HUMAN MILK BANK: THE BREASTFEEDING COUNSELING AND THE DURATION OF EXCLUSIVE BREASTFEEDING
DOI:
https://doi.org/10.7322/jhgd.103016Palavras-chave:
breast-feeding, early weaning, milk banks, milk human.Resumo
Objective: To identify which sociodemographic factors are associated with early weaning and compare the duration of exclusive breast feeding between mothers which received counseling about maternal feeding and mothers which was not guided for these practices. Methods: A cross-sectional study with 25 mothers that received counseling about the benefits of maternal feeding in the human milk bank and 25 from a university hospital that were not counseled. Data were collected using a structured questionnaire addressing mother-related data, the infant and the breastfeeding in the first semester. Comparison and odds ratio were the statistical analyses adopted. Results: There was not a significant difference of the duration of exclusive breast-feeding between the two groups (p = 0,524). Among mothers in the human milk bank group that discontinued early exclusive breast-feeding, fewer children (p=0,034) and a higher frequency of maternal work (p = 0,022) were observed. Wile, in the university hospital group low education (p < 0.001) and lower income (p = 0.009) were prevalent. In the totality of the sample, the interruption of exclusive breast-feeding was associated with <1 children (OR = 0.21, p = 0.030), the presence of a partner (OR = 0.046, p = 0.001) and the use of bottles or pacifiers (OR = 87.5, p <0.001). In both groups, the most cited motivation for exclusive breast-feeding discontinuation was the medical assistance. It was observed the absence of a specific standard guideline provided in the Human Milk Bank, and less than the recommended number of consultations in the literature. Conclusions: Socioeconomic factors and inadequate incentives negatively influence the duration of exclusive breast feeding. It was verified the need to provide standardized and more frequent counseling for effective reduction of early weaning.
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Aguiar H, Silva AI. Aleitamento materno a importância de intervir. Acta Med Port. 2011; 24:(S4)889-96.
Konstantyner T, Taddei JAAC, Oliveira MN, Palma D, Colugnati FAB. Riscos isolados e agregados de anemia em crianças frequentadoras de berçários de creches. J Pediatr. 2009; 85(3): 209-16. DOI: http://dx.doi.org/10.1590/S002-75572009000300005
Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:CD003517. Available from: http://apps.who.int/rhl/reviews/CD003517.pdf
Strassburger SZ, Vitolo MR, Bortolini GA, Pitrez PM, Jones MH, Stein RT. Erro alimentar nos primeiros meses de vida e sua associação com asma e atopia em pré-escolares. J Pediatr. 2010; 86(5): 391-99. http://dx.doi.org/
1590/S0021-75572010000500007
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: nutrição infantil. Aleitamento materno e alimentação complementar. Caderno de atenção básica n. 23. Brasília: Ministério da Saúde, 2009.
Monteiro R. Norma brasileira de comercialização de alimentos para lactentes e crianças de primeira infância: histórico, limitações e perspectivas. Rev Panam Salud Pública. 2006;19(5): 354-62. http://dx.doi.org/
1590/S1020-49892006000500014
Venancio SI, Escuder MML, Saldiva SRDM, Giugliani ERJ. Breastfeeding practice in the Brazilian capital cities and the Federal District: current status and advances. J Pediatr. 2010; S0021-75572010000400012
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. II Pesquisa de prevalência de aleitamento materno nas capitais brasileiras e Distrito Federal. Brasília:
Ministério da Saúde; 2009.
Brasil. Agência Nacional de Vigilância Sanitária. Resolução RDC nº 171 de 4 de setembro de 2006. Dispõe sobre o Regulamento Técnico para o funcionamento de Bancos de Leite Humano. Diário Oficial da União 05 set 2006. [cited 2012 May 18] Available from: http://www.anvisa.gov.br/hotsite/segurancadopaciente/
documentos/rdcs/RDC%20N%C2%BA%20171-%202006.pdf
Silva SMS, Segre CAM. Fatores que influenciam o desmame no recém- nascido prematuro. Rev Bras Crescimento Desenvolv Hum. 2010; 20(2): 103-13.
Narchi NZ, Fernandes RAQ, Dias LA, Novais DH. Variáveis que influenciam a manutenção do aleitamento materno exclusivo. Rev Esc Enferm USP. 2009; 43(1): 87-94. http://dx.doi.org/10.1590/S0080-62342009000100011
Calegari DP. Prevalência de aleitamento materno exclusivo em crianças com cinco meses acompanhadas em UBS. Monografia (Especialização Saúde Pública) - Universidade Federal do Rio Grande do Sul. Porto Alegre: 2009.
Hulley S, Duncan MS, Schimidt MI, Duncan BB. Delineando a pesquisa clínica: uma abordagem epidemiológica. Porto Alegre: Artmed; 2008; p.384.
Caldeira KMS, Souza JMP, Souza SB. Overweight and its relationship with duration of breastfeeding in preschoolers. J Hum Growth Dev. 2015; 25(1): 89-96. http://dx.doi.org/10.7322/jhgd.96786
Ferreira LM, Santos LAS, Alves LCC, Vasconcelos EOF, Pires GS. Os principais motivos do desmame precoce para as mães atendidas em um hospital público de Belém, PA. Trabalho apresentado no X Encontro Latino Americano de Pós Graduação da Universidade do Vale do Paraíba. São José dos Campos: 2010.
Santos JS, Andrade M, Silva JLL. Fatores que influenciam no desmame precoce: implicações para o enfermeiro de promoção da saúde na estratégia da saúde da família. Informe Promoção Saúde. 2009; 5(2):26-9.
Damião JJ. Influência da escolaridade e do trabalho materno no aleitamento materno exclusivo. Rev Bras Epidemiol. 2008; 11(3):442-52. http://dx.doi.org/10.1590/S1415-790X2008000300011
Oliveira JS, Joventino ES, Dodt RCM, Veras JEGLF, Ximenes LB. Fatores associados ao desmame precoce entre multíparas. Rev Rene. 2010; 11(4): 95-102.
Pereira RSV, Oliveira MIC, Andrade CLT, Brito AS. Fatores associados ao aleitamento materno exclusivo: o papel do cuidado na atenção básica. Cad Saúde Pública. 2010; 26(12): 2343-54. http://dx.doi.org/10.1590/S0102-
X2010001200013
Barbosa MB, Palma D, Domene SMA, Taddei JAAC, Lopez FA. Fatores de risco associados ao desmame precoce e ao período de desmame em lactentes matriculados em creches. Rev Paul Pediatr. 2009; 27(3): 272-81. http://dx.doi.org/10.1590/S0103-05822009000300007
Brito H, Alexandrino AM, Godinho C, Santos G. Experiência do aleitamento materno. Acta Pediatr Port. 2011; 42(5):209-14.
Almeida GG, Spiri WC, Juliani CMCM, Paiva BSR. Proteção, promoção e apoio ao aleitamento materno em um hospital universitário. Ciênc Saúde Coletiva. 2008; 13(2):487-94. http://dx.doi.org/10.1590/S1413-81232008000200024
Morrow AL, Guerrero ML, Shults J, Calva JJ, Lutter C, Bravo J, et al. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomised controlled trial. Lancet. 1999; 353(9160): 1226-31. http://dx. doi.org/10.1016/S0140-6736(98)08037-4
Barros FC, Semer TC, Tonioli Filho S, Victora CG. Avaliação do impacto de Centros de Lactação sobre padrões de amamentação, morbidade e situação nutricional: um estudo de coorte. Rev Bras Epidemiol. 2002; 5(1): 5-14. http://dx.doi.org/10.1590/S1415-790X
Coutinho SB, de Lira PI, Lima MC, Ashworth A. Comparison of the effect of two systems for the promotion of exclusive breastfeeding. Lancet. 2005; 366(9491): 1094-100. http://dx.doi.org/10.1016/S0140-6736(05)67421-1
Sudfeld CR, Fawzi WW, Lahariya C. Peer support and exclusive breastfeeding duration in low and middle-income countries: a systematic review and meta-analysis. PLoS One. 2012; 7(9): e45143. http://dx.doi.org/10.1371/journal.pone.0045143
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