Breastfeeding patterns and factors associated with early weaning in the Western Amazon

Detalhes bibliográficos
Autor(a) principal: Martins,Fernanda Andrade
Data de Publicação: 2021
Outros Autores: Ramalho,Alanderson Alves, Andrade,Andréia Moreira de, Opitz,Simone Perufo, Koifman,Rosalina Jorge, Silva,Ilce Ferreira da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100215
Resumo: ABSTRACT OBJECTIVE: To characterize breastfeeding patterns in the first six months of life and factors associated with early weaning in a birth-cohort in Rio Branco, state of Acre. METHODS: This is a prospective study with all babies born between April and June 2015. The mothers were interviewed soon after birth and between 6 and 15 months postpartum. At hospital discharge, breastfeeding was defined as exclusively (EBF), and breastfeeding (BF). In the follow-up, breastfeeding patterns were exclusive breastfeeding (EBF), predominant breastfeeding (PBF), and breastfeeding (BF). The interruption of breastfeeding in the first six months was classified as early weaning. The Kaplan Meier method (log-rank: 95%) was used to estimate the conditional probability of change in breastfeeding pattern, and early weaning risk. Crude and adjusted proportional Cox regression models, and their respective 95% confidence intervals (95%CI), were used to analyze the factors associated with early weaning. RESULTS: The study included 833 infants in EBF (95.4%) and BF (4.6%) at hospital discharge. During the first six months of life, the infant likely discharged in EBF remaining in EBF, becoming PBF, and BF, were respectively 16.4%, 32.3%, and 56.5%. The weaning likely at six months was statistically higher for infants discharged in BF (47.4%) when compared with those discharged in EBF (26%). Factors associated with early weaning were BF at hospital discharge (HR = 1.82; 95%CI 1.06–3.11), no mother cross-breastfeeding (HR = 2.50; 95%CI 1.59–3.94), pacifier use (HR = 6.23; 95%CI 4.52–8.60), less than six months of breastfeeding intention (HR = 1.93; 95%CI 1.25–2.98), lack of breastfeeding in the first hour of life (HR = 1.45; 95%CI 1.10–1.92), and pregnancy alcohol consumption (HR = 1.88; 95%CI 1.34–2.90). CONCLUSION: Compared to infants in EBF, those in BF at hospital discharge were more likely to wean. Public health efforts should prioritize EBF at hospital discharge, promote breastfeeding in the first hour of life, and prevent alcohol consumption risks during pregnancy, cross-breastfeeding and pacifier use.
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spelling Breastfeeding patterns and factors associated with early weaning in the Western AmazonBreast FeedingWeaningInfant NutritionChild HealthHealth Status IndicatorsABSTRACT OBJECTIVE: To characterize breastfeeding patterns in the first six months of life and factors associated with early weaning in a birth-cohort in Rio Branco, state of Acre. METHODS: This is a prospective study with all babies born between April and June 2015. The mothers were interviewed soon after birth and between 6 and 15 months postpartum. At hospital discharge, breastfeeding was defined as exclusively (EBF), and breastfeeding (BF). In the follow-up, breastfeeding patterns were exclusive breastfeeding (EBF), predominant breastfeeding (PBF), and breastfeeding (BF). The interruption of breastfeeding in the first six months was classified as early weaning. The Kaplan Meier method (log-rank: 95%) was used to estimate the conditional probability of change in breastfeeding pattern, and early weaning risk. Crude and adjusted proportional Cox regression models, and their respective 95% confidence intervals (95%CI), were used to analyze the factors associated with early weaning. RESULTS: The study included 833 infants in EBF (95.4%) and BF (4.6%) at hospital discharge. During the first six months of life, the infant likely discharged in EBF remaining in EBF, becoming PBF, and BF, were respectively 16.4%, 32.3%, and 56.5%. The weaning likely at six months was statistically higher for infants discharged in BF (47.4%) when compared with those discharged in EBF (26%). Factors associated with early weaning were BF at hospital discharge (HR = 1.82; 95%CI 1.06–3.11), no mother cross-breastfeeding (HR = 2.50; 95%CI 1.59–3.94), pacifier use (HR = 6.23; 95%CI 4.52–8.60), less than six months of breastfeeding intention (HR = 1.93; 95%CI 1.25–2.98), lack of breastfeeding in the first hour of life (HR = 1.45; 95%CI 1.10–1.92), and pregnancy alcohol consumption (HR = 1.88; 95%CI 1.34–2.90). CONCLUSION: Compared to infants in EBF, those in BF at hospital discharge were more likely to wean. Public health efforts should prioritize EBF at hospital discharge, promote breastfeeding in the first hour of life, and prevent alcohol consumption risks during pregnancy, cross-breastfeeding and pacifier use.Faculdade de Saúde Pública da Universidade de São Paulo2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100215Revista de Saúde Pública v.55 2021reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2021055002134info:eu-repo/semantics/openAccessMartins,Fernanda AndradeRamalho,Alanderson AlvesAndrade,Andréia Moreira deOpitz,Simone PerufoKoifman,Rosalina JorgeSilva,Ilce Ferreira daeng2021-05-14T00:00:00Zoai:scielo:S0034-89102021000100215Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-05-14T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Breastfeeding patterns and factors associated with early weaning in the Western Amazon
title Breastfeeding patterns and factors associated with early weaning in the Western Amazon
spellingShingle Breastfeeding patterns and factors associated with early weaning in the Western Amazon
Martins,Fernanda Andrade
Breast Feeding
Weaning
Infant Nutrition
Child Health
Health Status Indicators
title_short Breastfeeding patterns and factors associated with early weaning in the Western Amazon
title_full Breastfeeding patterns and factors associated with early weaning in the Western Amazon
title_fullStr Breastfeeding patterns and factors associated with early weaning in the Western Amazon
title_full_unstemmed Breastfeeding patterns and factors associated with early weaning in the Western Amazon
title_sort Breastfeeding patterns and factors associated with early weaning in the Western Amazon
author Martins,Fernanda Andrade
author_facet Martins,Fernanda Andrade
Ramalho,Alanderson Alves
Andrade,Andréia Moreira de
Opitz,Simone Perufo
Koifman,Rosalina Jorge
Silva,Ilce Ferreira da
author_role author
author2 Ramalho,Alanderson Alves
Andrade,Andréia Moreira de
Opitz,Simone Perufo
Koifman,Rosalina Jorge
Silva,Ilce Ferreira da
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Martins,Fernanda Andrade
Ramalho,Alanderson Alves
Andrade,Andréia Moreira de
Opitz,Simone Perufo
Koifman,Rosalina Jorge
Silva,Ilce Ferreira da
dc.subject.por.fl_str_mv Breast Feeding
Weaning
Infant Nutrition
Child Health
Health Status Indicators
topic Breast Feeding
Weaning
Infant Nutrition
Child Health
Health Status Indicators
description ABSTRACT OBJECTIVE: To characterize breastfeeding patterns in the first six months of life and factors associated with early weaning in a birth-cohort in Rio Branco, state of Acre. METHODS: This is a prospective study with all babies born between April and June 2015. The mothers were interviewed soon after birth and between 6 and 15 months postpartum. At hospital discharge, breastfeeding was defined as exclusively (EBF), and breastfeeding (BF). In the follow-up, breastfeeding patterns were exclusive breastfeeding (EBF), predominant breastfeeding (PBF), and breastfeeding (BF). The interruption of breastfeeding in the first six months was classified as early weaning. The Kaplan Meier method (log-rank: 95%) was used to estimate the conditional probability of change in breastfeeding pattern, and early weaning risk. Crude and adjusted proportional Cox regression models, and their respective 95% confidence intervals (95%CI), were used to analyze the factors associated with early weaning. RESULTS: The study included 833 infants in EBF (95.4%) and BF (4.6%) at hospital discharge. During the first six months of life, the infant likely discharged in EBF remaining in EBF, becoming PBF, and BF, were respectively 16.4%, 32.3%, and 56.5%. The weaning likely at six months was statistically higher for infants discharged in BF (47.4%) when compared with those discharged in EBF (26%). Factors associated with early weaning were BF at hospital discharge (HR = 1.82; 95%CI 1.06–3.11), no mother cross-breastfeeding (HR = 2.50; 95%CI 1.59–3.94), pacifier use (HR = 6.23; 95%CI 4.52–8.60), less than six months of breastfeeding intention (HR = 1.93; 95%CI 1.25–2.98), lack of breastfeeding in the first hour of life (HR = 1.45; 95%CI 1.10–1.92), and pregnancy alcohol consumption (HR = 1.88; 95%CI 1.34–2.90). CONCLUSION: Compared to infants in EBF, those in BF at hospital discharge were more likely to wean. Public health efforts should prioritize EBF at hospital discharge, promote breastfeeding in the first hour of life, and prevent alcohol consumption risks during pregnancy, cross-breastfeeding and pacifier use.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100215
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2021055002134
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.55 2021
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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