Absence of breastfeeding on discharge from preterm infants: prevalence and associated factors
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Abstract
Introduction: Several strategies focused on providing healthcare to premature children have been implemented. Among them, one finds breastfeeding. Objective: Investigating the prevalence of, and factors associated with, lack of premature newborn breastfeeding at hospital discharge. Methods: Cross-sectional study conducted with puerperal women and their preterm newborns in the public health network of Maceió, Brazil. Maternal information was obtained socioeconomic, obstetric, prenatal, and anthropometric data, through questionnaire application, whereas information about newborns was collected in their medical records (gestational age at birth, sex, delivery method (vaginal birth or cesarean section), weight, and length at birth, and Apgar scores in the 1st and 5th minute of life), as well as information about the practice of breastfeeding at hospital discharge time. Poisson regression analysis in a hierarchical model was carried out to identify factors associated with the outcome of interest. Results were expressed in Prevalence Ratio (PR) and respective 95% Confidence Intervals (95%CI). Results: 381 dyads were evaluated, 167 (43.8%) of them were not breastfeeding at hospital discharge time. Clinical complications observed in newborns (PR=2.20 95%CI 1.73-2.80), late postpartum contact between mother and child (PR=1.76 95%CI 1.34-2.31), low Apgar in the 1st minute of life (PR=1.44 95%CI 1.15-1.82), and small premature newborn (gestational age at birth <34 weeks) (PR=1.48 95%CI 1.18-1.84) were the factors associated with lack of breastfeeding. Conclusion: Lack of premature newborn breastfeeding at hospital discharge time was often observed in the current study and associated with birth-relevant factors.
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