Loading...
Please wait, while we are loading the content...
Similar Documents
Influência das práticas de incentivo e apoio à amamentação em maternidades na prevalência do aleitamento materno exclusivo no primeiro mês de vida do bebê
| Content Provider | Semantic Scholar |
|---|---|
| Author | Bizon, Agnes Meire Branco Leria |
| Copyright Year | 2018 |
| Abstract | Despite the evidences on the positive impact of exclusive breastfeeding on the health of the child and mother, this prevalence is worrying, because, even being a powerful behavior of health promotion, is still little adopted. Given this scenario, it is evident the need of intensifying efforts to promote exclusive breastfeeding and identify its strategies. Some practices of incentive to breastfeeding in maternity hospitals are associated with increased duration of breastfeeding and there is a dose-response relationship between the number of practices to which mother-baby pairs are exposed and the duration of exclusive breastfeeding. However, there are no studies that have evaluated the effect of a set of practices of encouragement and support to breastfeeding in the prevalence of exclusive breastfeeding. The idea of this study was born from the knowledge of this lack, being its goal to evaluate the association between a set of pro-breastfeeding practices in maternity hospitals and the prevalence of exclusive breastfeeding in the first month of the baby’s life, taking into account the contribution of each of the practices to this effect. It’s a cross-sectional study involving 287 women who had delivered in two maternity hospitals in Porto Alegre, Brazil: one public, with certification in the Baby-Friendly Hospital Initiative, and another private, without certification in such Initiative. Women who had babies to term, non-twins and with no neonatal complications were randomly selected, and after 30 days of delivery, they were interviewed at home. The evaluated pro-breastfeeding practices were: skin-to-skin contact, breast-feeding in the first hour, rooming-in, professional support in breastfeeding, breastfeeding orientations, encouragement to feeding on demand, non-supplementation with infant formula and no pacifier. It was elaborated a latent variable, summarizing in a single measure the results of such practices called pro-breastfeeding practices score with the adjustment of a model of Item Response Theory (IRT), the Two-Parameter Logistic Model that allows that each practice has its discrimination and difficulty parameters individually estimated. It was used the Poisson regression with robust variance to verify the association between exclusive breastfeeding at 30 days of life and the score of practices of breastfeeding encouragement and support, being estimated the prevalence ratio (PR) and its respective confidence intervals (CI 95%). As results, it was found prevalence of 61.7% of exclusive breastfeeding at the 30 days of the child’s life. The practices with greater discrimination capacity, that is, which contributed the most in the score estimations, were: professional support for breastfeeding, breastfeeding orientation, and incentive to breastfeeding on demand. The most difficult ones were: suckling within the first hour of life, on-demand |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://lume.ufrgs.br/bitstream/handle/10183/188964/001073398.pdf?isAllowed=y&sequence=1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
