Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis

Detalhes bibliográficos
Autor(a) principal: Silva, Maíra Domingues Bernardes
Data de Publicação: 2020
Outros Autores: Oliveira, Raquel de Vasconcellos Carvalhaes de, Braga, José Ueleres, Almeida, João Aprigio Guerra de, 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/42664
Resumo: Fundação Oswaldo Cruz. Instituto Nacional da Saúde da Mulher da Criança e do Adolescente Fernandes Figueira. Banco de Leite Humano. Rio de Janeiro, RJ, Brasil.
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spelling Silva, Maíra Domingues BernardesOliveira, Raquel de Vasconcellos Carvalhaes deBraga, José UeleresAlmeida, João Aprigio Guerra deMelo, Enirtes Caetano Prates2020-08-11T15:36:08Z2020-08-11T15:36:08Z2020SILVA, Maíra Domingues Bernardes et al. Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis. BMC Pediatrics, v. 20, n. 1, p. 1-13, 2020.1471-2431https://www.arca.fiocruz.br/handle/icict/4266410.1186/s12887-020-02272-wengBioMed Centralhttps://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-020-02272-whttps://www.arca.fiocruz.br/handle/icict/46416https://www.arca.fiocruz.br/handle/icict/46628Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional da Saúde da Mulher da Criança e do Adolescente Fernandes Figueira. Banco de Leite Humano. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Banco de Leite Humano. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.Background: To investigate the prevalence and patterns of breastfeeding at discharge and in the first six months of life in a high-risk fetal, neonatal and child referral center. Methods: Prospective, longitudinal study that included the following three steps: hospital admission, first visit after hospital discharge and monthly telephone interview until the sixth month of life. The total number of losses was 75 mothers (7.5%). Exposure variables were sorted into four groups: factors related to the newborn, the mother, the health service and breastfeeding. The dependent variable is breastfeeding as per categories established by the WHO. All 1200 children born or transferred to the high-risk fetal, neonatal and child referral center, within a seven-day postpartum period, from March 2017 to April 2018, were considered eligible for the study, and only 1003 were included. The follow-up period ended in October 2018. For this paper, we performed an exploratory analysis at hospital discharge in three stages, as follows: (i) frequencies of baseline characteristics, stratified by risk for newborn; (ii) a multiple correspondence analysis (MCA); and (iii) clusters for variables related to hospital practice and exclusive breastfeeding (EBF). Results: The prevalence of EBF at hospital discharge was 65.2% (62.1-68.2) and 20.6% (16.5-25.0) in the six months of life. Out of all at-risk newborns, 45.7% were in EBF at discharge. The total inertia corresponding to the two dimensions in the MCA explained for 75.4% of the total data variability, with the identification of four groups, confirmed by the cluster analysis. Discussion: Our results suggest that robust breastfeeding hospital policies and practices influence the establishment and maintenance of breastfeeding in both healthy and at-risk infants. It is advisable to plan and implement additional strategies to ensure that vulnerable and healthy newborns receive optimal feeding. It is necessary to devote extra effort particularly to at-risk infants who are more vulnerable to negative outcomes. Conclusion: At-risk newborns did not exclusively breastfeed to the same extent as healthy newborns at hospital discharge. A different approach is required for at-risk neonates, who are more physically challenged and more vulnerable to problems associated with initiation and maintenance of breastfeeding.BreastfeedingCohort profileCorrespondence analysisHigh riskLongitudinal cohortinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/42664/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALdocument(4).pdfdocument(4).pdfapplication/pdf1037641https://www.arca.fiocruz.br/bitstream/icict/42664/2/document%284%29.pdfe52e25cbf6fc70dbe686db53bfd7fcabMD52TEXTdocument(4).pdf.txtdocument(4).pdf.txtExtracted texttext/plain54471https://www.arca.fiocruz.br/bitstream/icict/42664/3/document%284%29.pdf.txt7be262c55c74a9b0efcdcf5249eb0de9MD53icict/426642023-01-13 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dc.title.pt_BR.fl_str_mv Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
title Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
spellingShingle Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
Silva, Maíra Domingues Bernardes
Breastfeeding
Cohort profile
Correspondence analysis
High risk
Longitudinal cohort
title_short Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
title_full Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
title_fullStr Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
title_full_unstemmed Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
title_sort Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis
author Silva, Maíra Domingues Bernardes
author_facet Silva, Maíra Domingues Bernardes
Oliveira, Raquel de Vasconcellos Carvalhaes de
Braga, José Ueleres
Almeida, João Aprigio Guerra de
Melo, Enirtes Caetano Prates
author_role author
author2 Oliveira, Raquel de Vasconcellos Carvalhaes de
Braga, José Ueleres
Almeida, João Aprigio Guerra de
Melo, Enirtes Caetano Prates
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silva, Maíra Domingues Bernardes
Oliveira, Raquel de Vasconcellos Carvalhaes de
Braga, José Ueleres
Almeida, João Aprigio Guerra de
Melo, Enirtes Caetano Prates
dc.subject.en.pt_BR.fl_str_mv Breastfeeding
Cohort profile
Correspondence analysis
High risk
Longitudinal cohort
topic Breastfeeding
Cohort profile
Correspondence analysis
High risk
Longitudinal cohort
description Fundação Oswaldo Cruz. Instituto Nacional da Saúde da Mulher da Criança e do Adolescente Fernandes Figueira. Banco de Leite Humano. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-08-11T15:36:08Z
dc.date.available.fl_str_mv 2020-08-11T15:36:08Z
dc.date.issued.fl_str_mv 2020
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. Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis. BMC Pediatrics, v. 20, n. 1, p. 1-13, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/42664
dc.identifier.issn.pt_BR.fl_str_mv 1471-2431
dc.identifier.doi.none.fl_str_mv 10.1186/s12887-020-02272-w
identifier_str_mv SILVA, Maíra Domingues Bernardes et al. Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis. BMC Pediatrics, v. 20, n. 1, p. 1-13, 2020.
1471-2431
10.1186/s12887-020-02272-w
url https://www.arca.fiocruz.br/handle/icict/42664
dc.language.iso.fl_str_mv eng
language eng
dc.relation.isversionof.pt_BR.fl_str_mv https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-020-02272-w
dc.relation.uri.pt_BR.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46416
https://www.arca.fiocruz.br/handle/icict/46628
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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)
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