Intake of water, herbal teas and non-breast milks during the first month of life: associated factors and impact on breastfeeding duration.
BACKGROUND
The use of non-breast milks seems to cause more harm to the child's health than the isolated introduction of water/herbal teas.


OBJECTIVE
Study the factors associated with introduction of water/herbal teas or non-breast milks during the first month of life and determine the impact of this supplementation on breastfeeding duration.


METHODS
Nested cross-sectional study.


METHODS
220 mother-infant pairs contacted in the maternity ward, at 7 days and at the end of 1, 2, 4, and 6 months.


METHODS
Introduction of water/herbal teas or non-breast milks in the first month of life based on data collected during a home visit 30 days after delivery.


RESULTS
Introduction of water/herbal teas was associated with maternal age <20 years (prevalence ratio=1.55; 95%CI 1.14-2.09), <6 prenatal consultations (1.48; 1.09-2.01), cohabitation with maternal grandmother (1.51; 1.10-2.10), and poor latch-on at 30 days (1.87; 1.35-2.58). Introduction of non-breast milks was associated with breastfeeding of previous children for <6 months (3.18; 1.18-8.58), cesarean (1.92; 1.07-3.44), poor latch-on at 30 days (2.82; 1.55-5.11), use of pacifier at 7 days (2.75; 1.38-5.48), introduction of herbal teas in the first 7 days (2.75; 1.15-4.15) and breast engorgement at 7 days (2.19; 1.01-3.16). Introduction of non-breast milks negatively influenced breastfeeding duration (p<0.001); this was not observed with water/herbal teas (p=0.277).


CONCLUSIONS
Priority should be given to preventing the early introduction on non-breast milks, especially in mother-infant pairs with associated risk factors.
Giugliani
Elsa Regina Justo
ER
School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
do Espírito Santo
Lilian Cordova
LC
de Oliveira
Luciana Dias
LD
Aerts
Denise
D
D000328:Adult; D000818:Animals; D001942:Breast Feeding; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008892:Milk; D013662:Tea; D014867:Water
D013662:Tea; D014867:Water