新生儿护理病房住院后纯母乳喂养的患病率

P. Ruiz, N. Santiago, Mariana Aquino, S. Batista
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摘要

目的:确定从新生儿病房出院后15天接受纯母乳喂养(纯母乳喂养或补充配方奶喂养)的患者中纯母乳喂养的患病率及其相关因素。方法:观察性、描述性、前瞻性研究,纳入2019年5月至7月期间在新生儿病房住院的纯母乳喂养或混合配方奶粉出院的新生儿。出院后15天,我们打电话给孩子的母亲,询问当时的喂养方式。结果:出院后15天纯母乳喂养率为62.3%。出院后15 d纯母乳喂养组新生儿出生体重、胎龄显著高于对照组,住院时间显著低于对照组(p<0.05)。出院时纯母乳喂养与出院后15 d纯母乳喂养呈正相关(p<0.05)。结论:对需要住院保健的新生儿开展和维持母乳喂养是一项挑战,需要在结构和流程方面做出各种努力。出生体重、胎龄和住院时间等因素对出院后母乳喂养的流行率有影响。出院后完全母乳喂养有利于出院后15天的母乳喂养。
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Prevalência de aleitamento materno exclusivo após internação em unidade de cuidados neonatais
OBJECTIVES: Define the prevalence of exclusive breastfeeding among patients that received discharge in breastfeeding, exclusive or complementing with formula, 15 days after discharge from the neonatal unit and the related factors. METHODS: Observational, descriptive, prospective study, including newborns hospitalized in the Neonatal Unit who were discharged in breastfeeding, exclusive or mixed with formula, during the period from May to July, 2019. Fifteen days after hospital discharge, it was made a phone contact to the mother asking about the type of feeding in that moment. RESULTS: The prevalence of exclusive breastfeeding 15 days after hospital discharge was 62.3%. Birthweight and gestational age were significantly higher and the length of stay was smaller in the group being exclusively breastfed 15 days after discharge (p<0.05). There was a positive correlation between exclusive breastfeeding by hospital discharge and exclusive breastfeeding 15 days after discharge (p<0.05). CONCLUSION: Initiating and maintaining breastfeeding for newborns who need hospitalization for healthcare is a challenge and requires all the efforts in terms of structure and process. Factors such as birthweight, gestational age and length of hospital stay have influence on the prevalence of breastfeeding after discharge. Exclusive breastfeeding by the hospital discharge has favored breastfeeding 15 days after discharge.
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