PROFESSIONAL GUIDANCE AND EXCLUSIVE BREASTFEEDING: A COHORT STUDY

Authors

  • Debora Fernanda Vicentini Bauer Universidade Estadual de Londrina
  • Rosângela Aparecida Pimenta Ferrari Universidade Estadual de Londrina
  • Alexandrina Aparecida Maciel Cardelli Universidade Estadual de Londrina
  • Ieda Harumi Higarashi Universidade Estadual de Maringá

DOI:

https://doi.org/10.5380/ce.v24i0.56532

Keywords:

Breastfeeding, Guidance, Healthcare, Weaning, Health Personnel.

Abstract

Objective: To analyze guidance on breastfeeding provided by health services to women during pregnancy and the postpartum period and its effect on exclusive breastfeeding.
Method: Prospective cohort study conducted from July 2013 to February 2015, in a city in the northern region of the state of Paraná with 300 postpartum women and their children. Data were analyzed by frequency, prevalence ratio and regression and Poisson regression considering a significance of 5% (p = 0.05).
Results: Guidance on breastfeeding was reported in 52.3% of prenatal consultations, 65.7% of delivery rooms, 83% of rooming-in facilities, 32% of postpartum follow-up appointments, and 38.6% of childcare appointments. Only 22.3% maintained exclusive breastfeeding, mean 3.44 months (SD = 2.1). The guidance provided during childcare appointments in primary care had a protective effect against early weaning (p = 0.004), but was not sufficient at the various stages of pregnancy and postpartum care.
Conclusion: The study helped identify that professional guidance for the promotion of exclusive breastfeeding of infants in the first six months of life does not meet the recommendations of the Brazilian Ministry of Health to reduce early weaning.

Author Biographies

Debora Fernanda Vicentini Bauer, Universidade Estadual de Londrina

Enfermeira. Mestranda pelo Programa de Pós-Graduação em Enfermagem, Centro de Ciências da Saúde, Universidade Estadual de Londrina-Paraná, Brasil

Rosângela Aparecida Pimenta Ferrari, Universidade Estadual de Londrina

Enfermeira. Professora Doutora, Adjunta do Departamento de Enfermagem. Área da Saúde da Criança e do Adolescente. Centro de Ciências da Saúde, Universidade Estadual de Londrina-Paraná, Brasil

Alexandrina Aparecida Maciel Cardelli, Universidade Estadual de Londrina

Enfermeira. Professora Doutora, Assistente do Departamento de Enfermagem. Área da Saúde da Mulher e Gênero. Centro de Ciências da Saúde, Universidade Estadual de Londrina-Paraná, Brasil. E-mail: macielalexandrina@gmail.com.

Ieda Harumi Higarashi, Universidade Estadual de Maringá

Enfermeira. Professora Doutora, Assistente do Departamento de Enfermagem. Área Materno-Infantil, Saúde da Criança. Centro de Ciências da Saúde, Universidade Estadual de Maringá-Paraná, Brasil

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Published

2019-05-02

How to Cite

Bauer, D. F. V., Ferrari, R. A. P., Cardelli, A. A. M., & Higarashi, I. H. (2019). PROFESSIONAL GUIDANCE AND EXCLUSIVE BREASTFEEDING: A COHORT STUDY. Cogitare Enfermagem, 24. https://doi.org/10.5380/ce.v24i0.56532

Issue

Vol. 24 (2019)

Section

ORIGINAL ARTICLE

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