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Factors Associated with Exclusive Breastfeeding in a Maternity Hospital Reference in Humanized Birth

Fatores associados ao aleitamento materno exclusivo em uma maternidade referência em parto humanizado

Abstract

Objective

To analyze the factors associated with the prevalence of exclusive breastfeeding (EBF) for up to six months in mother/infant binomials cared for at a usual-risk maternity hospital.

Methods

The present is a descriptive, longitudinal, prospective, quantitative study. Socioeconomic, obstetric and perinatal variables from 101 mother/infant binomials in a Public Maternity Hospital in the city of Curitiba, state of Paraná, Brazil, were investigated during hospitalization after delivery and 6 months after birth. For the statistical analysis, the Chi-squared test was used. The variables that showed values of p < 0.25 for the Chi-squared test were also submitted to an odds ratio (OR) analysis.

Results

The prevalence (42.6%) of EBF was observed. Most women (93.1%) had had more than 6 prenatal consultations, and the variables maternity leave and support to breastfeeding were associated with EBF. Support to breastfeeding by professionals and family members increased 4-fold the chance of maintenance of EBF (OR = 0.232; 95% confidence intercal [95%CI]: 0.079 to 0.679; p = 0.008). Cracked nipples were the biggest obstacle to breastfeeding, and low milk production was the main responsible factor for weaning.

Conclusion

The encouragement of breastfeeding and the mother’s stay for a longer period with the child contributed to the maintenance of EBF until the sixth month of life of the infant.

Keywords:
breastfeeding; weaning; humanization; natural childbirth; cesarean section

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