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
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
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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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 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Public Library of Science |
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Public Library of Science |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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