Factors which influence weaning in preterm infant

Authors

  • Solange Maria de Saboia e Silva Hospital Municipal Maternidade-Escola de Vila Nova Cachoeirinha Dr. Mário de Moraes Altenfelder Silva
  • Conceição Aparecida de Mattos Segre Universidade Federal de São Paulo; Escola Paulista de Medicina

DOI:

https://doi.org/10.7322/jhgd.19967

Keywords:

infant, premature, weaning

Abstract

OBJECTIVE: to verify the major factors influencing weaning in preterm infants born in a public maternity center in the city of Sao Paulo, Brazil. METHOD: a total of 89 low-birth-weight preterm infants followed on an outpatient basis were studied from August 2006 to May 2007. These premature infants were divided into two groups according to the presence of partial weaning (introduction of supplementary bottle feeding) or full weaning (breastfeeding cessation). Maternal and infant variables obtained by means of interviews with the mothers and from the medical records were studied. The Student's t test and Spearman rank correlation test were used for the statistical analysis. The significance level was set at 5%. RESULTS: mean age for partial weaning was 1.41 months. Mothers who pumped during hospitalization or who started working or returned to work started bottle feeding later. The lower the birth weight and the gestational age, the later bottle feeding was started. The lower the age at pacifier introduction, the earlier the partial weaning. Mean age for full weaning was 2.93 months. Mothers hospitalized in the kangaroo mother care unit, or those who started working or returned to work, stopped breastfeeding later. FINAL CONSIDERATIONS: the findings of the present study point to the importance of factors that can be controlled by the health care team - such as breast milk pumping, the kangaroo mother care method, and advice not to use pacifiers - in the prevention of early weaning in preterm infants. Uncontrollable factors such as birth weight and maternal work were predictive of longer breastfeeding.

References

Raju TNK. From infant hatcheries to intensive care: some highlights of the century of neonatal medicine. In: Fanaroff AA, Martin RJ. Neonatal-perinatal medicine: diseases of the fetus and infants. 7th ed. St. Louis: Mosby; 2002. p.2-16.

World Health Organization. Division ofchild health and development. Indicators for assessing breastfeeding practices. Geneva: OMS;1991. 16p.

Als H. Neurobehavioral development ofthe preterm infant. In: Fanaroff AA, Martin RJ. Neonatal-perinatal medicine: diseases of the fetus and infants. 7th ed. St. Louis: Mosby; 2002. p.947-71.

Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde. Área técnica da saúde da criança. Atenção humanizada ao recém-nascido de baixo peso-Método Canguru. Brasília: Ministério da Saúde; 2001.

Gouvêa L. The role of maternal milk in the prevention of diseases. einstein. 2005;3(2):119-22.

Segre CAM. Perinatologia fundamentos e prática. São Paulo: Savier; 2002. Capítulo 3, Prioridades Obstétricas. Entero colite necrosante. p.207-13.

Nascimento MB, Issler H.[Breast feeding in premature infants: in hospital clinical management] J Pediatr(Rio J). 2004;80(5 Suppl):S163-72.

Furman L, Minich N, Hack M. Correlates of lactation in mothers of very low birth weight infants. Pediatrics. 2002; 109(4):e 57.

Santoro Junior W, Martinez FE. Effect of intervention on the rates of breast feeding of very low birth weight newborns. J Pediatr (Rio J). 2007;83(6):541-46.

Caldeira AP, Goulart EM. [Breast feedingin Montes Claros, Minas Gerais: representativa sample study] J Pediatr (Rio J). 2000;76(1):65-72.

Soares ME, Giugliani ER, Braun ML, Salgado AC, de Oliveira AP, de Aguiar PR.[Pacifier use and its relationship with early weaning in infants born at a Child-Friendly Hospital] J Pediatr (Rio J).2003;79(4):309-16.

Callen J, Pinelli J. A review of the literature examining the benefits and challenges, incidence and duration, and barriers to breastfeeding in preterm infants. Adv Neonatal Care. 2005;5(2):72-88.

França MC, Giugliani ER, Oliveira LD, Weigert EM, Santo LC, Köhler CV, et al. Bottle feeding during the first month of life: determinants and effect on breastfeeding technique. Rev Saude Publica [Internet]. 2008 Aug [cited 2008Sep 25;42(4):607-14. Available from: http://www.scielosp.org/pdf/rsp/2008nahead/6206.pdf

Hill PD, Ledbetter RJ, Kavanaugh KL. Breastfeeding patterns of low-birth-weight infants after hospital discharge. J Obstet Gynecol Neonatal Nurs. 1997;26(2):189-97.

Hill PD, Aldag JC, Zinaman M, Chatterton RT. Predictors of preterm infant feeding methods and perceived in sufficient milk supply at week 12 postpartum. J Hum Lact.2007;23(1):32-8.

Flacking R, Wallin L, Ewald U. Perinatal and socioeconomic determinants of breastfeeding duration in very preterm infants. Acta Paediatr. 2007;96(8):1126-30.

Benevenuto de Oliveira MM, Thomson Z, Vannuchi MT, Matsuo T. Feeding patterns of Brazilian preterm infants during the first 6 months of life, Londrina, Parana, Brazil. J Hum Lact. 2007;23(3):269-74.

Hill PD, Aldag JC. Milk volume on day 4and income predictive of lactation adequacy at 6 weeks of mothers of non-nursing preterm infants. J Perinat Neonatal Nurs. 2005;19(3):273-82.

Hill PD, Aldag JC, Chatterton RT, Zinaman M. Comparison of milk out put between mothers of preterm and term infants: the first 6 weeks after birth. J Hum Lact. 2005;21(1):22-30.

Almeida JAG, Novak FR. Breast feeding:a nature-culture hybrid. J Pediatr (Rio J). 2004;80(5 Supl):S119-S125.

Giugliani ER. [Common problems during lactation and their management] J Pediatr (Rio J). 2004;80(5 Suppl):S147-54.

Alves AML, Silva EHAA, Oliveira AC. Desmame precoce em prematuros participantes do Método Mãe Canguru. Rev Soc Bras Fonoaudiol. 2007;12(1):23-2.

Vannuchi MTO, Thomson Z, Escuder MML, Tacla MTGM, Vezozzo KMK, Castro LMCP, et al. Perfil do aleitamento materno em menores de um ano no Município de Londrina, Paraná. Rev Bras Saúde Matern Infant. 2005;5(2):155-62.

Rea MF, Venâncio SI, Batista LE, dos Santos RG, Greiner T. [Possibilities and limitations of breast-feeding among formally employed women] Rev Saude Publica. 1997;31(2):149-56.

Javorski M, Caetano LC, Vasconcelos MGL, Leite AM, Scochi CGS. As representações sociais do aleitamento materno para mães de prematuros em unidade de cuidado canguru. Rev Latinoam Enferm. 2004;12(6):890-8.

Sanches MT. [Clinical management of oral disorders in breastfeeding] J Pediatr (RioJ). 2004;80(5 Suppl):S155-62.

Victora CG, Behague DP, Barros FC, Olinto MT, Weiderpass E. Pacifier use and short breastfeeding duration: cause, consequence, or coincidence? Pediatrics. 1997;99(3):445-53.

American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2005;115(2):496-506.

American Academy of Pediatrics. Task Force on Sudden Infant Death Syndrome. The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. Pediatrics. 2005;116(5):1245-55.

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Published

2010-08-01

Issue

Vol. 20 No. 2 (2010)

Section

Original Research

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