Profile of Exclusive Breastfeeding in a Public Maternity Hospital in Southern Brazil

Perfil do aleitamento materno exclusivo em uma maternidade pública do sul do Brasil

Keywords: Breast Feeding, Nursing Care, Health Education, Human Milk, Maternal and Child Health

Abstract

To describe the profile of exclusive breastfeeding at a maternity hospital in the northern region of Santa Catarina, Brazil. This observational, descriptive, and prospective study gathered sociodemographic data and information regarding childbirth and lactation through interviews in the maternity ward, medical records, and telephone contacts at 7 and 15 days post-discharge. A total of 297 postpartum women participated. The average age was 26.2 ± 6.3 years. Most were of white ethnicity, married, with an income between one and five minimum wages, smokers, and had skin-to-skin contact within the first hour of their baby's life. The first bath predominantly occurred between 6 and 15 hours after birth, and over 84% of the postpartum women maintained exclusive breastfeeding at 7 and 15 days. A high prevalence of exclusive breastfeeding was observed, underscoring its benefits and highlighting the need for healthcare teams to adopt breastfeeding promotion strategies.

Author Biographies

Edna Ribeiro de Jesus, Federal University of Santa Catarina
Degree in Nursing from Faculdade Metropolitana de Camaçari (UNIFAMEC); Multi-professional Residency in Maternal and Child Health - Maternidade Darcy Vargas (MDV); Nurse specialist in Maternal and Child Health; Obstetric Nurse; Development of the COLA NA PROFE tool INPI:929888936;Master in Nursing from the Federal University of Santa Catarina (UFSC);PhD student in Nursing from the Federal University of Santa Catarina UFSC);Research line: Policies, Management and Assessment of Health and Nursing Care . Member of the LAPECT/GIAT research group;Member of the FLORESCER research group.Lecturer in partnership with SESI.Teacher at Anhaguera/SC
Eduardo Manoel Pereira, University of the Joinville Region
Graduated in Pharmacy-Biochemistry from the Federal University of Alfenas (2002) and Master in Pharmacology from the Federal University of Paraná (2006). Professor at the University of the Joinville Region for 15 years, responsible for the subjects of Basic and Clinical Pharmacology in the Pharmacy course and Clinical Pharmacology in the Medicine course. He conducts pre-clinical lines of research on the action of substances of natural origin in models of gastritis, pain, inflammation, diabetes and oxidative stress in rats and mice and clinical research on the assessment of prescription errors in public and private institutions and pharmacotherapeutic monitoring . Professor of the Multidisciplinary Residency at Hospital Municipal São José de Joinville, of the Postgraduate Courses in Clinical Oncology and in Clinical Pharmacy and Pharmaceutical Prescription at the University of the Region of Joinville and of the Postgraduate Course in Hospital Pharmacy at Hospital Santa Catarina de Blumenau. Member of the Research Ethics Committee on the Use of Animals at the University of the Joinville Region. Third year Psychology graduate at the University of the Joinville Region.
Danielle Cristina Alves Rigo, Federal University of Santa Catarina
Graduated in administration from the Federal University of Rondônia (2008), graduated in Dentistry - Faculdades Integradas Aparício Carvalho (2015), with a Sandwich degree at the Università degli Studi di Roma "Tor Vergata" (2014-2015), specializations in Dental Biochemistry and Health Oral, Public Health with an emphasis on Family Health and Health Management, master's degree in Dentistry from the Federal University of Goiás (2020) and is currently a doctoral candidate in the Postgraduate Program in Dentistry at the Federal University of Santa Catarina (2020-2024) . She has experience in the area of ​​Dentistry, with an emphasis on Public Oral Health and pediatric dentistry, working mainly in the following thematic areas: oral health, health perception, subjective health indicators, preschool children and tooth decay.
Luana Claudia dos Passos Aires , Federal Institute of Santa Catarina
Nurse graduated from the Federal University of Santa Catarina (UFSC/2010). PhD in Nursing from the Postgraduate Program in Nursing (PEN/UFSC/2020), CAPES 6 concept. Master in Nursing (PEN/UFSC/2015). Postgraduate in Neonatal Nursing in the Nursing Residency modality from the State University of Londrina (UEL-PR/2013). Degree in Pediatric Nursing from the Brazilian Society of Pediatric Nurses (SOBEPE/2021). Title of Specialist in Nursing in Women's Health (COFEN/DNAPÓS/2024). Teacher of the Bachelor's and Nursing Technician Courses at the Federal Institute of Santa Catarina (IFSC/Joinville-SC). Leader of the FLORESCER/IFSC Research Group (Research Laboratory on Women's Health, Neonates, Children, Adolescents and Breastfeeding). Deputy leader of the Research Group Research Laboratory for Afro-Brazilian and Indigenous Peoples. Participates in the LAPEBE /IFSC Research Group (Evidence-Based Practice Laboratory). Participates in the GRUPESMUR/UFSC Research Group (Laboratory for Research, Technology and Innovation in Nursing in Women's and Newborn Health) from 2009 to the present. Extension Project Coordinator: Group of Pregnant Women Gestando Juntos - Strengthening ties with the community (IFSC/Joinville). Mother of Miguel Eduardo (was on maternity leave between August/2020 and January/2021). Experience in the area of ​​Nursing, with an emphasis on neonatal, maternal and child health and breastfeeding. Develops research in the areas: Pediatric and Neonatal Nursing; Obstetrics; Breastfeeding and Women's Health.

References

McGowan C, Bland R. The Benefits of Breastfeeding on Child Intelligence, Behavior, and Executive Function: A Review of Recent Evidence. Breastfeeding Medicine. 2023;18(3):172-187. https://doi.org/10.1089/bfm.2022.0192

Brasil. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde, 2019. 265p

Straub N, Grunert P, Northstone K, Emmett P. Economic impact of breast-feeding-associated improvements of childhood cognitive development, based on data from the ALSPAC. British Journal of Nutrition. 2019;121:S16-S21. https://doi.org/10.1017/S0007114515001233

Tang K, Wang H, Tan SH, Xin t, Qu X, Tang T, et al. Association between maternal education and breastfeeding practices in China: a population-based cross-sectional study. BMJ Open. 2019;9:e 028485. https://doi.org/10.1136/bmjopen-2018-028485

Global Breastfeeding Scorecard Methodology 2023. New York, Geneva: UNICEF, WHO, 2023. https://www.globalbreastfeedingcollective.org/globalbreastfeeding-scorecard

Fundo das Nações Unidas para a Infância (UNICEF). Breastfeeding. Disponível em https://data.unicef.org/topic/nutrition/breastfeeding/#:~:text=South%20Asia%20has%20the%20highest,Northern%20America%20are%20exclusively%20breastfed

Rates of Any and Exclusive Breastfeeding by Sociodemographic Characteristic Among Children Born in 2019. Centers for Disease Control and Prevention. Accessed August 12, 2022. https://www.cdc.gov/breastfeeding/data/nis_data/data-files/2019/rates-any-exclusive-bf-socio-dem-2019.html

Wu HL, Lu DF, Tsay PK. Rooming-In and Breastfeeding Duration in First-Time Mothers in a Modern Postpartum Care Center. Environmental Research and Public Health. 2022;19(18):11790. https://doi.org/10.3390/ijerph191811790

Chen LL, Gau ML, Kao CH, Pan WL. Credenciamento da iniciativa Hospital Amigo da Criança em Taiwan: Desafios e necessidades de assistência. Obstetrícia. 2021; 94 :102903. https://doi.org/10.1016/j.midw.2020.102903

Elm EV, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2007;61(4):344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008

Organização Mundial da Saúde (OMS). Exclusive breastfeeding for optimal growth, development and health of infants. 2023. Disponível em https://www.who.int/tools/elena/interventions/exclusive-breastfeeding#:~:text=Breastfeeding%20protects%20against%20diarrhoea%20and,infant%20receives%20only%20breast%20milk

Carreiro JA, Francisco AA, Abrão ACFV, Marcacine KO, Abuchaim ESV, Coca KP. Dificuldades relacionadas ao aleitamento materno: análise de um serviço especializado em amamentação. Acta Paulista de Enfermagem. 2018;31(4):430-438. https://doi.org/10.1590/1982-0194201800060

Passos LS, Kroll C, Borges L, Rocha EDM, Shultz LF. Acompanhamento dos atendimentos de puérperas e recém nascidos em um banco de leite humano. Escola Anna Nery. 2020;24(2):e20190086. https://doi.org/10.1590/2177-9465-EAN-2019-0086

Pinheiro JMF, Flor TBM, Araújo MGG de, Xavier AMSF, Mata AMB da, Pires VC da C, et al. Feeding practices and early weaning in the neonatal period: a cohort study. Revista de saúde pública. 2021;8;55:63. https://www.revistas.usp.br/rsp/article/view/192282

Brasileiro AA, Ambrosano GMB, Marba STM, Possobon R de F. A amamentação entre filhos de mulheres trabalhadoras. Revista de Saúde Pública. 2012;46(4):642–8. https://doi.org/10.1590/S0034-89102012005000053

Majhi N, Maroof KA, Sharma AK, Shah D. Maternity Leave Access and Breastfeeding Practices among Working Mothers in an Urban Residential Area of East Delhi. Indian Journal of Community Medicine. 2021;46(3):537-540. https://doi.org/10.4103/ijcm.IJCM_1056_20

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Cartilha para a mulher trabalhadora que amamenta. 2. ed. Brasília: Ministério da Saúde; 2015; 28

Faria ER, Silva DDF, Passberg LG. Fatores associados ao aleitamento materno exclusivo no contexto da atenção primária à saúde. Codas. 2023;35(5):e20210163. https://doi.org/10.1590/2317-1782/20232021163pt

Yasuda S, Fukuda T, Toba N, kamo N, Imaizumi K, Yokoch M, et al. Risk factors for discontinuation of exclusive breast feeding within 1month: a retrospective cohort study in Japan. International Breastfeeding Journal. 2022;17(1):20. https://doi.org/10.1186/s13006-022-00449-w

Shofiya D, Sumarmi S, Ahmed F. Nutritional status, family income and early breastfeeding initiation as determinants to successful exclusive breastfeeding. Journal of Public Health Research. 2020;9(2):1814. https://doi.org/10.4081/jphr.2020.1814

Severiano AAO, Dantas DSO, Oliveira VLC, Lopes JM, Souza DE, Magalhães AG. Association between breastfeeding, obstetric factors and child development in northeast Brazil. Journal of Human Growth and Development. 2017;27(2):158-165. http://dx.doi.org/10.7322/jhgd.114483

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, et al. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. International Breastfeeding Journal. 2020;15(1):1-8. https://doi.org/10.1186/s13006-020-0252-7

Pavesi E, Amorim MV da S, Boing AF, Wagner KJP. Influence of alcohol and tobacco consumption on maternal and perinatal outcomes of puerperal women attended at the Brazilian National Health System. Revista Brasileira de Saúde Materno Infantil. 2023;23:e20220286. https://doi.org/10.1590/1806-9304202300000286-en

Veiga AC, Medeiros LS, Backes DS, Sousa FGMS, Hämel K, Kruel CS, et al. Qualificação interprofissional da atenção pré-natal no contexto da atenção primária à saúde. Ciência & Saúde Coletiva. 2023;28(4),993-1002. https://doi.org/10.1590/1413-81232023284.14402022

Marques BL, Tomasi YT, Saraiva S dos S, Boing AF, Geremia DS. Orientações às gestantes no pré-natal: a importância do cuidado compartilhado na atenção primária em saúde. Escola Anna Nery. 2021;25(1):e20200098. https://doi.org/10.1590/2177-9465-EAN-2020-0098

Galvão DMPG, Silva EMB, Silva DM. Use of new technologies and promotion of breastfeeding: integrative literature review. Revista Paulista de Pediatria. 2022;40:e2020234. https://doi.org/10.1590/1984-0462/2022/40/2020234

Campos PM, Gouveia HG, Strada JKR, Moraes BA. Skin-to-skin contact and breastfeeding of newborns in a university hospital. Revista Gaúcha de Enfermagem. 2020;41:e20190184. https://doi.org/10.1590/1983-1447.2020.20190154

Lamounier JA, Chaves RG, Rego MAS, Bouzada MCF. Iniciativa Hospital Amigo da Criança: 25 Anos de experiência no Brasil. Revista Paulista de Pediatria. 2019;37(4):486-493. https://doi.org/10.1590/1984-0462/;2019;37;4;00004

Ruschela LM, Pedrini DB, Cunha MLC. Hipotermia e banho do recém-nascido nas primeiras horas de vida. Revista Gaúcha de Enfermagem. 2018;39:e20170263. https://doi.org/10.1590/1983-1447.2018.20170263

Lima RO de, Estevam LD, Leite FMC, Almeida MVS, Nascimento L, Amorim MHC, et al.. Intervenção de enfermagem-primeiro banho do recém-nascido: estudo randomizado sobre o comportamento neonatal. Acta paulista de enfermagem. 2020;33:e–APE20190031. http://dx.doi.org/10.37689/acta-ape/2020AO0031

Wrottesley SV, Prioreschi A, Slemming W, Cohen E, Dennis CL, Norris SA. Maternal perspectives on infant feeding practices in Soweto, South Africa. Public Health Nutrition. 2021;24(12):3602-3614. https://doi.org/10.1017/S1368980020002451

Coca KP, Pinto VL, Westphal F, Mania PNA, Abrão ACFV. Conjunto de medidas para o incentivo do aleitamento materno exclusivo intra-hospitalar: evidências de revisões sistemáticas. Revista Paulista de Pediatria. 2018;36(2):214-220. https://doi.org/10.1590/1984-0462/;2018;36;2;00002

Lima SP, Santos EKA, Erdmann AL, Souza AIJ. Desvelando o significado da experiência vivida para o ser mulher na amamentação com complicações puerperais. Texto & Contexto- Enfermagem. 2018;27(1). https://doi.org/10.1590/0104-07072018000880016

Colombo L, Crippa BL, Consonni D, Bettinelli ME, Agosti V, Mangino G, et al. Breast feeding determinants in healthy term newborns. Nutrients. 2018. https://doi.org/10.3390/nu10010048

Li Y, Ma XJ, He XP. Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China. IInternational Breastfeeding Journal. 2021;16(80):1-8. https://doi.org/10.1186/s13006-021-00429-6

Deus VF, Gomes E, da Silva FC, Giugliani E. Influence of pacifier use on the association between duration of breastfeeding and anterior open bite in primary dentition. BMC Pregnancy and Childbirth. 2020;20(396):1-6. https://doi.org/10.1186/s12884-020-03054-z

Published
2024-08-25
Section
Artigos Originais