled between December 2023 and April 2024. Following hospital discharge, participants were followed up via telephone until the child reached six months of age, with the study concluding in October 2024. Participants were randomly assigned to one of two groups. The intervention group received two to four breastfeeding counseling sessions during their hospital stay, while the control group received standard institutional care. Both groups were provided with educational materials on the benefits of breastfeeding and information on where to seek help if complications arose. During the telephone follow-ups, outcomes were measured without any additional interventions. The primary outcome measured was the exclusive breastfeeding rate since birth to the sixth month.
A total of 97 breastfeeding women completed the follow-up, forming the sample for analysis. Compared to the control group, women who received counseling were more likely to maintain exclusive breastfeeding at the fourth month (27/48 (56.2%) vs. 15/50 (30.0%), Prevalence Ratio = 1.88 (Confidence Interval 95% 1.15, 3.07) and the sixth month of the child's life (27/47 (57.4%) vs. 12/50 (24.0%), Prevalence Ratio = 2.40 (Confidence Interval 95% 1.38, 4.16).
Breastfeeding counseling during the dyad's stay in rooming-in was effective in maintaining exclusive breastfeeding until the child's sixth month of life.
UTN: U1111-1284-3559 / RBR-4w9v5rq (2023-03-20).
众多研究表明，母乳喂养咨询是保护和促进母乳喂养的一项行之有效的策略。然而，关于其在母婴同室期间的应用及其对纯母乳喂养持续时间的影响的研究有限。本研究旨在评估与标准护理相比，母婴同室期间个体化咨询的有效性及其在维持纯母乳喂养至婴儿6个月大方面的作用。
本随机、多中心、平行、开放的临床试验在两家巴西大学医院进行。2023年12月至2024年4月期间，共招募了102名有有利于母乳喂养的条件和意愿的初产妇。出院后，通过电话对参与者进行随访，直至孩子满6个月，研究于2024年10月结束。参与者被随机分配到两个组中的一组。干预组在住院期间接受两到四次母乳喂养咨询，而对照组接受标准的机构护理。两组均获得了关于母乳喂养益处的教育材料以及出现并发症时寻求帮助的地点的信息。在电话随访期间，在没有任何额外干预的情况下测量结果。测量的主要结果是从出生到第六个月的纯母乳喂养率。
共有97名母乳喂养的女性完成了随访，形成了分析样本。与对照组相比，接受咨询的女性在婴儿4个月时更有可能维持纯母乳喂养（27/48（56.2%）对15/50（30.0%），患病率比=1.88（95%置信区间1.15，3.07））以及在婴儿6个月大时（27/47（57.4%）对12/50（24.0%），患病率比=2.40（95%置信区间1.38，4.16））。
母婴同室期间的母乳喂养咨询在维持纯母乳喂养至婴儿6个月大方面是有效的。
UTN：U1111-1284-3559 / RBR-4w9v5rq（2023-03-20）。
