Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life

• Autor(a) principal: Mattiello,Rita
• Data de Publicação: 2022
• Outros Autores: Kotoski,Aline, Ayala,Camila Ospina, Recha,Carine Lucena, Quiroga,Carolina Villanova, Machado,Cátia Regina, Roxo,Cristiano de Oliveira, Varela,Fernanda Hammes, Couto,Giovanna Trevisan, Cassão,Gisele, Lopes,Jéssica Blatt, Gonçalves,João Ismael Budelon, Silva,Juliana Fernandes da, Barh,Mariana Barth de, Rocha,Natalie Duran, Albuquerque,Nathalia Saraiva de, Corte,Ricardo Arlindo Dalla, Bernardes,Rossana, Richter,Samanta Andresa, Rossi,Tainá, Santos,Ina S.
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Jornal de Pediatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572022000100039
• topic: Breastfeeding; Exclusive breastfeeding; Postpartum period; Intention

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question “Would you be willing to try to breastfeed exclusively for the first 6 months?”, in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4–19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35–1.98) and in those who intended to smoke 4–7 days/week after delivery (PR, 1.42; 1.11–1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19–0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38–0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.