0492/2016 - Breastfeeding of preterm newborn infants after hospital discharge: Follow up during the first year of life.
Amamentação em lactentes nascidos pré-termo após a alta hospitalar: Acompanhamento durante o primeiro ano de vida.
Publicado
Author:
• Maria Dalva Barbosa Baker Méio - MEIO, MARIA DALVA BARBOSA BAKER - Rio de Janeiro, Rio de Janeiro - nstituto Fernandes Figueira, Pós-graduação Pesquisa Aplicada à Saúde da Criança e da Mulher Rio de Janeiro, Rio de Janeiro, 22250-020, BR 21-25541700 Rio de Janeiro, Rio de Janeiro, 22421-025, BR 21-25130920 Author 2 Villela, Letícia D lelevillela@globo. - <dalvameio@yahoo.com.br>Co-author(s):
• Letícia D Villela - Villela, Letícia D - Instituto Fernandes Figueira, Neonatologia - <lelevillela@globo.com>• Saint Clair S Gomes Junior - Gomes Junior, S.C.S - Instituto Fernandes Figueira, Pós-graduação Pesquisa Aplicada à Saúde da Criança e da Mulher - <scgomesjr@gmail.com>
ORCID: https://orcid.org/0000-0002-1554-943X
• Camilla M Tovar - Tovar, Camilla M - Hospital Universitario Antonio Pedro, Neonatologia - <camillamorcelli@yahoo.com.br>
• Maria Elisabeth Lopes Moreira - Moreira, Maria Elisabeth Lopes - nstituto Fernandes Figueira, Neonatologia - <bebethiff@gmail.com>
Thematic Area:
Saúde da Criança e do AdolescenteAbstract:
Objective: To evaluate the prevalence of breastfeeding among premature infants, after hospital discharge.Method: Cohort (< 33 gestation weeks) followed up to 12 months (corrected age). Variables: breastfeeding, anthropometric measurements, social and familial information. The proportion of breastfeeding during follow up was calculated. Survival analysis was performed to estimate breastfeeding duration.
Results: 242/258 infants (93.7%) returned to follow up; 170 (69.9%) at 6 and 139 (57.2%) at 12 months (corrected age). There was a history of miscarriages (27.5%), stillbirths (11.7%), neonatal deaths (9.5%), preterm births (21.1%) in 65.5% of the women. At hospital discharge: 5.5% received exclusive breastfeeding, 65.8% mother’s milk and formulae, 28.6% formulae. With 1 month 81.3% received mother’s milk, decreasing to 68.5% at 2 months, 62.4% at 3 months, 48.1% at 4 months and 22.4% at 6 months (corrected age). The median of breastfeeding duration was 4 months.
Conclusion: Breastfeeding occurred up to four months corrected age in almost half of the population. Despite the need to improve these rates, the results could reflect the Unit profile, belonging to the Child Friendly Hospital Initiative. The maintenance of breastfeeding after hospital discharge is still a challenge, both for mothers and health professionals.
