The joint effect of twinning and prematurity on exclusive breastfeeding at hospital discharge

Authors

DOI:

https://doi.org/10.12957/reuerj.2024.72201

Keywords:

Breast Feeding, Infant, Premature, Twins, Patient Discharge

Abstract

Objective: to estimate the prevalence of Exclusive Breastfeeding (EBF) in preterm twins and to investigate the effect of twin and preterm birth on EBF at hospital discharge. Method: prospective cohort of newborns in an institution located in Rio de Janeiro, from March 13, 2017, to October 12, 2018. Data collected through a questionnaire and medical records. A DAG was used to build the conceptual model, exploratory data analysis and multiple logistic regression. Results: prevalence of EBF at hospital discharge of preterm twins of 47.8%. Preterm infants were more likely to not be on EBF at hospital discharge. Non-twins were more likely to not be on EBF at hospital discharge. Conclusion: just over half of preterm twins were not on EBF at hospital discharge. Preterm infants had a greater chance of not being on EBF. Preterm non-twins were more likely to not be on EBF.

Author Biographies

Tainá Martins Gomes Ferreira, Prefeitura do Município do Rio de Janeiro

Nurse. Master in Epidemiology in Public Health. Postgraduate student in Nursing in Pediatrics and Neonatology. Nurse at Rio de Janeiro city hall. Rio de Janeiro, RJ, Brazil.

Marília Sá Carvalho, Fundação Oswaldo Cruz

Physician. Master in Public Health PhD in Biomedical Engineering. Post-doctorate in statistics. Senior researcher at the Oswaldo Cruz Foundation, for the Postgraduate Program in Epidemiology in Public Health. Rio de Janeiro, RJ, Brazil.

Enirtes Caetano Prates Melo, Fundação Oswaldo Cruz

PhD in Public Health. `Post-doctorate in Epidemiology. Researcher at the Department of Epidemiology and Quantitative Methods in Health (DEMQS/ENSP) and permanent professor at the Academic and Professional Postgraduate Programs at Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.

Maíra Domingues Bernardes Silva, Instituto Fernandes Figueira -IFF/ FIOCRUZ

Nurse. Specialist in Pediatric Nursing. PhD in Epidemiology in Public Health. Public Health Technologist, coordinator of breastfeeding assistance at the Human Milk Bank and coordinator of the postgraduate course in Nursing in Breastfeeding and Human Milk Bank in the residency modality of the Oswaldo Cruz Foundation (FIOCRUZ). Rio de Janeiro, RJ, Brazil.

References

Ministério da Saúde (Br). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: nutrição infantil: aleitamento materno e alimentação complementar. Brasília (DF): Ministério da Saúde; 2015 [cited 2022 Nov 02]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_nutricao_aleitamento_alimentacao.pdf.

Ministério da Saúde (Br). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. Pacto nacional pela redução da mortalidade materna e neonatal. Brasília (DF): Ministério da Saúde; 2004 [cited 2022 Nov 02]. Available from: https://bvsms.saude.gov.br/bvs/folder/pacto_reducao_mortalidade_materna_neonatal.pdf.

Victora CG, Rajiv BMD, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 [cited 2022 Nov 02]; 387(10017):475-90. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7.

Prentice AM. Breastfeeding in the modern world. Ann Nutr Metab. 2022 [cited 2022 Nov 02]; 78(suppl 2):29-38. DOI: https://doi.org/10.1159/000524354.

Horta BL, Bahl R, Martines JC, Victora CG. Evidence on the long-term effects of breastfeeding: systematic eviews and meta-analyses. Geneva (Swe): World Health Organization; 2007 [cited 2022 Nov 02]. Available from: https://www.waba.org.my/pdf/long-term%20effects%20of%20breastfeeding.pdf.

Dewey KG. Is breastfeeding protective against obesity? J Hum Lact. 2003 [cited 2022 Nov 02]; 19(1):9-18. DOI: https://doi.org/10.1177/0890334402239730.

World Health Organization (WHO). Global breastfeeding scorecard. Increasing commitment to breastfeeding through funding and improved policies and programes: global breastfeeding collective. United Nations Children’s Fund (UNICEF); 2019 [cited 2022 Nov 02]. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-19.22.

Universidade Federal do Rio de Janeiro. Aleitamento materno: Prevalência e práticas de aleitamento materno em crianças brasileiras menores de 2 anos - ENANI 2019. Rio de Janeiro, RJ: UFRJ; 2021 [cited 2022 Nov 02]. Available from: https://painelobesidade.com.br/biblioteca/aleitamento-materno-prevalencia-e-praticas-de-aleitamento-materno-em-criancas-brasileiras-menores-de-2-anos-4-enani-2019/.

World Health Organization (WHO). Breastfeeding: The goal. Geneva: 2018 [cited 2022 Nov 02]. Available from: https://cdn.who.int/media/docs/default-source/infographics-pdf/breastfeeding/infographic-breastfeeding.pdf?sfvrsn=b3c98863_8.

Whitford HM, Wallis SK, Dowswell T, West HM, Renfrew MJ. Breastfeeding education and support for women with twins or higher order multiplex. Cochrane Database Syst Rev. 2017 [cited 2022 Nov 02]; 2(2):CD012003. DOI: https://doi.org/10.1002/14651858.cd012003.pub2.

Blondel B, Macfarlane A, Gissler M, Breart G, Zeitlin J. Preterm birth and multiple pregnancy in European countries participating in the PERISTAT project. BJOG. 2006 [cited 2022 Nov 02]; 13(5):528-35. DOI: https://doi.org/10.1111/j.1471-0528.2006.00923.x.

Pereira AOR, Ferreira R M, Silva FMR, Quadros KAN, Santos RC, Andrade SN. Factors influencing the practice of exclusive breastfeeding; 24(274):5401-18. Available from: https://www.revistanursing.com.br/index.php/revistanursing/article/view/1325/1526.

Passos ET, Celestino MS, Rodrigues GMM. Consequências e intervenções de enfermagem no aleitamento materno e a prevenção do desmame precoce. Rev Bras Interdiscip Saúde. 2021 [cited 2022 Nov 02]; 3(3):33-9. Available from: https://revistarebis.rebis.com.br/index.php/rebis/article/view/263.

Mikami FCF. Aleitamento materno em gêmeos: efeito do aconselhamento pré-natal e fatores associados ao desmame [tese de doutorado]. São Paulo: Faculdade de Medicina de São Paulo; 2018. 123 f.

Ooki S. Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins. Environ Health Prev. 2008 [cited 2022 Nov 02]; 13(4):187-97. DOI: https://doi.org/10.1007/s12199-008-0028-y.

Yokoyama Y, Wada S, Sugimoto M, Kaayama M, Saito M, Sono J. Breastfeeding rates among singletons, twins and triplets in japan: a population-based study. Twin Res Hum Genet. 2006 [cited 2022 Nov 02]; 9(2):298-302. DOI: https://doi.org/10.1375/183242706776382347.

Lima AA, Tenório MCS, Dutra TA, Bomfim IC, Oliveira ACM. Caracterização de recém-nascidos prematuros nascidos em maternidade referência de alto risco de Maceió, Alagoas. GEP News. 2018 [cited 2022 Nov 02]; 1(1):32-7. Available from: https://www.seer.ufal.br/index.php/gepnews/article/view/4681.

Medeiros FB; Piccinini CA. Relação pai-bebê no contexto da prematuridade: gestação, internação do bebê e terceiro mês após a alta hospitalar. Estud. Psicol (Campinas). 2015 [cited 2022 Nov 02]; 32(3):475-85. DOI: https://doi.org/10.1590/0103-166X2015000300012.

Gomes ALM, Balaminut T, López SB, Pontes KAES, Scochi CGS, Christoffel MM. Breastfeeding of premature infants at a child-friendly hospital: from hospital discharge to home. Rev RENE. 2017 [cited 2022 Nov 02]; 18(6):810-7. DOI: https://dx.doi.org/10.15253/2175-6783.2017000600015.

Silva MDB, Oliveira RVC, Alves DSB, Melo ECP. The effect of risk at birth on breastfeeding duration and exclusivity: a cohort study at a Brazilian referral center for high-risk neonates and infants. PlosOne. 2021 [cited 2022 Nov 02]; 16(8):e0255190. DOI: https://doi.org/10.1371/journal.pone.0255190.

Silva MDB, Oliveira RVC, Braga JU, Almeida JAG, Melo ECP. Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis. BMC Pediatr. 2020 [cited 2022 Nov 02]; 20:372. DOI: https://doi.org/10.1186/s12887-020-02272-w.

Cox K, Giglia R, Zhao Y, Binns CW. Factors associated with exclusive breastfeeding at hospital discharge in rural western Australia. J Hum Lac. 2014 [cited 2022 Nov 02]; 30(4):488–97. DOI: https://doi.org/10.1177/0890334414547274.

Mcdonald SD, Pullenayegum E, Chapman B, Vera C, Giglia L, Fush C, et al. Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol. 2012 [cited 2022 Nov 02]; 119(6)1171-9. DOI: https://doi.org/10.1097/aog.0b013e318256194b.

Davanzo R, Monasta L, Ronfani L, Brovedani P, Demarini S. Breastfeeding at NICU discharge: a multicenter Italian study. J Hum Lac. 2013 [cited 2022 Nov 02]; 29(3):374-80. DOI: https://doi.org/10.1177/0890334412451055.

R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria. 2021 [cited 2022 Nov 02]. Available from: https://www.R-project.org/.

Thiese MS, Ronna B, Ott U. P value interpretations and considerations. J Thorac Dis. 2016 [cited 2022 Nov 02]; 8(9):928-31. DOI: https://doi.org/10.21037/jtd.2016.08.16.

Casa Civil (Br). Decreto nº 8.948 de 29 de dezembro de 2016. Regulamenta a Lei nº 13.152, de 29 de julho de 2015, que dispõe o valor do salário mínimo e a sua política de valoziação a longo prazo. 2015 [cited 2022 Nov 02]. Available from: http://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2016/Decreto/D8948.htm.

Neumann CA, Ferreira TK, Cat MN, Martins M. Aleitamento materno em prematuros: prevalência e fatores associados à interrupção precoce. J Parana Pediatr. 2020 [cited 2022 Nov 02]; 21(1):18-24. DOI: https://dx.doi.org/10.5935/1676-0166.20200005.

Porta R, Capdevila E, Botet F, Ginovart G, Moliner E, Nicolàs M, et al. Breastfeeding disparities between multiplex and singletons by NICU discharge. Nutrients. 2019 [cited 2022 Nov 02]; 11(9):2191. DOI: https://doi.org/10.3390%2Fnu11092191.

Tenório MCS, Mello CS, Oliveira ACM. Fatores associados à ausÊncia de aleitamento materno na alta hospitalar em uma maternidade pública de Maceió. Ciênc. Saúde Colet. 2018 [cited 2022 Nov 02]; 23(11):3547-56. DOI: https://doi.org/10.1590/1413-812320182311.25542016.

Taveiro EAN, Vianna EYS, Pandolfi MM. Adesão ao aleitamento materno exclusivo em bebês de 0 a 6 meses nascidos em um hospital e maternidade do município de São Paulo. Rev. bras. ciênc. saúde. 2020 [cited 2022 Nov 02]; 24(1):71-82. DOI: https://doi.org/10.22478/ufpb.2317-6032.2020v24n1.44471.

Santos SF, Souza RC, Candido PGG, Santos LH, Pacoal LM, Neto MS. Self-efficacyof breastfeeding in postpartum women assisted ina public maternity in northeastern Brazil. Rev. enferm. Cent.-Oeste Min. 2020 [cited 2022 Nov 02]; 10:e3910. DOI: http://doi.org/10.19175/recom.v10i0.3910.

Khatib MN, Gaidhane A, Upadhyay S, Telrandhe S, Saxena D, Simkhada PP, Sawleshwarkar S, Quazi SZ. Interventions for promoting and optimizing breastfeeding practices: An overview of systematic review. Front Public Health. 2023 [cited 2022 Nov 02]; 24(11):984876. DOI: https://doi.org/10.3389/fpubh.2023.984876.

Lande MS, Nedberg IH, Anda EE. Factors associated with exclusive breastfeeding at hospital discharge: a study data from the Georgian birt registry. lnt. Breastfeed J. 2020 [cited 2022 Nov 02]; 15:39. DOI: https://doi.org/10.1186/s13006-020-00286-9.

Adguna B, Tadele H, Reta F, Berhan Y. Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia. Int. Breastfeed J. 2017 [cited 2022 Nov 02]; 12:45. doi: https://doi.org/10.1186/s13006-017-0137-6.

Maastrup R, Bojesen SN, Kronborg H, Hallström I. Breastfeedin suport in neonatal intensive care: a national survey. J. Hum. Lact. 2012 [cited 2022 Nov 02]; 28(3):370-37. DOI: https://doi.org/10.1177/0890334412440846.

Balaminut T, Sousa MI, Gomes ALM, Christoffel MM, Leite AM, Scochi CGS. Breastfeeding in premature infants discharged from baby-friendly hospitals in southeastern Brazil. Rev. Eletr. Enf. 2018 [cited 2022 Nov 02]; 20:2. DOI: https://doi.org/10.5216/ree.v20.50963.

Marcuz JC, Emidio SCD, Carmona EV. Aleitamento materno em pacientes admitidos em unidade de terapia intensiva pediátrica. Rev. Min. Enferm. 2021 [cited 2022 Nov 02]; 25:e-1359. Available from: http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S1415-27622021000100206.

Published

2024-05-29

How to Cite

1.
Ferreira TMG, Carvalho MS, Melo ECP, Silva MDB. The joint effect of twinning and prematurity on exclusive breastfeeding at hospital discharge. Rev. enferm. UERJ [Internet]. 2024 May 29 [cited 2025 May 2];32(1):e72201. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/72201

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Research Articles

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