Prevalência e preditores do aleitamentomaterno na coorte MINA-Brasil

Autores

DOI:

https://doi.org/10.11606/s1518-8787.2023057005563

Palavras-chave:

Aleitamento Materno, Análise de Sobrevida, Fatores de Risco, Estudos de Coortes

Resumo

OBJETIVO: Descrever a prevalência e os fatores associados às práticas de aleitamento materno exclusivo (AME) e continuado (AM) entre crianças amazônicas.
MÉTODOS: Foram utilizados dados de 1.143 pares mãe-filho registrados na coorte de nascimento Materno-Infantil no Acre (MINA-Brasil). As informações sobre AME e AM foram coletadas após o parto (julho de 2015–junho de 2016) e durante as consultas de acompanhamento com 1 e 6 meses pós-parto e com 1, 2 e 5 anos de idade. A análise longitudinal considerou a duração do AME e AM como desfechos. A probabilidade das práticas de aleitamento materno foi estimada pela análise de sobrevida de Kaplan-Meier. As associações entre as variáveis preditoras basais e os desfechos entre crianças nascidas a termo foram avaliadas por modelos
de regressão de Cox estendidos.
RESULTADOS: As frequências de AME (intervalo de confiança de 95% [IC95%]) aos 3 e 6 meses de idade foram de 33% (IC95%: 30,2–36,0) e 10,8% (IC95%: 8,9–12,9), respectivamente. A razão de risco ajustada para preditores de interrupção precoce do AME foi: ser primípara = 1,47 (IC95%: 1,19–1,80), alimentar recém-nascidos com pré-lácteos = 1,70 (IC95%: 1,23–2,36), usar chupeta na primeira semana de vida = 1,79 (IC95%: 1,44–2,23) e apresentar diarreia nas duas primeiras semanas de vida = 1,70 (IC95%: 1,15–2,52). A frequência do AM continuado foi de 67,9% (IC95%: 64,9–70,8), 29,3% (IC95%: 26,4–32,4) e 1,7% (IC95%: 0,9–2,8) aos 1, 2 e 5 anos de idade, respectivamente. A razão de risco ajustada para preditores de cessação precoce do AM foi: sexo masculino = 1,23 (IC95%: 1,01–1,49), uso de chupeta na primeira semana de vida = 4,66 (IC95%: 2,99–7,26) e AME menor que 3 meses = 2,76 (IC95%: 1,64–4,66).
CONCLUSÕES: A duração do A ME e do AM continuado entre crianças amazônicas é consideravelmente menor do que as recomendações da Organização Mundial da Saúde.
Preditores significativos das práticas de aleitamento materno devem ser considerados na avaliação das estratégias locais para alcançar práticas ideais de aleitamento materno.

Referências

World Health Organization. Global strategy for infant and young child feeding. Geneve: World Health Organization; 2003.

Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al.; Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan;387(10017):475-90. https://doi.org/10.1016/S0140-6736(15)01024-7

World Health Organization, United Nations Children’s Fund. Global breastfeeding scorecard, 2019: increasing commitment to breastfeeding through funding and improved policies and programmes. Geneva: World Health Organization; 2019.

Ministério da Saúde (BR). II Pesquisa de prevalência de aleitamento materno nas capitais brasileiras e Distrito Federal. Brasília, DF: Ministério da Saúde; 2009.

Universidade Federal do Rio de Janeiro. Aleitamento materno: pevalência e práticas de aleitamentomaterno em crianças brasileiras menores de 2 anos. Rio de Janeiro: UFRJ, 2021.

Bhattacharjee NV, Schaeffer LE, Hay SI, Lu D, Schipp MF, Lazzar-Atwood A, et al. Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000-2018. Nat Hum Behav. 2021 Aug;5(8):1027-45. https://doi.org/10.1038/s41562-021-01108-6

Vieira TO, Vieira GO, Oliveira NF, Mendes CM, Giugliani ER, Silva LR. Duration of exclusive breastfeeding in a Brazilian population: new determinants in a cohort study. BMC Pregnancy Childbirth. 2014 May;14(1):175. https://doi.org/10.1186/1471-2393-14-175

Mosquera PS, Lourenço BH, Gimeno SG, Malta MB, Castro MC, Cardoso MA; MINA-Brazil Working Group. Factors affecting exclusive breastfeeding in the first month of life among Amazonian children. PLoS One. 2019 Jul;14(7):e0219801. https://doi.org/10.1371/journal.pone.0219801

Rodrigues MJ, Mazzucchetti L, Mosquera PS, Cardoso MA. Factors associated with breastfeeding in the first year of life in Cruzeiro do Sul, Acre. Rev Bras Saúde Mater Infant. 2021;21(1):171-7. https://doi.org/10.1590/1806-93042021000100009

Martins FA, Ramalho AA, Andrade AM, Opitz SP, Koifman RJ, Silva IF. Breastfeeding patterns and factors associated with early weaning in the Western Amazon. Rev Saude Publica. 2021 May;55:21. https://doi.org/10.11606/s1518-8787.2021055002134

Cunha MP, Marques RC, Dórea JG. Child Nutritional status in the changing socioeconomic region of the Northern Amazon, Brazil. Int J Environ Res Public Health. 2017 Dec;15(1):15. https://doi.org/10.3390/ijerph15010015

Cardoso MA, Matijasevich A, Malta MB, Lourenco BH, Gimeno SG, Ferreira MU, et al.; MINA-Brazil Study Group. Cohort profile: the Maternal and Child Health and Nutrition in Acre, Brazil, birth cohort study (MINA-Brazil). BMJ Open. 2020 Feb;10(2):e034513. https://doi.org/10.1136/bmjopen-2019-034513

World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.

Boccolini CS, Carvalho ML, Oliveira MI. Factors associated with exclusive breastfeeding in the first six months of life in Brazil: a systematic review. Rev Saude Publica. 2015;49(00):91. https://doi.org/10.1590/S0034-8910.2015049005971

Vieira GO, Vieira TO, Martins CC, Ramos MSX, Giugliani ER. Risk factors for and protective factors against breastfeeding interruption before 2 years: a birth cohort study. BMC Pediatr. 2021 Jul;21(1):310. https://doi.org/10.1186/s12887-021-02777-y

Lindblad V, Melgaard D, Jensen KL, Eidhammer A, Westmark S, Kragholm KH, et al. Primiparous women differ from multiparous women after early discharge regarding breastfeeding, anxiety, and insecurity: a prospective cohort study. Eur J Midwifery. 2022 Mar;6(March):12. https://doi.org/10.18332/ejm/146897

Huang Y, Ouyang YQ, Redding SR. Previous breastfeeding experience and its influence on breastfeeding outcomes in subsequent births: a systematic review. Women Birth. 2019 Aug;32(4):303-9. https://doi.org/10.1016/j.wombi.2018.09.003

Neves PA, Armenta-Paulino N, Arroyave L, Ricardo LI, Vaz JS, Boccolini CS, et al. Prelacteal feeding and its relationship with exclusive breastfeeding and formula consumption among infants in low- and middle-income countries. J Glob Health. 2022 Dec;12:04104. https://doi.org/10.7189/jogh.12.04104

Vehling L, Chan D, McGavock J, Becker AB, Subbarao P, Moraes TJ, et al. Exclusive breastfeeding in hospital predicts longer breastfeeding duration in Canada: implications for health equity. Birth. 2018 Dec;45(4):440-9. https://doi.org/10.1111/birt.12345

Pérez-Escamilla R, Hromi-Fiedler A, Rhodes EC, Neves PAR, Vaz J, Vilar-Compte M, et al. Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: a systematic review and meta-analysis. Matern Child Nutr. 2022;18 Suppl 3(Suppl 3):e13368. https://https://doi.org/10.1111/mcn.13368

Pincelli A, Cardoso MA, Malta MB, Nicolete VC, Soares IS, Castro MC, et al.; MINA-Brazil Study Working Group. Prolonged breastfeeding and the risk of plasmodium vivax infection and clinical malaria in early childhood: a birth cohort study. Pediatr Infect Dis J. 2022 Oct;41(10):793-9. https://doi.org/10.1097/INF.0000000000003618

Penugonda AJ, Rajan RJ, Lionel AP, Kompithra RZ, Jeyaseelan L, Mathew LG. Impact of exclusive breast feeding until six months of age on common illnesses: a prospective observational study. J Family Med Prim Care. 2022 Apr;11(4):1482-8. https://doi.org/10.4103/jfmpc.jfmpc_1423_21

Paintal K, Aguayo VM. Feeding practices for infants and young children during and after common illness: evidence from South Asia. Matern Child Nutr. 2016;12 Suppl 1(Suppl 1):39-71. https://https://doi.org/10.1111/mcn.12222

Cirqueira RP, Novaes TG, Gomes AT, Bezerra VM, Pereira Netto M. Rocha DdS. Prevalence and factors associated with tea consumption in the first month of life in a birth cohort in the Northeast Region of Brazil. Rev Bras Saúde Materno Infantil. 2020;20. https://doi.org/10.1590/1806-93042020000400003

Jaafar SH, Ho JJ, Jahanfar S, Angolkar M. Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding. Cochrane Database Syst Rev. 2016 Aug;2016(8):CD007202. https://doi.org/10.1002/14651858.CD007202.pub4

Buccini G, Pérez-Escamilla R, D’Aquino Benicio MH, Justo Giugliani ER, Isoyama Venancio S. Exclusive breastfeeding changes in Brazil attributable to pacifier use. PLoS One. 2018 Dec;13(12):e0208261. https://doi.org/10.1371/journal.pone.0208261

Santos IS, Barros FC, Horta BL, Menezes AM, Bassani D, Tovo-Rodrigues L, et al. Breastfeeding exclusivity and duration: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015. Int J Epidemiol. 2019 Apr;48 Suppl 1:i72-9. https://doi.org/10.1093/ije/dyy159

Shafer EF, Hawkins SS. The impact of sex of child on breastfeeding in the United States. Matern Child Health J. 2017 Nov;21(11):2114-21. https://doi.org/10.1007/s10995-017-2326-8

Martins EJ, Giugliani ER. Which women breastfeed for 2 years or more? J Pediatr (Rio J). 2012;88(1):67-73. https://doi.org/10.2223/JPED.2154

Dozier AM, Brownell EA, Thevenet-Morrison K, Martin H, Hagadorn JI, Howard C. Predicting maintenance of any breastfeeding from exclusive breastfeeding duration: a replication study. J Pediatr. 2018;203:197-203.e2. https://10.1016/j.jpeds.2018.07.100

Downloads

Publicado

2023-11-30

Edição

v. 57 n. Supl.2 (2023): Suplemento Mina-Brasil

Seção

Artigos Originais

Licença

Copyright (c) 2023 Paola S. Mosquera, Bárbara H. Lourenço, Alicia Matijasevich, Marcia C. Castro, Marly A. Cardoso

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Como Citar

Mosquera, P. S., Lourenço, B. H., Matijasevich, A., Castro, M. C., & Cardoso, M. A. (2023). Prevalência e preditores do aleitamentomaterno na coorte MINA-Brasil. Revista De Saúde Pública, 57(Supl.2), 1-13. https://doi.org/10.11606/s1518-8787.2023057005563

Dados de financiamento