Oliveira et al. (2010)(1212 Oliveira JS, Joventino ES, Dodt RCM, Veras JEGLF, Ximenes LB. Fatores associados ao desmame precoce entre multíparas. Rev Rene. 2010 Out/Dez;11(4):95-102.)
Brazil |
- Verify the factors related to early weaning in multiparous women in a rooming house. |
- 87 women.
- Aged between 20 and 25 years. |
- Risk factors for early weaning in RI: newborn refusing milk was more prevalent, both among women with less than seven years of schooling (n=2; 4.25%) and among those with more than seven years of schooling (n=11; 23,4%).
- Among puerperae with higher education, the reasons for weaning in RI were: the mother considered she had too little milk (n=7; 14.9%) and the mother believed that the milk did not satisfy the baby's hunger (n=6; 12.8%). |
- It is observed that greater clarification is needed among mothers, still in the rooming-in, about the process of breastfeeding. |
Moraes et al. (2011)(1313 Moraes M, Silva L, Faliú B. Técnica de alimentación a pecho y aparición de trauma del pezón previo al alta hospitalaria. Arch Pediatr Urug. 2011;82(1):10-7.)
Uruguay |
- Description and analysis of breastfeeding technique and presence of nipple cracks before hospital discharge. |
-204 mother-baby binomials.
- Mean maternal age: 24.0 years. |
- The frequency of complications was 76.5%, with 57.3% pain during breastfeeding and 40.1% nipple cracks.
- An association was observed between changes in the breastfeeding position, difficulties for the baby to grasp the nipple and sucking with the appearance of nipple cracks (p= 0,000).
- Having cracks in previous pregnancies was associated with the appearance of cracks in the current pregnancy (IC: 95%: 1,66-9,35) (p= 0,000).
- Having previous children reduces the occurrence of complications (IC: 95%: 0,13-0,77) (p=0,01). |
- The frequency of breastfeeding with complications is high before hospital discharge and is associated with primiparity.
- There is an association between changes in the breastfeeding position, difficulties for the baby to grasp the nipple and sucking with the appearance of nipple cracks.
- A history of nipple cracking in previous pregnancies is associated with cracking in the current pregnancy. |
Pereira et al. (2013)(1414 Pereira CRVR, Fonseca VM, Oliveira MIC, Souza IEO, Mello RR. Avaliação de fatores que interferem na amamentação na primeira hora de vida. Rev Bras Epidemiol. 2013;16(2):525-34. http://dx.doi.org/10.1590/S1415-790X2013000200026. PMid:24142022.
http://dx.doi.org/10.1590/S1415-790X2013...
)
Brazil |
- Investigate how Step 4 of the Baby Friendly Hospital Initiative was applied, assess the prevalence of breastfeeding in the first hour after birth, and analyze the factors associated with not breastfeeding in this period of life. |
- 403 women.
- Age ranged from 13 to 46 years, with 24.3% being adolescents. |
- The prevalence of breastfeeding in the first hour after birth was 43.9%.
- Factors that influenced breastfeeding in the first hour of life: women who were non-black (PR = 0.62; 95% CI: 0.42-0.90), multiparous (PR = 0.66; 95% CI: 0.47-0.93), had prenatal care (PR = 0.23; 95% CI: 0.08-0.67), delivered normally (PR = 0.41; 95% CI: 0.28-0.60), had a birth weight of 2. 500g (PR = 0.31; 95% CI: 0.11-0.86) and who received help from health care staff to breastfeed in the delivery room (PR = 0.51; 95% CI: 0.36-0.72). |
- The help provided by the health care team for breastfeeding at birth, as well as the non-black maternal color, multiparity, prenatal care, normal delivery, and adequate birth weight contributed to the initiation of breastfeeding in the first hour of life. |
Shimoda et al. (2014)(1515 Shimoda GT, Aragaki IMM, Souza CA, Silva IA. Associação entre persistência de lesão de mamilos e condições de aleitamento materno. Rev Min Enferm. 2014 Jan/Mar;8(1):68-74.)
Brazil |
- To verify the association between persistence of breast lesions in puerperal women and breastfeeding conditions during cohabitation. |
- 60 puerperae with breast lesions during hospitalization. |
- Of the women who breastfed exclusively, 12 (23.1%) had nipple lesions and 40 (76.9%) had intact nipples.
- Of the 16 puerperae who still had lesions, 14 (87.5%) were of the excoriation type and 2 (12.5%), fissures, all in the healing process.
- Less pigmented nipple-areolar region influenced nipple lesion persistence (p=0.041).
- Persistence of nipple lesion was associated with nipple pain (p=0.006).
- Occurrence of nipple lesions was associated with inadequate latching of the newborn to the breast (p=0.007). |
- There was a significant association between persistence of a breast lesion, inadequate sucking pattern of the neonate, and breast pain.
- These associations reinforce the importance of breastfeeding assistance, both in the rooming-in and in the first week postpartum, for the maintenance of breastfeeding. |
Sá et al. (2016)(1616 Sá NNB, Gubert MB, Santos W, Santos LMP. Fatores ligados aos serviços de saúde determinam o aleitamento materno na primeira hora de vida no Distrito Federal, Brasil, 2011. Rev Bras Epidemiol. 2016;19(3):509-24. http://dx.doi.org/10.1590/1980-5497201600030004. PMid:27849267.
http://dx.doi.org/10.1590/1980-549720160...
)
Brasil |
- To identify the factors associated with breastfeeding in the first hour of life. |
-1,027 mother-baby binomials.
- Maternal age between 20 and 29 years. |
- The prevalence of breastfeeding in the first hour of life was 77.3%.
- Factors that negatively interfered with breastfeeding in the first hour: not having had adequate prenatal care (PR = 0.72), having had a cesarean delivery (PR = 0.88), and mother and child not staying in a room together after delivery (PR = 0.28). |
- Factors related to health services, such as prenatal care, type of delivery, and rooming-in interfered with breastfeeding in the first hour.
- The practices of health services and health professionals were the main determinants of breastfeeding in the first hour. |
Cirico et al. (2016)(1717 Cirico MOV, Shimoda GT, Oliveira RNG. Qualidade assistencial em aleitamento materno: implantação do indicador de trauma mamilar. Rev Gaúcha Enferm. 2017 Dez;37(4):e60546. http://dx.doi.org/10.1590/1983-1447.2016.04.60546. PMid:28225853.
http://dx.doi.org/10.1590/1983-1447.2016...
)
Brasil |
- To evaluate the suitability of the Breast Trauma Indicator tool, implemented in the rooming-in unit of a university hospital, as a quality care indicator. |
- 1,691 puerperae.
- Most of the puerperae were adults (85.7%), over 19 years old. |
- The average breast trauma index was 55.5%, the most frequent trauma was excoriation (62.2%), and the main cause was inadequate latching by the newborn (44%).
- Maternal and neonatal variables significantly associated with the presence of breast trauma (p≤0.05): age group (adolescent <19 years - 63.9%), parity (primiparous - 60.2%), skin color (white - 62.6%), color of the nipple-areolar region (pinkish - 70.3%), not being a premature newborn (58.6%), stay of the newborn in the neonatal intensive care unit- (66.7%), having had previous trauma (57.0%), having inadequate sucking pattern (70.1%). |
- The most frequent type of breast trauma was excoriation and the main cause was inadequate latching by the newborn.
- Maternal and neonatal factors are associated with breast trauma |
Rosa and Delgado (2017)(1818 Rosa JBS, Delgado SE. Conhecimento de puerpéras sobre aleitamento materno e introdução alimentar. Rev Bras Promoç Saúde. 2017 Out/Dez;30(4):1-9. http://dx.doi.org/10.5020/18061230.2017.6199.
http://dx.doi.org/10.5020/18061230.2017....
)
Brazil |
- To verify maternal knowledge about breastfeeding and introduction to food and to identify the difficulties of breastfeeding in the joint housing of a university hospital. |
- 40 mother-infant binomials hospitalized in rooming-in.
- Mean maternal age: 26 years
. |
- The frequency of difficulties in breastfeeding varied between 5% and 45%, according to the aspect evaluated.
- The aspects with the highest number of behaviors indicating difficulties in the initiation of breastfeeding were: breast anatomy, sucking, and establishing affectionate bonds.
- In the aspect of breast anatomy, it was observed that 45% (n=18) of the mothers had breast tissue with abrasions, fissures and redness and 13% (n=5) had flat or inverted nipples.
- With reference to the baby's sucking aspect, 40% (n=16) had their lower lip turned inward during feeding, 30% (n=12) maintained rapid sucking with clicking, and 28% (n=11) did not have their mouth wide open to perform the latch.
- Regarding the aspect of affective bonds, frequent difficult behaviors were found, with 30% (n=12) of the mothers hardly touching the babies, 18% (n=7) of the mothers nervously holding the baby, and 15% (n=6) not maintaining eye contact with the babies.
- Breast tissue abrasions were associated with baby not maintaining the latch, rapid sucking with clicking, and inward-facing lower lip at breastfeeding (p < 0.05). |
- The mothers investigated have limited knowledge about breastfeeding, are unaware of the health benefits to women, but cited benefits in relation to their children.
- Unfavorable aspects were observed at the time of breastfeeding. |
Barbosa et al.(1919 Barbosa DM, Caliman MZ, Alvarenga SC, Lima EFA, Leite FMC, Primo CC. Avaliação dos fatores associados ao trauma mamilar. J Res Fundam Care Online. 2018 Out/Dez;10(4):1063-9.) 2018
Brazil |
- To evaluate the factors associated with breast trauma in rooming-in. |
- 73 puerperae and 76 newborns (three twins).
- Maternal age between 20 and 34 years. |
- There was a significant association between breast trauma and post-breastfeeding pain or burning (p=0.000), prenatal orientation (p=0.016) and number of prenatal visits (p=0.018), and even puerperae who had seven or more prenatal visits had breast trauma. |
- Breast trauma is less frequent when there is guidance during prenatal care.
- However, the number of prenatal visits did not influence the presence of breast trauma. |
Silva et al. (2018)(2020 Silva LLA, Cirino IP, Santos MS, Oliveira EAR, Sousa AF, Lima LHO. Prevalência do aleitamento materno exclusivo e fatores de risco. Rev Saúde e Pesq. 2018 Set/Dez;11(3):527-34. http://dx.doi.org/10.17765/1983-1870.2018v11n3p527-534.
http://dx.doi.org/10.17765/1983-1870.201...
)
Brazil |
- Investigate the prevalence of exclusive breastfeeding at birth and its risk factors. |
- 546 live births, from rooming-in |
- About the reasons for not breastfeeding: 3.1% of the mothers considered their milk insufficient to satisfy the newborn's hunger and 3.7% reported that the child did not want to breastfeed.
- The use of pacifiers and bottles at birth were also found as risk factors for breastfeeding: 20.7% of the children used a pacifier and 4.4% used a bottle.
- About breast problems: women reported as causes for suspending breastfeeding: painful nipples (3.5%), flat and inverted nipples (2.4%), nipple fissures (3.1%), breast engorgement (0.8%), blocked ducts, and mastitis (0.6%). |
- As the main cause for not breastfeeding, most mothers reported that their milk was insufficient to satisfy the baby's hunger and/or that the children did not want it.
- Breast problems were one of the reasons for not breastfeeding.
- The use of pacifiers and bottles are risk factors for EBF. |
Cunha et al.(2121 Cunha AMS, Martins VE, Lourdes ML, Paschoini MC, Parreira BDM, Ruiz MT. Prevalência de traumas mamilares e fatores relacionados em puérperas assistidas em um hospital de ensino. Esc Anna Nery. 2019;23(4):e20190024. http://dx.doi.org/10.1590/2177-9465-ean-2019-0024.
http://dx.doi.org/10.1590/2177-9465-ean-...
) 2019
Brazil |
- To estimate the prevalence of breast trauma and correlate its occurrence with sociodemographic and obstetric factors in a sample of postpartum women assisted in a teaching hospital. |
- 320 puerperae assisted in the rooming-in.
- Mean age: 24.4 years. |
- 35.3% of the puerperae had some type of trauma. The most frequent traumas were: excoriation, hyperemia and fissure.
- Considering only excoriation and fissure, the prevalence of trauma was 26.6%. |
- Only previous experience with breastfeeding was a protective factor for breast trauma in puerperal women assisted in rooming-in. |
Pitilin et al.(2222 Pitilin ÉB, Polleto M, Gasparin VA, Oliveira PP, Sbardelotto T, Schirmer J. Fatores associados ao aleitamento materno segundo os tipos de mamilos. Rev Rene. 2019 Set 25;20:e41351. http://dx.doi.org/10.15253/2175-6783.20192041351.
http://dx.doi.org/10.15253/2175-6783.201...
) 2019
Brazil |
- To analyze the factors associated with breastfeeding self-efficacy in rooming-in, according to nipple types. |
- 60 puerperae hospitalized in rooming-in.
- Average age: 26.5 years. |
- Non-protrusive nipples were related to latching difficulty and the need for assistance during breastfeeding.
- Protruding nipples promoted satisfaction during breastfeeding. |
- Breast protrusion seems to favor the practice of breastfeeding, from the reduction of anxiety and increased maternal self-efficacy. |
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