Nurse, Specialist in Pediatric Nursing, Master in Nursing

Abstract

Aim: to compare the prevalence of exclusive breastfeeding (EBF) and to verify the factors associated with its interruption in premature infants hospitalized at Baby-Friendly hospitals. Method: this is a comparative study performed with 107 premature infants admitted to the neonatal unit of two hospitals in Paraná. Data were obtained through interviews with mothers and analysis of infant records at hospital discharge and 15 days after delivery. Results: the prevalence of EBF was 29.2% in the University Hospital and 15.3% in the Philanthropic Hospital. At hospital discharge, associations with clinical characteristics of infants predominated, and 15 days after discharge there was a greater association with the socio-demographic characteristics of the parents. Conclusion: the prevalence of EBF, which was shown to be low at the time of hospital discharge in both hospitals, decreased after discharge, reinforcing the need for other strategies, in addition to those provided at Baby-Friendly hospitals, for the promotion and support of EBF in preterm infants.
https://doi.org/10.17665/1676-4285.20175627
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References

Eidelman AI, Schanler RJ. Section on Breastfeeding Executive Committee. Breastfeeding and the use of human milk: policy statement. Pediatrics. 2012;129:e827---41.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: nutrição infantil: aleitamento materno e alimentação complementar / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Caderno de Atenção Básica n. 23. 2º edição. Brasília (DF): Ministério da Saúde; 2015.

Horta BL, Victora CG. Long-term effects of breastfeeding: A systematic review. World Health Organization. WHO: Genebra. 2013.

Scheeren B, et al. Condições iniciais no aleitamento materno de recém nascidos prematuros. J Soc Bras Fonoaudiol, 2012; 24(3): 199-204.

Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016; 387: 491–504.

Nyqvist HK, Häggkvist AP, Hansen MN, Kylberg E, Frandsen AL, Maastrup R, et al. Expansion of the ten steps to successful breastfeeding into neonatal intensive care: expert group recommendations for three guiding principles. J Hum Lact. 2012; 28(3):289-96.

Colaizy TT, Morriss FH. Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003. Journal of Perinatology. 2008; 28: 505–510.

Rodrigues AP, Martins EL, Trojahn TC, Padoin SMM , Paula CC , Tronco CS. Manutenção do aleitamento materno de recém-nascidos pré-termo: revisão integrativa da literatura. Revista Eletrônica de Enfermagem. 2013; 15(1): 253-64.

Sassá AH, Schmidt KT, Rodrigues BC, Ichisato SMT, Higarashi IH, Marcon SS. Bebês pré-termo: aleitamento materno e evolução ponderal. Rev. bras. enferm. 2014; 67(4): 594-600.

Silva WF, Guedes ZCF. Tempo de aleitamento materno exclusivo em recém-nascidos prematuros e a termo. Rev CEFAC. 2013; 15(1): 160-171.

Silva L, Elles M, Silva M, Santos I, Souza K, Carvalho S. Social factors that influence breastfeeding in preterm infants: a descriptive study. Online Brazilian Journal of Nursing, (Online) [internet]. 2012; [Cited 2016 Oct 10]; 11 (1): [about 40-52 p.]. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3528

Ciaciare BC, Migoto MT, Balaminut T, Tacla MTGM, Souza SNDH, Rossetto EG. Breastfeeding maintenance of very low weight premature babies: experience of mothers. Rev. Eletr. Enf. [Internet]. 2015; 17(3): 1-9.

Shapiro-Mendoza CK, Tomashek KM, Kotelchuck M, Barfield W, Nannini A, Weiss J, et al. Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk. Pediatrics. 2008; 121:e223-32.

Briere CE, Lucas R, McGrath JM, Lussier M, Brownell E. Establishing breastfeeding with the late preterm infant in the NICU. J Obstet Gynecol Neonatal Nurs. 2015; 44(1):102-13.

Machado LC Jr, Passini R Jr, Rosa IR. Late prematurity: a systematic review. J Pediatr (Rio J). 2014; 90(2): 21-31.

Maastrup R, Hansen BM, Kronborg H, Bojesen SN, Hallum K, Frandsen A, et al. Factors associated with exclusive breastfeeding of preterm infants. Results from a prospective national cohort study. PLoS ONE. 2014; 9(2): e89077.

Prior E, Santhakumaran S, Gale C, Philipps LH, Modi N, Hyde MJ. Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature. Am J Clin Nutr. 2012; 95(5): 1113–35.

Briere CE, McGrath J, Cong X, Cusson R. An Integrative Review of factors that influence breastfeeding duration for premature infants after NICU hospitalization. JOGNN. 2014; 43: 272-281.

Bengozi TM, Souza SNDH, Rossetto EG, Radigonda B, Hayakawa LM, Ramalho DP. Uma rede de apoio à família do prematuro. Cienc Cuid Saude. 2010; 9(1): 155-160.