Tatiana Mota Xavier de Meneses1, Maria Inês Couto de Oliveira2, Cristiano Siqueira Boccolini3. 1. Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva, Niterói, RJ, Brazil. 2. Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Departamento de Epidemiologia e Bioestatística, Niterói, RJ, Brazil. Electronic address: marinesco@superig.com.br. 3. Fundação Oswaldo Cruz (Fiocruz), Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Laboratório de Informação em Saúde, Rio de Janeiro, RJ, Brazil.
Abstract
OBJECTIVE: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. METHODS: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05). RESULTS: 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09). CONCLUSIONS: Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation.
OBJECTIVE: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. METHODS: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05). RESULTS: 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09). CONCLUSIONS: Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation.
Keywords:
Atenção primária à saúde; Bancos de leite; Cross-sectional studies; Doação; Donation; Epidemiologia; Epidemiology; Estudos transversais; Human milk; Leite humano; Milk banks; Primary health care
Authors: Kenechukwu K Iloh; Chidiebere DI Osuorah; Ikenna K Ndu; Isaac N Asinobi; Ijeoma N Obumneme-Anyim; Chijioke E Ezeudu; Ukoha M Oluchi; Onyinye U Anyanwu; Uchenna Ekwochi; Christian C Ogoke; Adaeze C Ayuk; Herbert U Obu Journal: Int Breastfeed J Date: 2018-11-14 Impact factor: 3.461