Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study

Bibliographic Details
Title: Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study
Authors: Laís Araújo Tavares Silva, Maria Inês Couto de Oliveira, Ana Carolina Carioca da Costa, Samira Fernandes Morais dos Santos, Silvana Granado Nogueira da Gama, Vânia de Matos Fonseca
Source: Jornal de Pediatria, Vol 98, Iss 5, Pp 463-470 (2022)
Publisher Information: Elsevier, 2022.
Publication Year: 2022
Collection: LCC:Pediatrics
Subject Terms: Infant formula, Breastfeeding, Newborn, Pediatrics, RJ1-570
More Details: Objective: To analyze the factors associated with infant formula supplementation in newborns referred to rooming-in in Brazilian hospitals. Method: Cross-sectional study with data from 14,531 postpartum women and newborns obtained from the ''Birth in Brazil'' survey, conducted in 2011–2012. The analysis used a logistic regression model with a hierarchical approach. Results: In total, 21.2% newborns received infant formula during hospital stay. After adjustment, the following factors were associated with the use of infant formula: maternal age ≥ 35 years (OR = 1.51; IC95%:1.30–1.75), prenatal care in a private service (OR = 2,22; IC:1.72–2.85)/public and private service (OR = 1.67; IC:1.24–2.23), cesarean delivery (OR = 1.83; IC:1.41–2.38), multiple pregnancy (OR = 3.786; IC:2.02–7.06), non-breastfeeding in the delivery room (OR = 1.780; IC:1.43–2.21), birth in a private hospital (OR = 1.695; IC:1.02–2.79), prematurity (OR = 1.656; IC:1.32–2.06) and extremes of birth weight (< 2.500 g: OR = 2.084; IC: 1.585–2.741/ ≥4,000g: OR = 1.672; IC:1.31–2.11). Teenage age (OR = 0.651; IC:0.55–0.76), low maternal education (OR = 0.579; IC:0.43–0.77), multiparity (OR = 0.588; IC:0.510–0.678), and lower economic class (OR = 0.565; IC:0.41–0.76) significantly reduced the probability of using infant formula. Conclusions: Of the associated factors, the authors highlight cesarean delivery and non-breastfeeding in the delivery room, showing that it is necessary to strengthen policies that encourage good practices during childbirth care in order to promote exclusive breastfeeding and protect mothers and newborns from all social classes against the misuse of infant formula.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0021-7557
Relation: http://www.sciencedirect.com/science/article/pii/S0021755722000237; https://doaj.org/toc/0021-7557
DOI: 10.1016/j.jped.2021.12.009
Access URL: https://doaj.org/article/b271b5f0c55247f8aee74b3949c5a32b
Accession Number: edsdoj.b271b5f0c55247f8aee74b3949c5a32b
Database: Directory of Open Access Journals
More Details
ISSN:00217557
DOI:10.1016/j.jped.2021.12.009
Published in:Jornal de Pediatria
Language:English