Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life

AUTOR(ES)

Mattiello, Rita; Kotoski, Aline; Ayala, Camila Ospina; Recha, Carine Lucena; Quiroga, Carolina Villanova; Machado, Cátia Regina; Roxo, Cristiano de Oliveira; Varela, Fernanda Hammes; Couto, Giovanna Trevisan; Cassão, Gisele; Lopes, Jéssica Blatt; Gonçalves, João Ismael Budelon; Silva, Juliana Fernandes da; Barh, Mariana Barth de; Rocha, Natalie Duran; Albuquerque, Nathalia Saraiva de; Corte, Ricardo Arlindo Dalla; Bernardes, Rossana; Richter, Samanta Andresa; Rossi, Tainá; Santos, Ina S.

FONTE

Jornal de Pediatria

DATA DE PUBLICAÇÃO

2022

RESUMO

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question “Would you be willing to try to breastfeed exclusively for the first 6 months?”, in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4–19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35–1.98) and in those who intended to smoke 4–7 days/week after delivery (PR, 1.42; 1.11–1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19–0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38–0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.

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