Evolución en 12 años de los indicadores de lactancia materna y factores asociados en un Centro de Salud acreditado IHAN
- Andrea Urtasun Erburu
- E.J. Jareño Roglán
- Xavier Albert Ros
- P. García Tamarit
- S. Llinares Ramal
- S. Segura Barrachina
- R López-Cano Ausejo
- E. Puchades Marqués
- A. Fraile Zamarreño
ISSN: 0001-6640
Datum der Publikation: 2020
Ausgabe: 78
Nummer: 3-4
Seiten: 40-46
Art: Artikel
Andere Publikationen in: Acta pediátrica española
Zusammenfassung
Introduction: WHO recommends exclusive breastfeeding for 6 months and continue up to the age of 2 years or beyond. Our objective is to study the evolution of lactation indicators (length, start and maintenance up to 12 months percentages) in the last 12 years in our health center, recently accredited as BFHI, and the association of these indicators with different factors: prenatal education, childbirth (vaginal delivery or cesarean section) and hospital maternity (public or private). Material and methods: Prospective descriptive cohort study with 803 infants born in two periods separated from each other 12 years: 2003-2004 and 2015-2016. Data collected by personal interview in pediatric health checks. Results: Lactation length (median) has improved significantly in the second period (10 months) compared to first one (5 months; p <0.001); lactation percentages at birth and up to 12 months also improved (p <0.05). Attending prenatal education courses was the most significantly associated factor with these indicators in both periods; it was also significant the association with vaginal delivery (in first period) and public hospital maternity (in second period). These results are confirmed in the multivariate analysis. Conclusions: There has been a significant improvement on our health center lactation indicators in these 12 years. Favorable factors to initiate and maintain breastfeeding are attending prenatal education courses (the most important), and childbirth by vaginal delivery and at a public hospital maternity.