Abstract
Objective:to identify breastfeeding patterns, survival of exclusive breastfeeding and factors associated with its interruption, in the first six months of life of babies seen by Lactation Consulting.Method:a prospective cohort, with 231 mother-babies in a Baby-Friendly Hospital. An initial questionnaire was applied after 24 hours of birth, after consulting, as well as a follow-up questionnaire, applied by telephone at 15, 30, 60, 120 and 180 days, with sociodemographic and obstetric variables, maternal habits, father’s schooling, birth data and baby feeding. Survival Analysis was carried out.Results:at 180 days of age, exclusive breastfeeding was 12.7% and the probability was 19.6% in the analysis of the survival curve. The factors associated with its interruption were smoking during pregnancy (HR 1.66; CI 1.05 - 2.61), age ≥ 35 years old (HR 1.73; CI 1.03 - 2.90), difficulty in breastfeeding after hospital discharge (HR 2.09; CI 1.29 - 3.41), search for professional assistance (HR 2.45; CI 1.69 - 3.54) and use of a pacifier (HR 1.76; IC 1.21 - 2.58).Conclusion:lactation consultancy contributed to the improvement of the exclusive breastfeeding rates, although there are opportunities for advances.
Highlights
It is a consensus that breast milk is the most complete food for the baby, especially in the first months of life, as it is a source of nutrients in adequate amounts for a developing organism
When considering that the first days after birth are a period in which the greatest concerns about breastfeeding occur and in which women are more susceptible to difficulties in BF[10], and given the impact of the lactation consultant on the promotion, protection and support of breastfeeding, added to the scarcity of national studies on the performance of this professional, the present study aims to identify breastfeeding patterns, Exclusive breastfeeding (EBF) survival and factors associated with its interruption, in the first six months of life for babies seen by lactation consultants
The results show that women aged 35 years old and older, women who were smoking during pregnancy, those who had difficulty in breastfeeding after discharge and until the end of the follow-up period, and those who sought professional assistance due to difficulties in breastfeeding after leaving the hospital are associated with a higher risk for EBF interruption before they complete 180 days of the baby’s life (p≤0.05)
Summary
It is a consensus that breast milk is the most complete food for the baby, especially in the first months of life, as it is a source of nutrients in adequate amounts for a developing organism. In addition to being nutritious, breast milk protects against infections, avoids hospitalizations and reduces morbidity from diarrhea and respiratory infections, prevents episodes of otitis media and asthma, and decreases mortality from sudden childhood death syndrome. It has positive effects during adulthood, such as an increase in the intelligence quotient, education and income, as well as it protects against overweight and obesity[1]. Exclusive breastfeeding (EBF) is defined so when the child receives only breast milk or human milk from another source, without receiving other liquids or solids. Mixed breastfeeding (MBF) occurs when other types of milk are introduced than just breast milk
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