Pairs seen by lactation consultants and cessation of exclusive breastfeeding in the first month.

Vanessa Aparecida Gasparin,Thaís Betti,Annelise De Carvalho Gonçalves,Bruna Alibio Moraes,Juliana Karine Rodrigues Strada,Lilian Cordova Do Espírito Santo

doi:10.1590/s1980-220x2018010003422

Vanessa Aparecida Gasparin, Thaís Betti + Show 4 more

Open Access

https://doi.org/10.1590/s1980-220x2018010003422

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Abstract

To analyze the survival of exclusive breastfeeding and the factors associated with its cessation in the first month among pairs seen by a lactation consulting team. This is a prospective cohort conducted with mother-infant pairs treated at the Hospital de Clínicas of Porto Alegre. The sample consisted of 150 pairs. The survival curve indicates that 52.9% of the children remained on exclusive breastfeeding. The hierarchical model was constructed in four levels, and the factors associated with the cessation of exclusive breastfeeding were the milk supplementation during hospitalization, breast problems after hospital discharge and use of pacifiers. Awareness of these factors favors the early detection of pairs that may be predisposed to cessation of exclusive breastfeeding, who require greater support, dedication and care.

Highlights

Breast milk is the most appropriate food for the newborn, given its proven benefits compared to other types of milk[1].It is estimated that breastfeeding could prevent 823,000 annual child deaths and 20,000 annual deaths from breast cancer[2]
Considering the importance of the lactation consultants in the promotion, protection and support of breastfeeding and their direct influence on exclusive breastfeeding (EBF) rates, along with the scarcity of national studies on the work of this professional in the Unified Health System (Sistema Único de Saúde – SUS), the present study aims to verify the survival of EBF and the factors associated with its cessation in the first month of pairs seen by the lactation consultant team
Referral to lactation consultations is associated with difficulties of the mother-infant pair, who is more vulnerable to early cessation of EBF

Summary

Introduction

It is estimated that breastfeeding could prevent 823,000 annual child deaths and 20,000 annual deaths from breast cancer[2] This benefit is more evident when breastfeeding occurs in the first day of life, a practice that can prevent 16% of neonatal deaths, or 22% if the baby is breastfed in the first hour of life, which has been recommended by the World Health Organization (WHO) for more than 25 years[2,3]. A consensus between the WHO, the United Nations Children’s Fund (UNICEF) and the Brazilian Ministry of Health (MH) is the recommendation of exclusive breastfeeding (EBF) for six months, since breast milk reduces infant mortality rates, supports the biological growth and supplies all the nutritional needs of the child, stimulating child growth and development, and strengthening the mother-baby bond[4,5,6]. The same research found that the probability of a 1-month old child being exclusively breastfed was 60.6%(7)

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