Feeding practices and early weaning in the neonatal period: a cohort study

Detalhes bibliográficos
Autor(a) principal: Pinheiro, Josilene Maria Ferreira
Data de Publicação: 2021
Outros Autores: Flor, Taiana Brito Menêzes, Araújo, Mayara Gabrielly Germano de, Xavier, Ana Márcia Soares Fernandes, Mata, Amanda Michelly Braga da, Pires, Vanessa Cristina da Costa, Oliveira, Luana Isabelly Carneiro de, Andrade, Fábia Barbosa de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/192282
Resumo: OBJECTIVE To describe feeding practices and the risk factors for the mixed breastfeeding and early weaning in the neonatal period. METHODS Cohort study, which we collected socioeconomic, demographic, health care and feeding data from 415 mother/child binomials born in four public maternity hospitals in Natal/Brazil. They were followed-up at 48 hours, 7 and 28 days after birth. The association was established using Pearson’s Chi-square test and Poisson’s regression, after adjusting it to other variables. RESULTS The prevalence of mixed breastfeeding in the first 2 days was 47,2% and early weaning in 7 and 28 days was 8,4% and 16,2% in that order. The main reasons for mixed breastfeeding and early weaning were: colostrum deficiency (33.8%), difficulty in latching/sucking (23.5%) and “little milk” (70.0%). The use of formula/milk/porridge remained associated with maternal age ≤ 20 years (RR = 0.64; 95%CI: 0.47–0.86), age 20–29 years (RR = 0,70; 95%CI: 0,57–0,87), primiparity (RR = 1.37; 95%CI: 1.11–1.60) and cesarean delivery (RR = 1.20; 95%CI: 1.00–1.45) at 2 days; absence of paternal support (RR = 4.98; 95%CI: 2.54–9.79) and pacifier use (RR = 3.21; 95%CI: 1.63–6.32) at 7 days; and only pacifier use (RR = 2.48; 95%CI: 1.53–4.02) at 28 days. CONCLUSIONS Early weaning was associated with maternal and health care factors, thus suggesting the need to readjust good practices and educational actions to achieve the exclusive offer to the maternal breast in the neonatal period.
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spelling Feeding practices and early weaning in the neonatal period: a cohort studyBreast FeedingWeaningMixed FeedingInfant FormulaInfant NutritionCohort StudiesOBJECTIVE To describe feeding practices and the risk factors for the mixed breastfeeding and early weaning in the neonatal period. METHODS Cohort study, which we collected socioeconomic, demographic, health care and feeding data from 415 mother/child binomials born in four public maternity hospitals in Natal/Brazil. They were followed-up at 48 hours, 7 and 28 days after birth. The association was established using Pearson’s Chi-square test and Poisson’s regression, after adjusting it to other variables. RESULTS The prevalence of mixed breastfeeding in the first 2 days was 47,2% and early weaning in 7 and 28 days was 8,4% and 16,2% in that order. The main reasons for mixed breastfeeding and early weaning were: colostrum deficiency (33.8%), difficulty in latching/sucking (23.5%) and “little milk” (70.0%). The use of formula/milk/porridge remained associated with maternal age ≤ 20 years (RR = 0.64; 95%CI: 0.47–0.86), age 20–29 years (RR = 0,70; 95%CI: 0,57–0,87), primiparity (RR = 1.37; 95%CI: 1.11–1.60) and cesarean delivery (RR = 1.20; 95%CI: 1.00–1.45) at 2 days; absence of paternal support (RR = 4.98; 95%CI: 2.54–9.79) and pacifier use (RR = 3.21; 95%CI: 1.63–6.32) at 7 days; and only pacifier use (RR = 2.48; 95%CI: 1.53–4.02) at 28 days. CONCLUSIONS Early weaning was associated with maternal and health care factors, thus suggesting the need to readjust good practices and educational actions to achieve the exclusive offer to the maternal breast in the neonatal period.Universidade de São Paulo. Faculdade de Saúde Pública2021-11-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/19228210.11606/s1518-8787.2021055003248Revista de Saúde Pública; Vol. 55 (2021); 63Revista de Saúde Pública; Vol. 55 (2021); 63Revista de Saúde Pública; v. 55 (2021); 631518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/192282/177169https://www.revistas.usp.br/rsp/article/view/192282/177168Copyright (c) 2021 Josilene Maria Ferreira Pinheiro, Taiana Brito Menêzes Flor, Mayara Gabrielly Germano de Araújo, Ana Márcia Soares Fernandes Xavier, Amanda Michelly Braga da Mata, Vanessa Cristina da Costa Pires, Luana Isabelly Carneiro de Oliveira, Fábia Barbosa de Andradehttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPinheiro, Josilene Maria FerreiraFlor, Taiana Brito Menêzes Araújo, Mayara Gabrielly Germano deXavier, Ana Márcia Soares FernandesMata, Amanda Michelly Braga da Pires, Vanessa Cristina da CostaOliveira, Luana Isabelly Carneiro deAndrade, Fábia Barbosa de2021-11-08T18:33:25Zoai:revistas.usp.br:article/192282Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-11-08T18:33:25Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Feeding practices and early weaning in the neonatal period: a cohort study
title Feeding practices and early weaning in the neonatal period: a cohort study
spellingShingle Feeding practices and early weaning in the neonatal period: a cohort study
Pinheiro, Josilene Maria Ferreira
Breast Feeding
Weaning
Mixed Feeding
Infant Formula
Infant Nutrition
Cohort Studies
title_short Feeding practices and early weaning in the neonatal period: a cohort study
title_full Feeding practices and early weaning in the neonatal period: a cohort study
title_fullStr Feeding practices and early weaning in the neonatal period: a cohort study
title_full_unstemmed Feeding practices and early weaning in the neonatal period: a cohort study
title_sort Feeding practices and early weaning in the neonatal period: a cohort study
author Pinheiro, Josilene Maria Ferreira
author_facet Pinheiro, Josilene Maria Ferreira
Flor, Taiana Brito Menêzes
Araújo, Mayara Gabrielly Germano de
Xavier, Ana Márcia Soares Fernandes
Mata, Amanda Michelly Braga da
Pires, Vanessa Cristina da Costa
Oliveira, Luana Isabelly Carneiro de
Andrade, Fábia Barbosa de
author_role author
author2 Flor, Taiana Brito Menêzes
Araújo, Mayara Gabrielly Germano de
Xavier, Ana Márcia Soares Fernandes
Mata, Amanda Michelly Braga da
Pires, Vanessa Cristina da Costa
Oliveira, Luana Isabelly Carneiro de
Andrade, Fábia Barbosa de
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Pinheiro, Josilene Maria Ferreira
Flor, Taiana Brito Menêzes
Araújo, Mayara Gabrielly Germano de
Xavier, Ana Márcia Soares Fernandes
Mata, Amanda Michelly Braga da
Pires, Vanessa Cristina da Costa
Oliveira, Luana Isabelly Carneiro de
Andrade, Fábia Barbosa de
dc.subject.por.fl_str_mv Breast Feeding
Weaning
Mixed Feeding
Infant Formula
Infant Nutrition
Cohort Studies
topic Breast Feeding
Weaning
Mixed Feeding
Infant Formula
Infant Nutrition
Cohort Studies
description OBJECTIVE To describe feeding practices and the risk factors for the mixed breastfeeding and early weaning in the neonatal period. METHODS Cohort study, which we collected socioeconomic, demographic, health care and feeding data from 415 mother/child binomials born in four public maternity hospitals in Natal/Brazil. They were followed-up at 48 hours, 7 and 28 days after birth. The association was established using Pearson’s Chi-square test and Poisson’s regression, after adjusting it to other variables. RESULTS The prevalence of mixed breastfeeding in the first 2 days was 47,2% and early weaning in 7 and 28 days was 8,4% and 16,2% in that order. The main reasons for mixed breastfeeding and early weaning were: colostrum deficiency (33.8%), difficulty in latching/sucking (23.5%) and “little milk” (70.0%). The use of formula/milk/porridge remained associated with maternal age ≤ 20 years (RR = 0.64; 95%CI: 0.47–0.86), age 20–29 years (RR = 0,70; 95%CI: 0,57–0,87), primiparity (RR = 1.37; 95%CI: 1.11–1.60) and cesarean delivery (RR = 1.20; 95%CI: 1.00–1.45) at 2 days; absence of paternal support (RR = 4.98; 95%CI: 2.54–9.79) and pacifier use (RR = 3.21; 95%CI: 1.63–6.32) at 7 days; and only pacifier use (RR = 2.48; 95%CI: 1.53–4.02) at 28 days. CONCLUSIONS Early weaning was associated with maternal and health care factors, thus suggesting the need to readjust good practices and educational actions to achieve the exclusive offer to the maternal breast in the neonatal period.
publishDate 2021
dc.date.none.fl_str_mv 2021-11-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/192282
10.11606/s1518-8787.2021055003248
url https://www.revistas.usp.br/rsp/article/view/192282
identifier_str_mv 10.11606/s1518-8787.2021055003248
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/192282/177169
https://www.revistas.usp.br/rsp/article/view/192282/177168
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 55 (2021); 63
Revista de Saúde Pública; Vol. 55 (2021); 63
Revista de Saúde Pública; v. 55 (2021); 63
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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