1 Buccoline Fatores Que Interferem

ARTIGO ARTICLE

Fatores que interferem no tempo entre o nascimento e a primeira mamada
Factors that affect time between birth and first breastfeeding Cristiano Siqueira Boccolini 1
Márcia Lázaro de Carvalho 2
Maria Inês Couto de Oliveira 3
Maria do Carmo Leal 2
Marilia Sá Carvalho 2

1 Secretaria Municipal de Saúde de Queimados,
Queimados, Brasil.
2 Escola Nacional de Saúde
Pública Sergio Arouca,
Fundação Oswaldo Cruz,
Rio de Janeiro, Brasil.
3 Instituto de Saúde da
Comunidade, Universidade
Federal Fluminense, Niterói,
Brasil.

Correspondência
C. S. Boccolini
Secretaria Municipal de
Saúde de Queimados,
Queimados, Brasil
Rua Vereador Marinho
Hemetério de Oliveira s/n,
Queimados, RJ
26319-970, Brasil. [e-mail] Abstract

Introdução

The current study investigated factors associated with time between birth and first breastfeeding. A representative sample of mothers (10% of deliveries in 47 maternity hospitals in Rio de Janeiro,
Brazil) was interviewed (n = 10,077). A random effects proportional risks survival model (at the maternity ward level) was employed, in a threetier hierarchical approach. Models were fitted separately for normal and cesarean delivery.
Time to initiation of breastfeeding in the first 24 hours of life differed between mothers with vaginal delivery (median 4 hours) versus cesarean section (10 hours). Common risk and protective factors were identified: maternal age; neonatal complications; neonatal care considered sub-optimal by the mother; admission of the newborn to the nursery; parity; birth weight. The model predicted 33% of variance in first breastfeeding.
In conclusion, time from delivery to first breastfeeding was increased by biological factors, high cesarean rates, and inadequate childbirth and neonatal care practices.

Apesar da amamentação na primeira hora de vida ser uma prática recomendada pela Organização
Mundial da Saúde (OMS) desde 1990 1 – passo 4 da Iniciativa Hospital Amigo da Criança – poucos estudos foram