title: [Lactational mastitis and Baby-Friendly Hospital Initiative, Feira de Santana, Bahia, Brazil].
abstract: This study aimed to evaluate whether follow-up of breastfeeding mothers at maternity hospitals classified as "Baby-Friendly Hospitals" in Feira de Santana, Bahia, Brazil, was a protective factor against mastitis. This was a cross-sectional study in which 2,543 mothers of infants (< 1 year of age) were selected by simple stratification and interviewed by 104 college students at immunization services. Measures of association (odds ratio, 95%CI) and statistical significance were calculated by the chi-square test and respective p values. Multivariate analysis was performed using the logistic regression model. Women who delivered in "Baby-Friendly Hospitals" had a lower prevalence of lactational mastitis (3.6% vs. 5.3%; OR = 0.68; 95%CI: 0.46-1.01). Additionally, delivery in Baby-Friendly Hospitals (OR = 0.71; 95%CI: 0.48-1.06), absence of nipple fissure (OR = 0.27; 95%CI: 0.19-0.40), and no maternal outdoor work (OR = 0.64; 95%CI: 0.44-0.94) were also associated with a decreased prevalence of lactational mastitis. Prevalence of lactational mastitis was observed to be lower in women delivering in "Baby-Friendly Hospitals" with breastfeeding counseling programs.
authors.affiliation: Universidade Estadual de Feira de Santana, Feira de Santana, Brazil. graciete.vieira@terra.com.br
authors.forename: Graciete Oliveira
authors.initials: GO
authors.lastname: Vieira
authors.forename: Luciana Rodrigues
authors.initials: LR
authors.lastname: Silva
authors.forename: Carlos Maurício Cardeal
authors.initials: CM
authors.lastname: Mendes
authors.forename: Tatiana de Oliveira
authors.initials: Tde O
authors.lastname: Vieira
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D001942:Breast Feeding / Q000523:psychology / Q000706:statistics & numerical data; D004522:Educational Status; D004812:Epidemiologic Methods; D005260:Female; D006293:Health Promotion; D006771:Hospitals, Maternity; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007774:Lactation / Q000502:physiology*; D008413:Mastitis / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D010353:Patient Education as Topic; D015397:Program Evaluation