Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study
J. pediatr. (Rio J.)
; J. pediatr. (Rio J.);98(5): 463-470, Sept.-Oct. 2022. tab
Article
em En
|
LILACS-Express
| LILACS
| ID: biblio-1405481
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract Objective To analyze the factors associated with infant formula supplementation in newborns referred to rooming-in in Brazilian hospitals. Method Cross-sectional study with data from 14,531 postpartum women and newborns obtained from the "Birth in Brazil" survey, conducted in 2011-2012. The analysis used a logistic regression model with a hierarchical approach. Results In total, 21.2% newborns received infant formula during hospital stay. After adjustment, the following factors were associated with the use of infant formula maternal age ≥ 35 years (OR = 1.51; IC95%1.30-1.75), prenatal care in a private service (OR = 2,22; IC1.72-2.85)/public and private service (OR = 1.67; IC1.24-2.23), cesarean delivery (OR = 1.83; IC1.41-2.38), multiple pregnancy (OR = 3.786; IC2.02-7.06), non-breastfeeding in the delivery room (OR = 1.780; IC1.43-2.21), birth in a private hospital (OR = 1.695; IC1.02-2.79), prematurity (OR = 1.656; IC1.32-2.06) and extremes of birth weight (< 2.500 g OR = 2.084; IC 1.585-2.741/ ≥4,000g OR = 1.672; IC1.31-2.11). Teenage age (OR = 0.651; IC0.55-0.76), low maternal education (OR = 0.579; IC0.43-0.77), multiparity (OR = 0.588; IC0.510-0.678), and lower economic class (OR = 0.565; IC0.41-0.76) significantly reduced the probability of using infant formula. Conclusions Of the associated factors, the authors highlight cesarean delivery and non-breastfeeding in the delivery room, showing that it is necessary to strengthen policies that encourage good practices during childbirth care in order to promote exclusive breastfeeding and protect mothers and newborns from all social classes against the misuse of infant formula.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
País/Região como assunto:
America do sul
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Brasil
Idioma:
En
Revista:
J. pediatr. (Rio J.)
Assunto da revista:
PEDIATRIA
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil