title: Intake of water, herbal teas and non-breast milks during the first month of life: associated factors and impact on breastfeeding duration.
abstract: 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.
authors: School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors: Elsa Regina Justo
authors: ER
authors: Giugliani
authors: Lilian Cordova
authors: LC
authors: do Espírito Santo
authors: Luciana Dias
authors: LD
authors: de Oliveira
authors: Denise
authors: D
authors: Aerts
mesh_terms: D000328:Adult; D000818:Animals; D001942:Breast Feeding; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008892:Milk; D013662:Tea; D014867:Water
chemical_list: D013662:Tea; D014867:Water