The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants

Detalhes bibliográficos
Autor(a) principal: Silva, Maíra Domingues Bernardes
Data de Publicação: 2021
Outros Autores: Oliveira, Raquel de Vasconcellos Carvalhaes de, Alves, Davi da Silveira Barroso, Melo, Enirtes Caetano Prates
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/50446
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
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spelling Silva, Maíra Domingues BernardesOliveira, Raquel de Vasconcellos Carvalhaes deAlves, Davi da Silveira BarrosoMelo, Enirtes Caetano Prates2021-12-15T16:01:53Z2021-12-15T16:01:53Z2021SILVA, Maíra Domingues Bernardes et al. The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants. PloS one, v. 16, n. 8, p. 1-18, 20211932-6203https://www.arca.fiocruz.br/handle/icict/5044610.1371/journal.pone.0255190engPublic Library of ScienceThe effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infantsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Background and aim: Both breastfeeding and the use of human milk are strategies that provide better conformation to health throughout an individual's life and bring countless short- and long- term benefits, which are well established in the scientific literature. For at-risk newborns (NBs), these strategies are crucial interventions to enable neonatal survival with better quality of life due to the distinctive and complex composition of human milk, which serves as personalized food-medicine-protection. However, there is limited knowledge about breastfeeding practices in high-risk NBs. The aim was to estimate the duration of EBF and to investigate the effect of risk at birth on EBF discontinuity in the first six months of life'. Methods: This cohort study included 1,003 NBs from a high-risk referral center, followed up from birth to the sixth month of life, between 2017 and 2018. Correspondence and cluster analysis was used to identify neonatal risk clusters as the main exposure. The object of interest was the time until EBF discontinuity. The Kaplan-Meier methods and the Cox proportional hazards model were used to estimate the hazard ratio and 95% confidence intervals. Results: The prevalence and median duration of EBF decreased proportionally in the three groups. The multiple model revealed a gradient in EBF discontinuity, which was 40% higher in risk group 1 and 111% higher in risk group 2 compared to healthy full-term NBs. Additionally, EBF during hospitalization predicted a longer median duration of this practice for high-risk NBs. Conclusion: This study confirms a high proportion of high-risk NBs who have EBF discontinued before six months of life. The risk of EBF discontinuity is higher in risk groups, with a gradual effect even when adjusted by several factors. Effective interventions are needed to promote, protect, and support breastfeeding in different profiles of risk-at-birth groups.Medical risk factorsNeonatesMorbidityBreast feedingBirth weightGeneticsNeonatal careBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/50446/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALThe effect_Raquel_Oliveira_etal_INI_2021.pdfThe effect_Raquel_Oliveira_etal_INI_2021.pdfapplication/pdf626699https://www.arca.fiocruz.br/bitstream/icict/50446/2/The%20effect_Raquel_Oliveira_etal_INI_2021.pdfed9ef92f15c97325d21a46baea99308dMD52icict/504462021-12-15 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dc.title.pt_BR.fl_str_mv The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
title The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
spellingShingle The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
Silva, Maíra Domingues Bernardes
Medical risk factors
Neonates
Morbidity
Breast feeding
Birth weight
Genetics
Neonatal care
Brazil
title_short The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
title_full The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
title_fullStr The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
title_full_unstemmed The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
title_sort The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants
author Silva, Maíra Domingues Bernardes
author_facet Silva, Maíra Domingues Bernardes
Oliveira, Raquel de Vasconcellos Carvalhaes de
Alves, Davi da Silveira Barroso
Melo, Enirtes Caetano Prates
author_role author
author2 Oliveira, Raquel de Vasconcellos Carvalhaes de
Alves, Davi da Silveira Barroso
Melo, Enirtes Caetano Prates
author2_role author
author
author
dc.contributor.author.fl_str_mv Silva, Maíra Domingues Bernardes
Oliveira, Raquel de Vasconcellos Carvalhaes de
Alves, Davi da Silveira Barroso
Melo, Enirtes Caetano Prates
dc.subject.en.pt_BR.fl_str_mv Medical risk factors
Neonates
Morbidity
Breast feeding
Birth weight
Genetics
Neonatal care
Brazil
topic Medical risk factors
Neonates
Morbidity
Breast feeding
Birth weight
Genetics
Neonatal care
Brazil
description Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-12-15T16:01:53Z
dc.date.available.fl_str_mv 2021-12-15T16:01:53Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, Maíra Domingues Bernardes et al. The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants. PloS one, v. 16, n. 8, p. 1-18, 2021
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/50446
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0255190
identifier_str_mv SILVA, Maíra Domingues Bernardes et al. The effect of risk at birth on breastfeeding duration and exclusivity: A cohort study at a Brazilian referral center for high-risk neonates and infants. PloS one, v. 16, n. 8, p. 1-18, 2021
1932-6203
10.1371/journal.pone.0255190
url https://www.arca.fiocruz.br/handle/icict/50446
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/50446/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/50446/2/The%20effect_Raquel_Oliveira_etal_INI_2021.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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