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ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)

2011, Number 1

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Pediatr Mex 2011; 13 (1)

Breastfeeding practices in the first six months at a hospital with 15 years of practice of the Friendly Hospital Program

Santos-Torres MI, Vásquez-Garibay EM, Troyo-Sanromán R, Méndez-de León E

Language: Spanish
References: 33
Page: 7-12
PDF size: 197.30 Kb.


ABSTRACT

Introduction: WHO recommends exclusive breastfeeding during the first 6 months. Baby Friendly Hospitals also promote these recommendations.
Objective: To describe breastfeeding practices during the first six months in dyads mother/infant attended in a 15 year-Baby Friendly Hospital.
Population and methods: 125 healthy mothers with a single term infant exposed to Baby Friendly Hospital Program during puerperium were randomly recruited and evaluated at 60, 120 and 180 days looking for infant feeding practices.
Results: 378 follow-up visits were given to the whole population (promedio, media = 3.01 ± 0.77). Information about infant feeding practices is available for 100% at 2 months, 98% at 4 months and 95.2% at 6 months.
54, 50 and 49% of infants received breastfeeding as the only source of milk at 60, 120 and 180 days. An additional 35, 29 and 23% were partially breastfed at same time-points. Exclusive BF was offered to only 45, 32 and 12%. Complementary solid foods were offered to 0.8, 43 and 76% at 60, 120 and 180 days. 10, 20 and 28% of infants were weaned at 2, 4 and 6 months respectively.
Conclusions: Breastfeeding practices have improved during the past 15 years but exclusive breastfeeding is still uncommon. Early complementary feeding continues in opposition to actual recommendations. Exclusive BF during six months need to be emphasized in BF promotion programs all over health systems.


REFERENCES

  1. American Academy of Pediatrics y The American College of Obstetricians and Gynecologists: The Scope of Breastfeeding. En: Richard J. Schanler, Ed. Breastfeeding Handbook for Physicians. Elk Grove Village, IL: American Academy of Pediatrics; 2006: 1-13.

  2. Anderson AK, Damio G, Young S, Chapman DJ, Pérez-Escamilla R. A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community. Arch Pediatr Adolesc Med 2005; 159(9): 836-41.

  3. Apple RD. Advertised by our loving friends: The infant formula industry and the creation of new pharmaceutical markets, 1870-1910. J Hist Med Allied Sci 1986; 41: 3-23.

  4. Betrán AP, de Onís M, Lauer JA, Villar J. Ecological Study of Effect of Breast Feeding on Infant Mortality in Latin America. BMJ 2001; 323: 303-306.

  5. Cattaneo A, Buzzetti R. Effect on Rates of Breastfeeding of Training for the Baby Friendly Hospital Initiative. Br Med J 2001; 323: 1358-62.

  6. Chapman DJ, Damio G, Pérez-Escamilla R. Differential response to breastfeeding peer counseling within a low-income, predominantly Latina population. J Hum Lac 2004; 20(4): 389-96.

  7. Coates MM, Riordan J. Tides in Breastfeeding Practice. En: Breastfeeding and Human Lactation. Jan Riordan Ed. 3rd ed. Sudbury, MA: Jones and Bartlett Publishers; 2005: 3-29.

  8. Cunninham AS, Jellife DB, Jellife EFP. Breast-feeding and health in the 1980s: A global epidemiologic review. J Pediatr 1991; 118(5): 659-666.

  9. Davis MK. Review of the Evidence for an Association Between Infant Feeding and Childhood Cancer. Int J Cancer 1998; II: 29-33.

  10. González-Cossío T, Moreno-Macías H, Rivera J. Prácticas de lactancia materna en México: Resultados de la Segunda Encuesta Nacional de Nutrición 1999. Salud Pública Mex 2003; 45 Suppl 4: S477-89.

  11. Grenier T. The concept of weaning: definitions and their implications. J Hum Lact 1996; 12(2): 123-128.

  12. Grummer- Strawn LM, Mei Z. Does Breastfeeding Protect Against Pediatric Overweight? Analysis of Longitudinal Data From the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Pediatrics 2004; 113(3): e81-6.

  13. Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. En: Pickering LK, Morrow AL, Ruiz-Palacios GM, Schanler RJ, Eds. Protecting Infants through Human Milk: Advancing the Scientific Evidence. Advances in Experimental Medicine and Biology Series. New York: Kluwer Academic/Plenum Publishers; 2004: 63-77.

  14. Labbok MH, Belsey M, Coffin CJ. A Call for Consistency in Defining Breast-Feeding. Am Pub Health Assoc 1997; 87(6): 1060-1061.

  15. Lauer JA, Beltrán AP, Victora CG, de Onís, Barros A. Breastfeeding Patterns and Exposure to Suboptimal Breastfeeding Among Children in Developing Countries : Review and Analysis of Nationally Representative Surveys. BMC Medicine 2004; 2 (26): 1-29.

  16. Macías-Carrillo C, Franco-Marina F, Long-Dunlap K, Hernán­dez-Gaytán SI, Martínez-López Y, López-Cervantes M. Breastfeeding and the incidence of acute diarrhea during the first three months of life. Salud Pública Mex 2005; 47(1): 49-57.

  17. Martin RM, Ness AR, Gunnell D, Emmett P, Smith GD. Does Breast-Feeding in Infancy Lower Blood Pressure in Childhood? Circulation 2004; 109: 1259-1266.

  18. Neville MC. Lactogenesis. Pediatr Clin North Am 2001; 48: 69-86.

  19. Oddy WH, Holt PG, Sly PD, Read AW, Landau LI, Stanley FJ, Kendall G, Burton PR. Association between breastfeeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 1999; 319: 815-819.

  20. Pérez-Escamilla R. Evidence Based Breast-Feeding Promotion: The Baby-Friendly Hospital Initiative. J Nutr 2007; 137: 484-7.

  21. Philipp BL, Merewood A. The baby-Friendly way: the best breastfeeding start. Pediatr Clin North Am 2004; 51(3): 761-83, xi.

  22. Rea MF, Morrow AL. Protecting, promoting and supporting breastfeeding among woman in the labor force. En: Pickering LK, Morrow AL, Ruiz-Palacios GM, Schanler RJ, Eds. Protecting Infants Through Human Milk: Advancing the Scientific Evidence. Advances in Experimental Medicine and Biology Series. New York: Kluwer Academic Plenum Publishers; 2004: 121-132.

  23. Santos-Torres MI, Vásquez-Garibay EM, Nápoles-Rodríguez F. Hábitos de lactancia materna en colonias marginadas de Guadalajara. Bol Med Hosp Infant Mex 1990; 47(5): 318-323.

  24. Santos-Torres MI, Vásquez-Garibay EM. Food taboos among nursing mothers from Mexico. J Health Popul Nutr 2003; 21(2): 142-149.

  25. Tryggvadóttir L, Tulinius H, Eyfjord JE, Sigurvinsson T. Breastfeeding and Reduced Risk of Breast Cancer in an Icelandic Cohort Study. Am J Epidemiol 2000; 154: 37-41.

  26. Vandale-Toney S, Rivera-Pasquel ME, Kageyama-Escobar ML, Tirado-Gómez LL. Lactancia materna, destete y ablactación: una encuesta en comunidades rurales de México. Salud Pública Mex 1997; 39: 412-419.

  27. Villalpando S, López-Alarcón M. Growth Faltering is Prevented by Breast-Feeding in Underprivileged Infants from Mexico City. J Nutr 2000; 130(3): 546-552.

  28. Vittoz JP, Labarere J, Castell M, Durand M, Pons JC. Effect of a training program for maternity ward professionals on duration of breastfeeding. Birth 2004; 31(4): 302-7.

  29. Walker M. Selling out mothers and babies: marketing of breast milk substitutes. Weston, MA: National Alliance for Breastfeeding Action; 2001.

  30. The World Health Organization multinational study of breast-feeding and lactational amenorrhea. III. Pregnancy during breast-feeding. World Health Organization Task Force on Methods for the Natural Regulation of Fertility. Fertil Steril 1999; 72(3): 431-40.

  31. World Health Organization. Collaborative Study Team on the Role of Breastfeeding on the Prevention of Infant Mortality. Effect of breastfeeding on infant and child mortality due to infectious disease in less developed countries: a pooled analysis. Lancet 2001; 355: 451-455.

  32. World Health Organization. The Optimal Duration of Exclusive Breastfeeding: Report of an Expert Consultation. 28-30 March 2001 Geneva. World Health Organization, 2002.

  33. Ysunza AO. El abandono de la lactancia en México. Tendencias recientes. Rev Invest Clin 1986; 38 (Supl): 41-46.




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