Determinant Factors in Maintaining the Exclusive Breastfeeding and Premature Weaning in Postpartum Mothers in the Brazilian Semiarid

Abstract

This is a cross-sectional, correlational and quantitative study conducted on 210 postpartum women from January to July 2013 at the breastfeeding outpatient clinic of a public maternity. The study was carried out in order to assess the determining factors in maintaining an exclusive breastfeeding in the first month of the newborn’s life, the participation of the nurse in encouraging this process, and the reasons leading to a premature weaning. Prior births proved to be a positive factor for exclusive breastfeeding (Odds Ratio (OR) 0.359; CI 95% 0.137 - 0.941; p = 0.031). The absence of a nurse in the medical appointments resulted in a threefold risk to have no prenatal exclusive breastfeeding guidance whatsoever (OR 3.025; CI 95% 1.567 - 5.840; p = 0.001). The reported reasons for a premature weaning were difficulty latching-on, cracked nipples, poor milk that does not satiate the baby’s hunger, and production of little or no milk at all. The results provide information for the adoption of strategies during pregnancy and the postpartum period aimed to promote an exclusive breastfeeding, checking for the possible influence of the woman’s personal circumstances in her choosing exclusive breastfeeding, as well as the participation of the nurse in the mother’s decision.

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Catunda, H. , Bernardo, E. , de Oliveira, L. , de Oliveira, M. , Castro, R. , de Souza Aquino, P. and Pinheiro, A. (2015) Determinant Factors in Maintaining the Exclusive Breastfeeding and Premature Weaning in Postpartum Mothers in the Brazilian Semiarid. Health, 7, 355-364. doi: 10.4236/health.2015.73040.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Brazil Ministry of Health (2009) Child Health, Child Nutrition, Breastfeeding and Complementary Feeding. Department of Health Care, Department of Primary Care, Ministry of Health, Brasília.
[2] Passanha, A., Cervato-Mancuso, A.M. and Silva, M.E.M.P. (2010) Protective Elements of Breast Milk in the Prevention of Gastrointestinal and Respiratory Diseases. Revista Brasileira de Crescimento e Desenvolvimento Humano, 20, 351-360.
[3] Azevedo, D.S., Reis, A.C.S., Freitas, L.V., Costa, P.B., Pinheiro, P.B. and Damasceno, A.K.C. (2010) Knowledge of Primiparous about the Benefits of Breastfeeding. Rev. Rene, 11, 53-62.
[4] Venancio, S.I., Escuder, M.M.L., Sildiva, S.R.D.M. and Giugliani, E.R.J. (2010) Breastfeeding Practice in the Brazilian Capital Cities and the Federal District: Current Status and Advances. Journal de Pediatria, 86, 317-324.
[5] Brazil Ministry of Health (2010) Breastfeeding Prevalence Research in Brazilian Municipalities. Department of Health Care, Department of Programmatic and Strategic Actions, Ministry of Health, Brasília.
[6] Marques, E.S., Cotta, R.M.M., Magalhaes, K.A., Sant’Ana, L.F.R., Gomes, A.P. and Batista, R.S. (2010) The Influence of the Social Net of Lactating Mothers in the Breastfeeding: The Strategic Role of the Relatives and Professionals of Health. Ciência & Saúde Coletiva, 15, 1391-1400.
http://dx.doi.org/10.1590/S1413-81232010000700049
[7] Bastable, S.B. (2010) Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. 3th Edition, Porto Alegre, Artmed.
[8] Escobar, A.M.U., Ogawa, A.R., Hidratsuka, M., Kawashita, M., Teruya, P.Y., Grisi, S. and Tomikawa, S.O. (2002) Breast-Feeding and Socioeconomic Cultural Status: Factors That Lead to Early Weaning. Revista Brasileira de Saúde Materno Infantil, 2, 253-261.
http://dx.doi.org/10.1590/S1519-38292002000300006
[9] Hammarberg, K., Fisher, J., Wynter, K. and Rowe, H. (2011) Breastfeeding after Assisted Conception: A Prospective Cohort Study. Acta Paediatrica, 100, 529-533.
http://dx.doi.org/10.1111/j.1651-2227.2010.02095.x
[10] Sampaio, P.F., Moraes, C.L., Reichenheim, M.E., Oliveira, A.S.D. and Lobato, G. (2011) Birth in Baby-Friendly Hospitals in Rio de Janeiro, Brazil: A Protective Factor for Breastfeeding? Cadernos de Saúde Pública, 27, 349-361.
[11] Fisher, J., Hammarberg, K., Wynter, K., McBain, J., Gibson, F., Boivin, J. and McMahon, C. (2013) Assisted Conception, Maternal Age and Breastfeeding: An Australian Cohort Study. Acta Paediatrica, 102, 970-976.
http://dx.doi.org/10.1111/apa.12336
[12] Jones, J.R., Kogan, M.D., Singh, G.K., Dee, D.L. and Grummer-Strawn L.M. (2011) Factors Associated with Exclusive Breastfeeding in the United States. Pediatrics, 128, 1117-1125.
http://dx.doi.org/10.1542/peds.2011-0841
[13] Parizoto, G.M., Parada, C.M., Venancio, S.I. and Carvalhaes, M.A. (2009) Trends and Patterns of Exclusive Breastfeeding for Under-6-Month-Old Children. Journal of Pediatrics, 85, 201-208.
[14] Brown, A. and Davies, R. (2014) Fathers’ Experiences of Supporting Breastfeeding: Challenges for Breastfeeding Promotion and Education. Maternal Child Nutrition, 10, 510-526.
http://dx.doi.org/10.1111/mcn.12129
[15] Setegn, T., Gerbaba, M. and Belachew, T. (2011) Determinants of Timely Initiation of Breastfeeding among Mothers in Goba Woreda, South East Ethiopia: A Cross Sectional Study. BMC Public Health, 11, 211-217.
http://dx.doi.org/10.1186/1471-2458-11-217
[16] Victor, R., Baines, S.K., Agho, K.E. and Dibley, M.J. (2013) Determinants of Breastfeeding Indicators among Children Less than 24 Months of Age in Tanzania: A Secondary Analysis of the 2010 Tanzania Demographic and Health Survey. BMJ Open, 3, 1-8.
http://dx.doi.org/10.1136/bmjopen-2012-001529
[17] Brecailo, M.K., Corso, A.C.T., Almeida, C.C.B. and Schmitz, B.A.S. (2010) Factors Associated with Exclusive Breastfeeding in Guarapuava, Paraná, Brazil. Revista de Nutricao, 23, 553-563.
http://dx.doi.org/10.1590/S1415-52732010000400006
[18] Queluz, M.C., Pereira, M.J.B., Santos, C.B., Leite, A.M. and Ricco, R.G. (2012) Prevalence and Determinants of Exclusive Breastfeeding in the City of Serrana, Sao Paulo, Brazil. Revista da Escola de Enfermagem da USP, 46, 537-543.
http://dx.doi.org/10.1590/S0080-62342012000300002
[19] El-Gilany, A.H., Sarraf, B. and Al-Wehady, A. (2012) Factors Associated with Timely Initiation of Breastfeeding in Al-Hassa Province, Saudi Arabia. Eastern Mediterranean Health Journal, 18, 250-254.
[20] Roig, A.O., Martínez, M.R., García, J.C., Hoyos, S.P., Navidad, G.L., álvarez, C.F., et al. (2010) Factors Associated to Breastfeeding Cessation before 6 Months. Revista Latino-Americana de Enfermagem, 18, 373-380.
[21] DiFrisco, E., Goodman, K.E., Budin, W.C., Lilienthal, M.W., Kleinman, A. and Holmes, B. (2011) Factors Associated with Exclusive Breastfeeding 2 and 4 Weeks Following Discharge from a Large, Urban, Academic Medical Centre Striving for Baby-Friendly Designation. Journal of Perinatal Education, 20, 28-35.
http://dx.doi.org/10.1891/1058-1243.20.1.28
[22] Vasconcelos, M.G.L., Lira, P.I.C. and Lima, M.C. (2006) Duration and Associated Factors to Breastfeeding among Children under 24 Months in the State of Pernambuco. Revista Brasileira de Saúde Materno Infantil, 6, 99-105.
http://dx.doi.org/10.1590/S1519-38292006000100012
[23] Odom, E.C., Li, R., Scanlon, K.S., Perrine, C.G. and Grummer-Strawn, L. (2013) Reasons for Earlier than Desired Cessation of Breastfeeding. Pediatrics, 131, 726-732.
http://dx.doi.org/10.1542/peds.2012-1295
[24] Krogstrand, K.S. and Parr, K. (2005) Physicians Ask for More Problem-Solving Information to Promote and Support Breastfeeding. Journal of the American Dietetic Association, 105, 1943-1947.
http://dx.doi.org/10.1016/j.jada.2005.09.007
[25] Batista, K.R.A., Farias, M.C.A.D. and Melo, W.S.N. (2013) Influence of Nursing Care in the Practice of the Breastfeeding in the Immediate Postpartum. Saúde em Debate, 37, 130-138.
http://dx.doi.org/10.1590/S0103-11042013000100015
[26] Cavalcante, L.V.T.F., Rodrigues, D.P., Pinto, F.J.M., Queiroz, M.V.O., Brasil, E.G.M. and Amorim, D.U. (2012) Breastfeeding Practices in the City of Iguatu-CE. Revista Brasileira em Promocao da Saúde, 25, 476-481.
[27] Polido, C.G., Mello, D.F., Parada, C.M.G.L., Carvalhaes, M.A.B.L. and Tonete, V.L.P. (2011) Maternal Experiences Associated with Longer Term Exclusive Breastfeeding: An Ethnographic Study. Acta Paulista de Enfermagem, 24, 624-630.
[28] Quirino, L.S., Oliveira, J.D., Figueiredo, M.F.E.R. and Quirino, G.S. (2011) The Meaning of the Experience of Not Breast-Feeding Related to Breast Issues. Cogitare Enfermagem, 16, 628-633.
[29] Leite, R.F.P., Muniz, M.C.M.C. and Andrade, I.S.N. (2009) Maternal Knowledge on Breast Feeding and Speech-Language Therapy at Rooming-In Care. Revista Brasileira em Promocao da Saúde, 22, 36-40.
http://dx.doi.org/10.5020/18061230.2009.p36
[30] Vieira, G.O., Martins, C.C.M., Vieira, T.O., Oliveira, N.F. and Silva, L.R. (2010) Factors Predicting Early Discontinuation of Exclusive Breastfeeding in the First Month of Life. Jornal de Pediatria, 86, 441-444.
http://dx.doi.org/10.1590/S0021-75572010000500015
[31] Coca, K.P., Gamba, M.A., Silva, R.S. and Abrao A.C.F.V. (2009) Does Breast Feeding Position Influence the Onset of Nipple Trauma? Revista da Escola de Enfermagem da USP, 43, 446-452.
http://dx.doi.org/10.1590/S0080-62342009000200026
[32] Brown, A. and Lee, M. (2011) A Descriptive Study Investigating the Use and Nature of Baby-Led Weaning in a UK Sample of Mothers. Maternal Child Nutrition, 7, 34-47.
http://dx.doi.org/10.1111/j.1740-8709.2010.00243.x
[33] Lou, Z., Zeng, G., Huang, L., Wang, Y., Zhou, L. and Kavanagh, K.F. (2014) Maternal Reported Indicators and Causes of Insufficient Milk Supply. Journal of Human Lactation, 30, 466-473.
http://dx.doi.org/10.1177/0890334414542685
[34] Fonseca, M.O., Parreira, B.D.M., Machado, D.C. and Machado, A.R.M. (2011) Breast Feeding: Knowledge of Mothers Admitted to the Rooming-In of a University Hospital. Ciência, Cuidado e Saúde, 10, 141-149.
[35] Ministry of Health (2007) Album Series—Promoting Breastfeeding. Department of Health Care, Ministry of Health, Brasília.
[36] Tarrant, M., Fong, D.Y.T., Wu, K.M., Lee, I.L.Y., Wong, E.M.Y., Sham, A., et al. (2010) Breastfeeding and Weaning Practices among Hong Kong Mothers: A Prospective Study. BMC Pregnancy and Childbirth, 10, 1-12.
http://dx.doi.org/10.1186/1471-2393-10-27

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