Fatores relacionados ao desmame precoce em bebês nascidos a termo em uma maternidade pública
Factors related to early weaning in babies born at term in a public maternity
Sandra Raquel de Melo Gomes; Mirelly Sabrina Santos Silva; Andréa Rodrigues Motta; Estevam Barbosa de Las Casas; Renata Maria Moreira Moraes Furlan
Resumo
Palavras-chave
Abstract
Purpose to analyze how socioeconomic, pregnancy and childbirth factors relate to the feeding situation in the sixth month of life of full-term babies.
Methods longitudinal observational study, with 98 mothers of full-term babies. Data collection was structured by capturing information regarding the clinical history and moment of birth in the babies' medical records, followed by the application of two questionnaires to the postpartum women, with questions regarding sociodemographic data, pre- and post-pregnancy data and the baby's nutrition. baby, the first being answered during hospital stay and the second, by telephone, in the 6th month of life. A descriptive analysis of the data was performed, using the frequency distribution of categorical variables, inferential analysis using Pearson's Chi-square test and multivariate analysis using binary logistic regression, adopting, for inclusion in the final model, the significance level of 5%.
Results there was an association between exclusive breastfeeding in the 6th month and maternal education and between the period of food introduction and family income. Mothers with higher education were 4.82 times more likely to breastfeed their children exclusively until the sixth month. Families with lower income (up to one minimum wage) were 2.54 times more likely to start food introduction before the sixth month than families with higher income.
Conclusion higher maternal education was a predictive factor for exclusive breastfeeding at the 6th month and higher military income was a predictive factor for introducing food after the 6th month.
Keywords
Referências
1 WHO: World Health Organization. The optimal duration of exclusive breastfeeding. Report of an Expert Consultation. Geneva: WHO; 2001.
2 Brasil. Ministério da Saúde. Secretaria de Atenção Primaria à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos [Internet]. Brasília: Ministério da Saúde; 2019 [citado em 2024 Fev 5]. Disponível em:
3 Universidade Federal do Rio de Janeiro. Aleitamento materno: Prevalência e práticas de aleitamento materno em crianças brasileiras menores de 2 anos 4: ENANI 2019 [Internet]. Rio de Janeiro: UFRJ; 2021 [citado em 2024 Fev 5]. 108 p. Disponível em:
4 Almeida CAN, Ribas D Fo, Weffort VRS, Ued FV, Almeida CCJN, Nogueira FB, et al. First 2,200 days of life as a window of opportunity for multidisciplinary action regarding the developmental origin of health and disease: positioning of the Brazilian Association of Nutrology. Int J Neurol. 2021;15(1):1-22.
5 Lima APC, Nascimento DS, Martins MMF. The practice of breastfeeding and the factors that take to early weaning: integrative review. J Health Biol Sci. 2018;6(2):189-96.
6 Silva ACR, Bastos RP, Pimentel ZNS. Early ablactation: a systematic review. REAS. 2019;30:e1013.
7 Pinheiro ALB, Oliveira MFPL, Almeida SG. Consequences of early weaning: a literature review. E-Academica. 2022;3(1):e2131112.
8 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança : aleitamento materno e alimentação complementar. 2. ed. Brasília: Ministério da Saúde; 2015. 184 p.
9 Nabate KMC, Menezes RKS, Aoyama EA, Lemos LR. Main consequences of early weaning and the motives that influence this practice. Rev Bras Interdiscip Saúde. 2019;1(4):24-30.
10 Barbosa DJ, Vasconcelos TC, Gomes MP. Factors that interfere with exclusive breastfeeding during the baby’s first six months of life. Revista Pró-UniverSUS. 2020;11(1):80-7.
11 Fernandes RC, Hofelmann DA. Intention to breastfeed among pregnant women: association with work, smoking, and previous breastfeeding experience. Ciên Saúde Coletiva. 2020;25(3):1061-72.
12 Melo NKL, Antonio RSC, Passos LSF, Furlan RMMM. Influential aspects of the introduction of infant food. Distúrb Comun. 2021;33(1):14-24.
13 Giesta JM, Zoche E, Corrêa RS, Bosa VL. Associated factors with early introduction of ultra-processed foods in feeding of children under two years old. Ciên Saúde Coletiva. 2019;24(7):2387-97. http://doi.org/10.1590/1413-81232018247.24162017. PMid: 31340258.
14 Dallazen C, Silva SA, Gonçalves VSS, Nilson EAF, Crispim SP, Lang RMF, et al. Introduction of inappropriate complementary feeding in the first year of life and associated factors in children with low socioeconomic status. Cad Saude Publica. 2018;34(2):e00202816.
15 Araújo SC, Souza ADA, Bonfim ANA, Santos JB. Intervening factors of early weaning during exclusive breastfeeding. REAS. 2021;13(4):1-8.
16 Pinheiro JMF, Flor TBM, Araújo MGG, Xavier AMSF, Mata AMBD, Pires VCDC, et al. Feeding practices and early weaning in the neonatal period: a cohort study. Rev Saude Publica. 2021;55:63.
17 Murari CPC, Arciprete APR, Sponholz FG, Monteiro JCS. Early introduction of complementary feeding in infants: comparing adolescent and adult mothers. Acta Paul Enferm. 2021;34:eAPE01011.
18 Nasreddine L, Zeidan MN, Naja F, Hwalla N. Complementary feeding in the MENA region: practices and challenges. Nutr Metab Cardiovasc Dis. 2012;22(10):793-8.
19 Alvisi P, Brusa S, Alboresi S, Amarri S, Bottau P, Cavagni G, et al. Recommendations on complementary feeding for healthy, full-term infants. Ital J Pediatr. 2015;41(1):36.
20 Torquato IMB, Lima AGA, Souza VL No, Pontes FAC Jr, Collet N, França JRFS, et al. Standard for breastfeeding of children. Rev Enferm UFPE. 2018;12(10):2514-21.
21 Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;11(11):CD001688.
22 Barbosa GEF, Pereira JM, Soares MS, Pereira LB, Pinheiro L, Caldeira AP. Initial difficulties with breastfeeding technique and the impact on duration of exclusive breastfeeding. Rev Bras Saúde Mater Infant. 2018;18(3):517-26.
Submetido em:
05/02/2024
Aceito em:
09/04/2024