Breastfeeding versus free distribution of infant formulas by the Public Health System
OBJECTIVETo characterize the situation of breastfeeding and the adequacy of prescription of infant formulas to infants assisted by a secondary care program of the Public Health System. METHODSThis is a cross-sectional study with analysis of medical records of 350 infants from zero to 6 months, follo...
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| Published in: | Einstein (São Paulo, Brazil) Vol. 19; p. eAO6451 |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
01-01-2021
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| Abstract | OBJECTIVETo characterize the situation of breastfeeding and the adequacy of prescription of infant formulas to infants assisted by a secondary care program of the Public Health System. METHODSThis is a cross-sectional study with analysis of medical records of 350 infants from zero to 6 months, followed up between February to April 2019. RESULTSThe possibility of breastfeeding was present in 97.0% of mothers and no infant presented an acceptable medical condition for proscription of breastfeeding. Despite this, only 47.2% of cases were on exclusive breastfeeding before being referred to the program. Regarding the reasons for the introduction of infant formulas, complementation to breast milk was the most present (75.8%), followed by mothers returning to the job market (20.1%). The general rates of inadequacy of those prescribed were 65% before arriving at the program, increasing to 69% (standard formulas) and 80% (formulas for special purposes) during follow-up. CONCLUSIONThe low rate of exclusive breastfeeding and the indiscriminate prescription of infant formulas are a concern for damage to maternal-child healthcare and sound finances of the Public Health System. |
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| AbstractList | ABSTRACT Objective: To characterize the situation of breastfeeding and the adequacy of prescription of infant formulas to infants assisted by a secondary care program of the Public Health System. Methods: This is a cross-sectional study with analysis of medical records of 350 infants from zero to 6 months, followed up between February to April 2019. Results: The possibility of breastfeeding was present in 97.0% of mothers and no infant presented an acceptable medical condition for proscription of breastfeeding. Despite this, only 47.2% of cases were on exclusive breastfeeding before being referred to the program. Regarding the reasons for the introduction of infant formulas, complementation to breast milk was the most present (75.8%), followed by mothers returning to the job market (20.1%). The general rates of inadequacy of those prescribed were 65% before arriving at the program, increasing to 69% (standard formulas) and 80% (formulas for special purposes) during follow-up. Conclusion: The low rate of exclusive breastfeeding and the indiscriminate prescription of infant formulas are a concern for damage to maternal-child healthcare and sound finances of the Public Health System. OBJECTIVETo characterize the situation of breastfeeding and the adequacy of prescription of infant formulas to infants assisted by a secondary care program of the Public Health System. METHODSThis is a cross-sectional study with analysis of medical records of 350 infants from zero to 6 months, followed up between February to April 2019. RESULTSThe possibility of breastfeeding was present in 97.0% of mothers and no infant presented an acceptable medical condition for proscription of breastfeeding. Despite this, only 47.2% of cases were on exclusive breastfeeding before being referred to the program. Regarding the reasons for the introduction of infant formulas, complementation to breast milk was the most present (75.8%), followed by mothers returning to the job market (20.1%). The general rates of inadequacy of those prescribed were 65% before arriving at the program, increasing to 69% (standard formulas) and 80% (formulas for special purposes) during follow-up. CONCLUSIONThe low rate of exclusive breastfeeding and the indiscriminate prescription of infant formulas are a concern for damage to maternal-child healthcare and sound finances of the Public Health System. |
| Author | Soares, Rita de Cássia Santos Carvalho, Taimã de Castro Zucchetto, Bruna Romano Ribeiro, Daniela Neves Cândido, Flávia Galvão Bittencourt, Jersica Martins Rezende, Isabela Carvalho Freitas, Brunnella Alcântara Chagas de Niquine, Camilla de Freitas Ribeiro, Sarah Aparecida Vieira Morais, Dayane de Castro Araújo, Raquel Maria Amaral |
| AuthorAffiliation | Universidade Federal de Viçosa Centro Estadual de Atenção Especializada |
| AuthorAffiliation_xml | – name: Universidade Federal de Viçosa – name: Centro Estadual de Atenção Especializada |
| Author_xml | – sequence: 1 givenname: Flávia Galvão orcidid: 0000-0001-7687-6189 surname: Cândido fullname: Cândido, Flávia Galvão – sequence: 2 givenname: Brunnella Alcântara Chagas de orcidid: 0000-0002-7863-0681 surname: Freitas fullname: Freitas, Brunnella Alcântara Chagas de – sequence: 3 givenname: Rita de Cássia Santos orcidid: 0000-0002-4045-0028 surname: Soares fullname: Soares, Rita de Cássia Santos – sequence: 4 givenname: Jersica Martins orcidid: 0000-0003-3821-8171 surname: Bittencourt fullname: Bittencourt, Jersica Martins – sequence: 5 givenname: Daniela Neves orcidid: 0000-0002-2181-0788 surname: Ribeiro fullname: Ribeiro, Daniela Neves – sequence: 6 givenname: Dayane de Castro orcidid: 0000-0001-6439-7009 surname: Morais fullname: Morais, Dayane de Castro – sequence: 7 givenname: Camilla de Freitas orcidid: 0000-0003-3766-5121 surname: Niquine fullname: Niquine, Camilla de Freitas – sequence: 8 givenname: Sarah Aparecida Vieira orcidid: 0000-0002-0304-2711 surname: Ribeiro fullname: Ribeiro, Sarah Aparecida Vieira – sequence: 9 givenname: Raquel Maria Amaral orcidid: 0000-0003-1323-8707 surname: Araújo fullname: Araújo, Raquel Maria Amaral – sequence: 10 givenname: Bruna Romano orcidid: 0000-0002-8182-0777 surname: Zucchetto fullname: Zucchetto, Bruna Romano – sequence: 11 givenname: Taimã de Castro orcidid: 0000-0003-4866-4669 surname: Carvalho fullname: Carvalho, Taimã de Castro – sequence: 12 givenname: Isabela Carvalho orcidid: 0000-0001-6324-7703 surname: Rezende fullname: Rezende, Isabela Carvalho |
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| Cites_doi | 10.1590/1806-9282.62.06.584 10.1590/S1415-52732006000500010 10.3390/nu8050279 10.1016/S0140-6736(15)01024-7 10.1111/apa.13133 10.11606/S1518-8787.2017051000029 |
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| Keywords | Unified Health System Sistema Único de Saúde Aleitamento materno Fórmulas infantis Breast feeding Infant formula Prescriptions Prescrições |
| Language | English |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 none. Flávia Galvão Cândido: participated in the design, planning, analysis and interpretation of data, writing and reviewing. Brunnella Alcântara Chagas de Freitas and Rita de Cássia Santos Soares: participated in the conception, planning and writing. Jersica Martins Bittencourt and Dayane de Castro Morais: conducted data analysis and interpretation, writing and review. Daniela Neves Ribeiro, Camilla de Freitas Niquine, Sarah Aparecida Vieira Ribeiro and Raquel Maria Amaral Araújo: participated in the conception and planning. Bruna Romano Zucchetto, Taimã de Castro Carvalho and Isabela Carvalho Rezende: participated in the planning and data collection. All authors read and agreed with the final version of the article. Conflict of interest AUTHORS' CONTRIBUTION |
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| References | Victora (key20211104081031_B2) 2016; 387 Brasil. Ministério da Saúde (key20211104081031_B1) 2015 Organização Mundial da Saúde (OMS) (key20211104081031_B7) 2009 Martin (key20211104081031_B12) 2016; 8 Sociedade Brasileira de Pediatria (SBP). Documento Científico. Departamento Científico de neonatologia (key20211104081031_B10) 2017 Boccolini (key20211104081031_B3) 2017; 51 Brasil. Ministério da Saúde (key20211104081031_B6) 2008 Palmeira (key20211104081031_B11) 2016; 62 Brasil. Presidência da República (key20211104081031_B8) 1990 Sousa (key20211104081031_B14) 2019; 9 Horta (key20211104081031_B13) 2015; 104 Brasil. Ministério da Saúde (key20211104081031_B5) 2014 Brasil. Ministério da Saúde (key20211104081031_B4) 2015 Faleiro (key20211104081031_B9) 2006; 19 Martin, CR; Ling, PR; Blackburn, GL 2016; 8 1990 Sousa, EL; Melo, LG; Medeiros, DM 2019; 9 Faleiro, FT; Trezza, EM; Carandina, L 2006; 19 Horta, BL; Loret de Mola, C; Victoris, CG 2015; 104 2009 Palmeira, P; Carneiro-Sampaio, M 2016; 62 2008 2017 2015 2014 Boccolini, CS; Boccolini, PM; Monteiro, FR; Venâncio, SI; Giugliani, ER 2017; 51 Victora, CG; Bahl, R; Barros, AJ; França, GV; Horton, S; Krasevec, J; Murch, S; Sankar, MJ; Walker, N; Rollins, NC 2016; 387 |
| References_xml | – volume: 62 start-page: 584 issue: 6 year: 2016 ident: key20211104081031_B11 article-title: Immunology of breast milk publication-title: Rev Assoc Med Bras (1992) doi: 10.1590/1806-9282.62.06.584 contributor: fullname: Palmeira – volume-title: Secretaria de Atenção à Saúde. Estratégia nacional para promoção do aleitamento materno e alimentação complementar saudável no Sistema Único de Saúde: manual de implementação year: 2015 ident: key20211104081031_B4 contributor: fullname: Brasil. Ministério da Saúde – volume-title: Razões médicas aceitáveis para uso de substitutos do leite materno year: 2009 ident: key20211104081031_B7 contributor: fullname: Organização Mundial da Saúde (OMS) – volume-title: Lei n. 8.080, de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências year: 1990 ident: key20211104081031_B8 contributor: fullname: Brasil. Presidência da República – volume: 19 start-page: 623 issue: 5 year: 2006 ident: key20211104081031_B9 article-title: Aleitamento materno: fatores de influência na sua decisão e duração publication-title: Rev Nutr doi: 10.1590/S1415-52732006000500010 contributor: fullname: Faleiro – volume: 9 start-page: 76 issue: 2 year: 2019 ident: key20211104081031_B14 article-title: Práticas de complementação ao leite materno: concepções de puérperas sobre aleitamento materno e uso de fórmula infantil publication-title: Rev Bras Educ contributor: fullname: Sousa – volume: 8 start-page: 279 issue: 5 year: 2016 ident: key20211104081031_B12 article-title: Review of Infant Feeding: key features of breast milk and infant formula publication-title: Nutrients doi: 10.3390/nu8050279 contributor: fullname: Martin – volume-title: Prevenção da prematuridade – uma intervenção da gestão e da assistência year: 2017 ident: key20211104081031_B10 contributor: fullname: Sociedade Brasileira de Pediatria (SBP). Documento Científico. Departamento Científico de neonatologia – volume: 387 start-page: 475 issue: 10017 year: 2016 ident: key20211104081031_B2 article-title: Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms and lifelong effect publication-title: Lancet doi: 10.1016/S0140-6736(15)01024-7 contributor: fullname: Victora – volume-title: Iniciativa Hospital Amigo da Criança: revista, atualizada e ampliada para o cuidado integrado. Módulo 1: histórico e implementação year: 2008 ident: key20211104081031_B6 contributor: fullname: Brasil. Ministério da Saúde – volume: 104 start-page: 30 issue: 467 year: 2015 ident: key20211104081031_B13 article-title: Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta-analysis publication-title: Acta Paediatr doi: 10.1111/apa.13133 contributor: fullname: Horta – volume-title: Aleitamento materno, distribuição de leites e fórmulas infantis em estabelecimentos de saúde e a legislação year: 2014 ident: key20211104081031_B5 contributor: fullname: Brasil. Ministério da Saúde – volume-title: Saúde da criança: aleitamento materno e alimentação complementar year: 2015 ident: key20211104081031_B1 contributor: fullname: Brasil. Ministério da Saúde – volume: 51 start-page: 108 year: 2017 ident: key20211104081031_B3 article-title: Tendência de indicadores do aleitamento materno no Brasil em três décadas publication-title: Rev Saude Publica doi: 10.11606/S1518-8787.2017051000029 contributor: fullname: Boccolini – volume: 19 start-page: 623 issue: 5 year: 2006 end-page: 630 article-title: Aleitamento materno: fatores de influência na sua decisão e duração publication-title: Rev Nutr contributor: fullname: Faleiro, FT; Trezza, EM; Carandina, L – volume: 51 start-page: 108 year: 2017 end-page: 108 article-title: Tendência de indicadores do aleitamento materno no Brasil em três décadas publication-title: Rev Saude Publica contributor: fullname: Boccolini, CS; Boccolini, PM; Monteiro, FR; Venâncio, SI; Giugliani, ER – volume: 9 start-page: 76 issue: 2 year: 2019 end-page: 84 article-title: Práticas de complementação ao leite materno: concepções de puérperas sobre aleitamento materno e uso de fórmula infantil publication-title: Rev Bras Educ contributor: fullname: Sousa, EL; Melo, LG; Medeiros, DM – year: 2008 publication-title: Iniciativa Hospital Amigo da Criança: revista, atualizada e ampliada para o cuidado integrado. Módulo 1: histórico e implementação – volume: 8 start-page: 279 issue: 5 year: 2016 end-page: 279 article-title: Review of Infant Feeding: key features of breast milk and infant formula publication-title: Nutrients contributor: fullname: Martin, CR; Ling, PR; Blackburn, GL – volume: 104 start-page: 30 issue: 467 year: 2015 end-page: 37 article-title: Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta-analysis publication-title: Acta Paediatr contributor: fullname: Horta, BL; Loret de Mola, C; Victoris, CG – year: 2015 publication-title: Saúde da criança: aleitamento materno e alimentação complementar – year: 2014 publication-title: Aleitamento materno, distribuição de leites e fórmulas infantis em estabelecimentos de saúde e a legislação – year: 1990 publication-title: Lei n. 8.080, de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências – volume: 62 start-page: 584 issue: 6 year: 2016 end-page: 593 article-title: Immunology of breast milk publication-title: Rev Assoc Med Bras (1992) contributor: fullname: Palmeira, P; Carneiro-Sampaio, M – year: 2015 publication-title: Secretaria de Atenção à Saúde. Estratégia nacional para promoção do aleitamento materno e alimentação complementar saudável no Sistema Único de Saúde: manual de implementação – volume: 387 start-page: 475 issue: 10017 year: 2016 end-page: 490 article-title: Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms and lifelong effect publication-title: Lancet contributor: fullname: Victora, CG; Bahl, R; Barros, AJ; França, GV; Horton, S; Krasevec, J; Murch, S; Sankar, MJ; Walker, N; Rollins, NC – year: 2009 publication-title: Razões médicas aceitáveis para uso de substitutos do leite materno – year: 2017 publication-title: Prevenção da prematuridade – uma intervenção da gestão e da assistência |
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| Title | Breastfeeding versus free distribution of infant formulas by the Public Health System |
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