Factors associated with the duration of breastfeeding in mothers of babies cared for in a kangaroo family program
DOI:
https://doi.org/10.17533/udea.iee.v40n3e08.Keywords:
infant, premature, kangaroo-mother care method, breast feeding, health personnelAbstract
Goal. To determine the factors associated with the duration of breastfeeding in mothers of babies cared for in a
kangaroo family program.
Methods. Quantitative, observational study with a secondary source of a retrospective cohort of 707 babies with monitoring at admission, at 40 weeks, at three and at six months of corrected age in the kangaroo family program of a public hospital in the municipality of Rionegro (Antioquia, Colombia) from 2016 to 2019.
Results. 49.6% of babies were born with low weight for gestational age and 51.5% were female. 58.3% of the mothers were unemployed and 86.2% of them lived with their partner. When entering the kangaroo family program, 94.2% of the babies received breastfeeding and at six months they were 44.7%. The variables that were associated with the duration of breastfeeding up to six months according to the explanatory model were: the mother's cohabitation with her partner (adjusted prevalence ratio - APR: 1.34) and receiving breastfeeding when entering the kangaroo family program (APR: 2.30).
Conclusion. The factors related to the duration of breastfeeding in mothers of babies cared for in the kangaroo family program were that the mother lived with her partner and that the mother was breastfeeding when she entered the program, therefore they received education and support from the interdisciplinary team, which could favor confidence and willingness towards breastfeeding.
Downloads
References
1. Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016; 388(10063):3027–35.
2. Charpak N, Ruiz-Peláez JG. Improving survival of infants with low birthweight cared for outside hospitals. Lancet. 2019; 394(10210):1688–90.
3. Osorno J, Jaramillo ML, Carvajal J, Ballesteros A, Dávalos D, Velasco AM, et al. Lactancia materna en prematuros extremos y recién nacidos severamente enfermos: un reto ético y técnico para la medicina. Bogotá D.C.: Universidad Sergio Arboleda; 2017.
4. Moraes G, Christoffel M, Toso B, Viera C. Association between duration of exclusive breastfeeding and nursing mothers’ self-efficacy for breastfeeding. Rev. Esc. Enferm. USP. 2021; 55(e:03702): e03702.
5. Campbell A, Miranda P. Breastfeeding Trends Among Very Low Birth Weight, Low Birth Weight, and Normal Birth Weight Infants. J. Pediatr. 2018; 200:71–8.
6. Heidarzadeh M, Hosseini MB, Ershadmanesh M, Gholamitabar Tabari M, Khazaee S. The Effect of Kangaroo mother care (KMC) on breast feeding at the time of NICU discharge. Iran Red. Crescent Med. J. 2013; 15(4):302–6.
7. Jayaraman D, Mukhopadhyay K, Bhalla AK, Dhaliwal LK. Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates. J. Hum. Lact. 2017; 33(3):533–9.
8. Al Namir H, Brady AM, Gallagher L. Fathers and breastfeeding: Attitudes, involvement and support. Br. J. Midwifery. 2017; 25(7):426-40.
9. Francis J, Unger S, Bando N, Vance A, Gibbins S, Kiss A, et al. Postdischarge feeding of very-low-birth-weight infants: Adherence to nutrition guidelines. J. Pediatr. Gastroenterol. Nutr. 2018 ;67(3):401–8.
10. Abou-Elwafa HS, El-Gilany AH. Maternal work and exclusive breastfeeding in Mansoura, Egypt. Fam. Pract.2019; 36(5):568–72.
11. Yu G, Liu F, Zhao Y, Kong Y, Wei H. Promoting Breastfeeding and Lactation Among Mothers of Premature Newborns in a Hospital in China. Nurs. Women’s Health. 2021; 25(1):21–9.
12. Abugov H, Ochoa Marín SC, Semenic S, Arroyave IC. Barriers and facilitators to breastfeeding support practices in a neonatal intensive care unit in Colombia. Invest. Educ. Enferm. 2021; 39(1):e11.
13. Ministerio de Salud y Protección Social. Actualización de los Lineamientos Técnicos para la implementación de Programas Madre Canguro en Colombia, con énfasis en la nutrición del neonato prematuro o de bajo peso al nacer [Internet]. 2nd ed. Bogotá: Fundación Canguro; 2017.
14. Ministerio de Salud. Resolución número 8430 de 1993. Bogotá: Ministerio de Salud; 1993. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
15. Schiaffino A, Rodríguez M, Pasarín M, Regidor E, Borrell C, Fernández E. ¿Odds ratio o razón de proporciones? Su utilización en estudios transversales. Gac. Sanit. 2003; 17(1):70–4.
16. Lizarazo-Medina JP, Ospina-Diaz JM, Ariza-Riaño NE. Programa madre canguro: una alternativa protección de los recién nacidos prematuros o con bajo peso al nacer. Rev Salud Pública. 2012; 14(2):32–45.
17. Montealegre-Pomar A, Sierra-Andrade AP, Charpak N. El Programa Madre Canguro de Yopal, Colombia: una oportunidad de seguimiento del niño prematuro. Rev. Salud Pública. 2018; 20(1):10–6.
18. Ministerio de Salud y Protección Social, Instituto Nacional de Salud, Instituto Colombiano de Bienestar Familiar - ICBF, Universidad Nacional de Colombia. Encuesta Nacional de la Situación Nutricional-ENSIN 2015 [Internet]. Bogotá D.C.; 2015 [cited 2021 Feb 28]. Available from: https://www.icbf.gov.co/sites/default/files/ensin_2015_final.pdf
19. Charpak N, Ruiz JG. Latin American Clinical Epidemiology Network Series – Paper 9: The Kangaroo Mother Care Method: from scientific evidence generated in Colombia to worldwide practice. J. Clin. Epidemiol. 2017; 86:125–8.
20. Giannì ML, Bezze E, Sannino P, Stori E, Plevani L, Roggero P, et al. Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences. BMC Pediatr. 2016 Nov 8;16(1):179.
21. Ghojazadeh M, Hajebrahimi S, Pournaghi-Azar F, Mohseni M, Derakhshani N, Azami-Aghdash S. Effect of Kangaroo Mother Care on Successful Breastfeeding: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Rev. Recent Clin. Trials. 2018; 14(1):31–40.
22. Chugh Sachdeva R, Mondkar J, Shanbhag S, Manuhar M, Khan A, Dasgupta R, et al. A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India. Breastfeed Med. 2019;
(2):108–14.
23. Norén J, Nyqvist KH, Rubertsson C, Blomqvist YT. Becoming a mother – Mothers’ experience of Kangaroo Mother Care. Sex. Reprod. Healthc. 2018; 16:181–5.
24. Sharma D, Farahbakhsh N, Sharma S, Sharma P, Sharma A. Role of kangaroo mother care in growth and breast feeding rates in very low birth weight (VLBW) neonates: a systematic review. J. Matern. Neonatal Med. 2019;32(1):129–42.
25. Karimi FZ, Sadeghi R, Maleki-Saghooni N, Khadivzadeh T. The effect of mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis. Taiwan J. Obstet. Gynecol. 2019; 58(1):1–9.
26. Asadi G, Aslani A, Nayebinia AS, Fathnezhad-Kazemi A. Explaining breastfeeding experiences and assessing factors affecting breastfeeding self-efficacy in mothers of premature infants: a mixed method study protocol. Reprod. Health. 2020 Mar 18 [cited 2022 Aug 22];17(1):42.
27. Sinha B, Chowdhury R, Sankar MJ, Martines J, Taneja S, Mazumder S, et al. Interventions to improvebre astfeeding outcomes: A systematic review and meta-analysis. Acta Paediatr. Int. J. Paediatr. 2015;104:114–35.
Downloads
Published
Versions
- 2023-09-20 (3)
- 2023-08-23 (2)
- 2022-11-12 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
