Author:

• Fernanda de Oliveira Lopes - Lopes, F.O. - Niterói, RJ - Hospital Universitário Antônio Pedro - UFF - <karufe_21@hotmail.com>

Co-author(s):

• Maria Inês Couto de Oliveira - Maria Inês Couto de Oliveira - Rio de Janeiro, Rio de Janeiro - Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense - <marinesco@superig.com.br> +
• Alexandre dos Santos Brito - Brito, A.S. - Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro - <brito@iesc.ufrj.br>
• Vania Matos Fonseca - Vania Matos Fonseca - Niterói, RJ - Unidade de Pesquisa Clinica, Instituto Fernandes Figueira, Fundação Oswaldo Cruz - <vaniamf@oi.com.br> +

Thematic Area:

Epidemiologia

Abstract:

Introduction: Step 6 from the Baby-Friendly Hospital (BFH) initiative states: "Give newborn infants no food or drink other than breast milk, unless medically indicated". Objective: To estimate the prevalence of the use of supplements among rooming-in newborns and analyze the factors associated with its use. Methods: A cross-sectional study was conducted with a representative sample of 687 rooming-in mothers interviewed in 15 hospitals from the Unified Health System in Rio de Janeiro City. Prevalence ratios (PR) of supplement use were obtained by Poisson Regression with robust variance, through a hierarchical model. Results: The prevalence of supplement use was 49.8%. Factors associated with supplement use were: being submitted to the HIV rapid test (PR=1.37; CI95%:1.18-1.58), cesarean delivery (PR=1.57; CI95%:1.38-1.79), not being helped to breastfeed in the delivery room (PR=1.60; CI95%:1.29-1.99), mother-child separation (PR=1.24; CI95%:1.05-1.46), pacifier use (PR=1.31; CI95%:1.08-1.58), neonatal or maternal intercurrences (PR=1.56; CI95%:1.34-1.82), certification as BFH (PR=0.52; CI95%:0.44-0.61) and not receiving help to breastfeed at the rooming-in (PR=0.78; CI95%:0.66-0.92). Conclusion: Supplements to breast milk have been widely used, mainly in non-BFH. Hospital routines should be reviewed, so that exclusive breastfeeding is converted into norm.

Keywords:

Breastfeeding Hospital Rooming-in care Supplementary feeding Cross-sectional studies Unified Health System

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