Intention of breastfeeding and association with sociodemographic, obstetric characteristics and experience with breastfeeding among pregnant women

Bárbara Moreira de Castilho, R. Fernandes, D. A. Höfelmann
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Abstract

Abstract Objectives: to estimate the intention of breastfeeding (IBF) duration and its association with sociodemographic, obstetric characteristics and experience with breastfeeding among pregnant women undergoing prenatal care. Methods: cross-sectional study, with pregnant women undergoing prenatal care in public health services in Colombo, Paraná, Brazil. The duration of IBF was questioned to pregnant women. Negative binomial Poisson regression with robust variance adjustment allowed estimating crude and adjusted prevalence ratios (PR), and 95% confidence intervals (CI95%) of the association between IBF duration and exposure variables. Results: among the participating pregnant women (n = 604), 7.9% reported having IBF for less than six months, 28.0% from six to 11 months, 38.3% from 12 to 23 and 25.9% for 24 months or more. The mean IBF time was 13.5 ± 8.4 and median of 12 months. Pregnant women with moderate food insecurity (PR=1.34; CI95%=1.04-1.73), multiparous women (PR=1.13; CI95%=1.00-1.26), and who reported having been breastfed as babies (PR=1.19; CI95%=1.02-1.40) had a longer IBF time. Conclusions: food security situation, primiparity and exposure to breastfeeding in childhood are determinants of IBF during pregnancy.
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孕妇母乳喂养的意图及其与社会人口统计学、产科特征和母乳喂养经验的关系
目的:评估接受产前护理的孕妇的母乳喂养意向(IBF)持续时间及其与社会人口统计学、产科特征和母乳喂养经验的关系。方法:横断面研究,在科伦坡,帕拉纳,巴西公共卫生服务接受产前护理的孕妇。对孕妇进行IBF持续时间的调查。具有稳健方差调整的负二项泊松回归允许估计粗患病率和调整患病率(PR),以及IBF持续时间与暴露变量之间关联的95%置信区间(CI95%)。结果:在参与研究的孕妇(n = 604)中,7.9%报告IBF持续时间小于6个月,6 - 11个月为28.0%,12 - 23个月为38.3%,24个月及以上为25.9%。平均IBF时间为13.5±8.4,中位为12个月。中度粮食不安全的孕妇(PR=1.34;CI95%=1.04-1.73),多产妇女(PR=1.13;CI95%=1.00-1.26),并报告在婴儿时期接受过母乳喂养(PR=1.19;CI95%=1.02 ~ 1.40)患者IBF时间较长。结论:粮食安全状况、初产和儿童期母乳喂养是妊娠期IBF的决定因素。
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来源期刊
Revista Brasileira de Saude Materno Infantil
Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology
CiteScore
1.00
自引率
0.00%
发文量
24
审稿时长
12 weeks
期刊介绍: The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.
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