Characterization of the causes of mother-child exclusive breastfeeding practice abandonment among women of the kangaroo program in a university hospital

Caracterización de las causas de deserción madre-hijo en la práctica de lactancia materna exclusiva en el programa madre canguro en un hospital universitario

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Jenny Paola Lizarazo
Jose Antonio Támara Prieto
Laura Katherine Hoyos Gómez
Viviana Andrea López Preciado
Gabriela Aldana Saravia
Daniel Fernández Ávila

Abstract

Introductionbreastfeeding is the physiological act through which the mother feeds and provides the necessary nutrients to the newborn (NB). Both the WHO (World Health Organization) and the Ministry of Health and Social Protection of Colombia guidelines recommend exclusive breastfeeding for the first 6 months, and as a complementary food up to the age of two years, to achieve the nutritional benefits that must be conferred to the infant for his healthy development. Materials and methods: a descriptive cross-sectional prospective study. Mothers of preterm and low-birth-weight newborns enrolled in the Kangaroo Mother Program of our hospital, who interrupted breastfeeding to their infants at around 3 months corrected age, were included. Results: 124 patients were identified. The main reason for abandoning exclusive breastfeeding was the perception that breast milk production was low in 43.5% of the surveyed mothers; NB gestational age at birth was 32 to 36 weeks in 61.3% of infants. Discussion: exclusive breastfeeding during the first months of life warrants the integral development of the NB and factors influencing exclusive breastfeeding abandonment vary between populations; the main reasons should be analyzed, and measures should be implemented to encourage exclusive breastfeeding and thus prevent the abandonment of this fundamental practice.

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Author Biographies

Jose Antonio Támara Prieto, Hospital Universitario San Rafael de Tunja

Médico Servicio Social Obligatorio, Hospital Universitario San Rafael de Tunja, Colombia.

Laura Katherine Hoyos Gómez , Hospital Universitario San Rafael de Tunja

Médico Servicio Social Obligatorio, Hospital Universitario San Rafael de Tunja, Colombia.

References

Domínguez Brito LD, Vargas Olalla VP. Lactancia materna en épocas de COVID-19. Más Vita Rev Cienc Salud. 2022;4(1):130–52. https://doi.org/10.47606/ACVEN/MV0092

Ortega Moreno MC, Castillo Saavedra EF, Reyes Alfaro CE. Factores asociados al abandono de la lactancia materna exclusiva en una ciudad de Perú. Rev Cubana Enfer. 2020;36(2):1–14.

Abril Gómez E, Afanador Mojica CD, Cardona Muñoz JP, Fajardo Bonilla E, Pirabán Gálvez N. ¿Alimentación adecuada? Leche materna frente a fórmulas infantiles. Revista Semilleros Med. 2019;13(1):65–71.

Brahm P, Valdés V. Beneficios de la lactancia materna y riesgos de no amamantar. Rev Chil Pediatr. 2017;88(1):15–21. http://dx.doi.org/10.4067/S0370-41062017000100001.

World Health Organization. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. providing maternity and newborn services. Geneva, Switzerland; 2017.

Vargas-Zarate M, Becerra-Bulla F, Balsero-Oyuela SY, Meneses-Burbano YS. Lactancia materna: mitos y verdades. Artículo de revisión. Rev Fac Med. 2020;68(4):608-616. https://doi.org/10.15446/revfacmed.v68n4.74647

López-Sáleme R, Katherine Covilla-Pedrozo M, Isabel Morelo-Castro N, Paola Morelos-Gaviria L. Factores culturales y sociales asociados a la lactancia materna exclusiva en San Basilio de Palenque Cultural and social. Duazary. 2019;16(2):293–306. https://doi.org/10.21676/2389783X.2961

Charpak N, Villegas J. 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. Ministerio de Salud y Protección Social; 2017. p.191.

López BE, Martínez L, Zapata NJ. Motivos del abandono temprano de la lactancia materna exclusiva: un problema de salud pública no resuelto en la ciudad de Medellín. Rev Fac Nac Salud Pública. 2013;31(1):117–126.

Dong D, Ru X, Huang X, Sang T, Li S, Wang Y, et al. A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. Int Breastfeed J. 2022;17(1):6. https://doi.org/10.1186/s13006-021-00447-4.

Luz LS, Minamisava R, Scochi CGS, Salge AKM, Ribeiro LM, Castral TC. Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort. Rev Bras Enferm. 2018;71(6):2876–82. https://doi.org/10.1590/0034-7167-2017-0762.

Campiño-Valderrama SM, Duque PA. Lactancia materna: factores que propician su abandono. Archivos de Medicina (Manizales). 2019;19(2):331-341. https://doi.org/10.30554/archmed.19.2.3379.2019.

Ramiro González MD, Ortiz Marrón H, Arana Cañedo-Argüelles C, Esparza Olcina MJ, Cortés Rico O, Terol Claramonte M, et al. Prevalence of breastfeeding and factors associated with the start and duration of exclusive breastfeeding in the Community of Madrid among participants in the ELOIN. An Pediatr. 2018;89(1):32–43. https://doi.org/10.1016/j.anpedi.2017.09.002.

Nagulesapillai T, McDonald S, Fenton T, Faye H, Mercader G, Tough S. Breastfeeding Difficulties and Exclusivity Among Late Preterm and Term Infants- Results From the All Our Babies Study. Can J Public Health. 2013;104(4):351–6. https://doi.org/10.17269/cjph.104.3803.

Bonnet C, Blondel B, Piedvache A, Wilson E, Bonamy AKE, Gortner L, et al. Low breastfeeding continuation to 6 months for very preterm infants: A European multiregional cohort study. Matern Child Nutr. 2019;15(1) e12657. https://doi.org/10.1111/mcn.12657.

Quispe-Ilanzo MP, Oyola-García AE, Navarro-Cancino M, Silva-Mancilla JA. Características y creencias maternas asociadas al abandono de la lactancia materna exclusiva. Rev Cubana Med Gen Integr. 2017;33(4):1-12.

Brockway M, Benzies KM, Carr E, Aziz K. Does breastfeeding self-efficacy theory apply to mothers of moderate and late preterm infants? A qualitative exploration. J Clin Nurs. 2020;29(15–16):2872–85. https://doi.org/10.1111/jocn.15304.

Kuhnly JE. Sustained breastfeeding and related factors for late preterm and early term infants. Journal of Perinatal and Neonatal Nursing. 2018;32(2):175–88.

Lugo Anduaga Y, Guerrero Hernández RE, López Carbajal MJ. Depresión posparto como factor asociado al abandono de la lactancia materna. Aten Fam. 2019;23(3):90-94. http://dx.doi.org/10.22201/facmed.14058871p.2019.3.70033.

Kucukoglu S, Yılmaz Kurt F, Aytekin Ozdemir A, Ozcan Z. The Effect of Kangaroo Care on Breastfeeding and Development in Preterm Neonates. J Pediatr Nurs. 2021;60:e31-e38. https://doi.org/10.1016/j.pedn.2021.02.019.

Becerra-Bulla F, Rocha-Calderón L, Fonseca-Silva DM, Bermúdez-Gordillo LA. The family and social environment of the mother as a factor that promotes or hinders breastfeeding. Rev Facul Med. 2015;63(2):217–27. http://dx.doi.org/10.15446/revfacmed.v63n2.44051

Gómez-Aristizábal LY, Díaz-Ruiz CE, Manrique-Hernández RD. Factores asociados con lactancia materna exclusiva hasta el sexto mes en madres: Medellín, 2010. Rev Salud Pública. 2013;15(3): 374-385.

Infante Pina D. La recomendación de lactancia materna exclusiva hasta los 6 meses de vida: algunas consideraciones. Acta Pediatr Esp. 2018;76(3–4):40–3.

Montealegre-Pomar A, Sierra-Andrade AP, Charpak N. The kangaroo mother care program of yopal, Colombia: An opportunity to keep track of preterm infants. Rev Salud Publica. 2018 Jan 1;20(1):10–6. http://dx.doi.org/10.15446/rsap.V20n1.67974.

Menezes MA da S, Cavalcante Garcia D, de Melo EV, Cipolotti R. Recém-nascidos prematuros assistidos pelo Método Canguru: Avaliação de uma coorte do nascimento aos seis meses. Rev Paul Pediatr. 2014;32(2):171–7. https://doi.org/10.1590/0103-0582201432213113.

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