Use of Artificial Nipples Among Brazilian Infants and Associated Factors. (12th February 2020)

• Record Type: Journal Article
• Authors: Miranda, Cristianny; de Sousa, Taciana Maia; do Carmo, Ariene Silva; Pereira, Simone Cardoso Lisboa; Notaro, Karine Antunes Marques; dos Santos, Luana Caroline
• Is Part Of: Journal of tropical pediatrics. Volume 66:Number 5(2020:Oct.)
• Page Start: 511
• Page End: 516
• Publication Date: 2020-02-12
• Subjects: breastfeeding -- milk banks -- nursing bottle -- pacifiers -- maternal and child health; Pediatrics -- Periodicals; Tropical medicine -- Periodicals; Pediatrics -- Periodicals; Tropical Medicine -- Periodicals; Environmental Health -- Periodicals; Infant; Child; 618.929883
• DOI: 10.1093/tropej/fmaa007
• Languages: English
• ISSNs: 0142-6338

Abstract

Abstract: Transversal study conducted in a Human Milk Bank to evaluate the factors associated with the use of artificial nipples (pacifier and/or nursing bottle) among Brazilian infants. Analyses were performed using the χ 2 test and logistic regression analysis. A total of 6017 nursing mothers were evaluated and the use of artificial nipples was reported by 31.3%. The chance of using artificial nipples was higher among infants whose mothers attended antenatal care in private hospitals [odds ratio (OR): 1.61, 95% confidence interval (CI) 1.21–2.14], born in maternities without the Baby-Friendly Hospital Initiative (BFHI) (OR: 18.38, 95% CI 13.50–25.04) and those with adequate birth weight (OR: 2.83, 95% CI 1.99–4.03). A lower chance of using artificial nipples was observed among infants whose mothers had previous breastfeeding experience (OR: 0.76, 95% CI 0.61–0.95), received guidance on breastfeeding during antenatal care (OR: 0.80, 95% CI 0.65–0.98), practiced exclusive breastfeeding (OR: 0.36, 95% CI 0.28–0.45), breastfeeding on demand (OR: 0.66, 95% CI 0.52–0.85) and residents of inland cities/towns (OR: 0.38, 95% CI 0.20–0.72). The findings highlight the importance of breastfeeding guidance during antenatal care and the role of BFHI in clarifying risks associated with artificial nipple use.