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- Title
Use of Artificial Nipples Among Brazilian Infants and Associated Factors.
- Authors
Miranda, Cristianny; Sousa, Taciana Maia de; Carmo, Ariene Silva do; Pereira, Simone Cardoso Lisboa; Notaro, Karine Antunes Marques; Santos, Luana Caroline dos; de Sousa, Taciana Maia; do Carmo, Ariene Silva; Dos Santos, Luana Caroline
- Abstract
Transversal study conducted in a Human Milk Bank to evaluate the factors associated with the use of artificial nipples (pacifier and/or nursing bottle) among Brazilian infants. Analyses were performed using the χ2 test and logistic regression analysis. A total of 6017 nursing mothers were evaluated and the use of artificial nipples was reported by 31.3%. The chance of using artificial nipples was higher among infants whose mothers attended antenatal care in private hospitals [odds ratio (OR): 1.61, 95% confidence interval (CI) 1.21-2.14], born in maternities without the Baby-Friendly Hospital Initiative (BFHI) (OR: 18.38, 95% CI 13.50-25.04) and those with adequate birth weight (OR: 2.83, 95% CI 1.99-4.03). A lower chance of using artificial nipples was observed among infants whose mothers had previous breastfeeding experience (OR: 0.76, 95% CI 0.61-0.95), received guidance on breastfeeding during antenatal care (OR: 0.80, 95% CI 0.65-0.98), practiced exclusive breastfeeding (OR: 0.36, 95% CI 0.28-0.45), breastfeeding on demand (OR: 0.66, 95% CI 0.52-0.85) and residents of inland cities/towns (OR: 0.38, 95% CI 0.20-0.72). The findings highlight the importance of breastfeeding guidance during antenatal care and the role of BFHI in clarifying risks associated with artificial nipple use.
- Subjects
BRAZILIANS; CITY dwellers; LOGISTIC regression analysis; BREASTFEEDING; PRENATAL care
- Publication
Journal of Tropical Pediatrics, 2020, Vol 66, Issue 5, p511
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmaa007