2013, Number 2
<< Back Next >>
Arch Inv Mat Inf 2013; 5 (2)
Lactancia materna exclusiva y su abandono en lactantes con cardiopatía congénita comparada con lactantes sanos
Bobadilla MPV, Mendieta AGG
Language: Spanish
References: 26
Page: 56-66
PDF size: 141.68 Kb.
ABSTRACT
Introduction: Breastfeeding exclusively as food provide a nutritional, immunological and emotional needs for growth and development of children during the first six months of life and it has been associated with a reduction in infant mortality and morbidity from infectious diseases.
Objective: Determine whether there is difference between the percentage of abandonment of exclusive breastfeeding in cardiac patients and healthy children under 24 months of age, the causes of abandonment of breastfeeding and whether a difference exist between the time of abandonment in healthy children and children with heart disease.
Material and methods: This is a retrospective study of two cohorts of children attending the outpatient Pediatric Cardiology and Pediatrics at the Hospital para el Niño, Instituto Materno Infantil del Estado de México through a nonrandom sample of 100 patients with heart disease and 100 healthy children under two years of age, in which we applied a questionnaire to mothers of both groups to determine the time of exclusive breastfeeding for the first two years of life. Statistical analysis was performed using measures of central tendency and dispersion, we calculated a survival curve according to Kaplan-Meier method using as determining the abandonment of exclusive breastfeeding.
Results: We included a total of 178 patients (78 cardiac patients and 100 healthy), based on the fulfillment of the inclusion criteria. The main cause of abandonment as the main cause in patients with heart disease by the child’s illness (32%), whereas in healthy patients the main cause is due to insufficient milk (36%). The average time of exclusive breastfeeding was first 18.5% of those who never received womb, in the group of patients with heart disease correlates with the absence of breastfeeding (25%) of 16 close % in healthy patients who received at least one month.
Conclusion: There is no significant difference in time of exclusive breastfeeding in healthy and heart disease patients.
REFERENCES
Bribiesca FAM. Manual Curso avanzado de apoyo a la lactancia materna, CAALMA, 2006; 1-126.
Rodríguez A et al. Manual del instructor: por un inicio en la vida, con toda la potencialidad y ventajas, CAALMA, 2009; 2-126.
D’Oliveira N et al. Lactancia materna prolongada: elementos para la reflexión, Productora editorial, Uruguay; 2001: 1-43.
Cruz-Izaguirre C et al. Factores asociados al incumplimiento de la recomendación de la lactancia con leche materna en neonatos enfermos, Rev Mex Pediatr, 1998; 65 (3): 107-114.
Hurtado-Valenzuela J et al. Lactancia materna exclusiva, Bol Clin Hosp Infant Edo Son, 2006; 23 (1): 15-19.
Hernández GE. Genealogía histórica de la lactancia materna, Rev Enfermería Actual en Costa Rica, 2008; 15: 1-6.
Guerrero ML et al. Evaluación etnográfica rápida de la práctica de la lactancia natural en una zona periurbana de la Ciudad de México. Boletín de la Organización Mundial de la Salud, 1999; 77: 54-60.
Hay W et al. Diagnóstico y tratamiento pediátricos LANGE, 19ª ed., Ed. McGraw Hill, México; 2009: 7-8.
Hall J. Guyton and Hall textbook of medical physiology, 12ª ed. Ed. Saunders Elsevier, EUA; 2011: 881-904.
Navarro W. La lactancia materna y sus propiedades microbioinmunológicas. Cuerpo médico del HNAAA 2011; 1: 63-6.
Pallas, A. Lactancia Materna. Rev. Pediatr Aten Primaria. 2003; 5: 69-88.
Hernández F et al. Grado de conocimiento sobre algunas cuestiones técnicas de la lactancia materna, Rev Cubana Med Gen Integr, 1997; 13 (5): 429-433.
Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis, Am J Clin Nutr, 1999; 70: 525-535.
Aguayo J et al. Medicamentos y lactancia. Ed. Andaluz. España; 2001: 1-74.
Gonzalez-Cossio et al. Breast feeding practices in Mexico: results from the second national nutrition survey 1999, Salud Pub Mex, 2003; 45: 477-489.
Gómez PA et al. Fármacos y lactancia materna, protocolos diagnóstico terapéuticos de la AEP: neonatología, Ed. Asociación Española de Pediatría, España; 2008: 47-57.
Blazquez M. Lactancia en casos especiales, Curso de Medicina Naturista, 2003, 35-37.
Torres SJ. Nutrición en niños con cardiopatía congénita, Paediatrica, 2007; 9 (2): 77-88.
Maciques R et al. Apoyo nutricional perioperatorio del lactante con cardiopatía congénita, Rev Peru Pediatr, 2008; 61 (2): 113-120.
García F, Camps R. Nutrición en el lactante con cardiopatía congénita, protocolos diagnósticos y terapéuticos en cardiología pediátrica, Ed. Asociación Española de Pediatría, España; 2008: 1-10.
Hoffman J, Kapplan S. The incidence of congenital heart disease, JACC, 2002; 39 (12): 1890-1900.
Broche CR. Factores socioculturales y psicológicos vinculados a lactancia materna exclusiva, Colaboración médica internacionalista hospital pediátrico docente “William Soler”, 2010, 1-5.
Delgado-Becerra A et al. Prevalencia y causas de abandono de lactancia materna en el alojamiento conjunto de una institución de tercer nivel de atención, Bol Med Hosp Infant Mex, 2006; 63: 31-39.
Brito H et al. Estudio sobre la influencia de la lactancia materna y su duración en la salud del niño, Revista Cubana de Enfer, 1995; 11: 3-4.
García-López, R. Composición e inmunología de la leche humana, Acta Pediatr Mex, 2011; 32 (4): 223-230.
Reyes VH, Martínez GA. Lactancia humana. Bases para lograr su éxito. 1ª ed. México: Editorial Médica Panamericana; 2011: 80-6.