Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity

Objective: To describe the type of milk used to feed infants seen in private pediatric practices in Brazil. To evaluate the relationship between breastfeeding, type of delivery, and history of prematurity. Methods: This is a cross-sectional and observational study that included 4929 infants in the f...

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Main Authors: Mauro Batista de Morais, Mauro Sérgio Toporovski, Marise Helena Cardoso Tofoli, Karina Vieira de Barros, Cristina Helena Targa Ferreira, Luciana Rodrigues Silva
Format: Article
Language:English
Published: Elsevier 2022-05-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755721001200
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author Mauro Batista de Morais
Mauro Sérgio Toporovski
Marise Helena Cardoso Tofoli
Karina Vieira de Barros
Cristina Helena Targa Ferreira
Luciana Rodrigues Silva
author_facet Mauro Batista de Morais
Mauro Sérgio Toporovski
Marise Helena Cardoso Tofoli
Karina Vieira de Barros
Cristina Helena Targa Ferreira
Luciana Rodrigues Silva
author_sort Mauro Batista de Morais
collection DOAJ
description Objective: To describe the type of milk used to feed infants seen in private pediatric practices in Brazil. To evaluate the relationship between breastfeeding, type of delivery, and history of prematurity. Methods: This is a cross-sectional and observational study that included 4929 infants in the first year of life seen in private pediatric practices in the five geographic regions of Brazil. Mothers provided information about the type of milk used by their infant, the type of delivery (vaginal or cesarean), and whether the birth was premature. Results: Breastfeeding was the only source of milk for 56.1% (1546/2755) of infants in the first six months of life and 32.9% (716/2174) in the second. Of the infants who received other types of milk besides breastfeeding, there was a predominance of infant formula in 98.6% and 93.8% of the infants, respectively, in the first and in the second six months of life. Whole cow's milk was used by 0.7% (20/2755) of infants in the first six months and by 4.1% (90/2174) of infants in the second (p < 0.001). In the first six months of life, breastfeeding as the only type of milk was associated with vaginal delivery (OR = 1.79; p < 0.001) and not having a history of prematurity (OR = 2.48; p < 0.001). Conclusion: Breastfeeding was the only milk source for more than half of infants before 180 days of life. Birth by cesarean section and history of prematurity were negatively associated with breastfeeding as the only source of milk used in infant feeding.
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spelling doaj.art-64696cafe6204420b36905756c8eb0862022-12-22T04:33:35ZengElsevierJornal de Pediatria0021-75572022-05-01983241247Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurityMauro Batista de Morais0Mauro Sérgio Toporovski1Marise Helena Cardoso Tofoli2Karina Vieira de Barros3Cristina Helena Targa Ferreira4Luciana Rodrigues Silva5Universidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Gastroenterologia Pediátrica, São Paulo, SP, Brazil; Corresponding author.Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, BrazilHospital Materno Infantil Dr. Jurandir do Nascimento, Goiânia, GO, BrazilFormer Danone Nutricia, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Divisão de Gastroenterologia Pediátrica, Porto Alegre, RS, BrazilUniversidade Federal da Bahia, Divisão de Gastroenterologia Pediátrica, Salvador, BA, Brazil; Presidente da Sociedade Brasileira de Pediatria, BrazilObjective: To describe the type of milk used to feed infants seen in private pediatric practices in Brazil. To evaluate the relationship between breastfeeding, type of delivery, and history of prematurity. Methods: This is a cross-sectional and observational study that included 4929 infants in the first year of life seen in private pediatric practices in the five geographic regions of Brazil. Mothers provided information about the type of milk used by their infant, the type of delivery (vaginal or cesarean), and whether the birth was premature. Results: Breastfeeding was the only source of milk for 56.1% (1546/2755) of infants in the first six months of life and 32.9% (716/2174) in the second. Of the infants who received other types of milk besides breastfeeding, there was a predominance of infant formula in 98.6% and 93.8% of the infants, respectively, in the first and in the second six months of life. Whole cow's milk was used by 0.7% (20/2755) of infants in the first six months and by 4.1% (90/2174) of infants in the second (p < 0.001). In the first six months of life, breastfeeding as the only type of milk was associated with vaginal delivery (OR = 1.79; p < 0.001) and not having a history of prematurity (OR = 2.48; p < 0.001). Conclusion: Breastfeeding was the only milk source for more than half of infants before 180 days of life. Birth by cesarean section and history of prematurity were negatively associated with breastfeeding as the only source of milk used in infant feeding.http://www.sciencedirect.com/science/article/pii/S0021755721001200Infant nutritional physiological phenomena infantBreast feedingInfant formulaCow's milkParturitionInfant premature
spellingShingle Mauro Batista de Morais
Mauro Sérgio Toporovski
Marise Helena Cardoso Tofoli
Karina Vieira de Barros
Cristina Helena Targa Ferreira
Luciana Rodrigues Silva
Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
Jornal de Pediatria
Infant nutritional physiological phenomena infant
Breast feeding
Infant formula
Cow's milk
Parturition
Infant premature
title Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
title_full Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
title_fullStr Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
title_full_unstemmed Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
title_short Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
title_sort breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
topic Infant nutritional physiological phenomena infant
Breast feeding
Infant formula
Cow's milk
Parturition
Infant premature
url http://www.sciencedirect.com/science/article/pii/S0021755721001200
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