Fatores associados à amamentação em lactentes com trissomia do cromossomo 21
Factors associated with breastfeeding in infants with trisomy 21
Larissa Melgaço Campos; Ana Elisa Ribeiro Fernandes; Andréa Rodrigues Motta; Renata Maria Moreira Moraes Furlan
Resumo
Objetivo: Pesquisar a duração do aleitamento materno exclusivo (AME) e do aleitamento materno (AM) em lactentes com T21 e verificar a associação entre as condições clínicas e miofuncionais orofaciais com a presença de AME e de AM no sexto mês e no primeiro ano de vida. Método: Estudo observacional longitudinal prospectivo, com 90 lactentes com T21. Os pais responderam dois questionários acerca das condições clínicas e da amamentação, um no 6º e outro no 12º mês do lactente. A postura habitual de lábios e língua foi obtida por meio de vídeos e a história clínica por consulta ao prontuário. A presença de AME e de AM no 6º e no 12º mês foram associadas às condições clínicas e miofuncionais orofaciais por meio do teste Qui-quadrado de Pearson, com 5% de significância. Resultados: Houve associação entre sexo masculino e presença de AME/AM ao sexto mês; uso de fórmula e ausência de AM; amamentar na primeira hora e presença de AM no primeiro ano; doença pulmonar e estar em AM no primeiro ano; dificuldade na amamentação com presença do AM no sexto mês; presença de AM no sexto mês e dificuldade na pega; baixa produção láctea e ausência de AM no primeiro ano; uso de chupeta e ausência de AME no sexto mês e AM no primeiro ano. Conclusão: Sexo, doença pulmonar, uso de fórmula, amamentação na primeira hora de vida, dificuldade autorrelatada para amamentar, baixa produção láctea e uso de chupeta foram fatores associados à amamentação em lactentes com T21.
Palavras-chave
Abstract
Purpose: To investigate the duration of breastfeeding (BF) and exclusive BF in infants with T21 and to verify the association between clinical and myofunctional orofacial conditions and the presence of BF and exclusive BF in the sixth month and in the first year of life. Methods: This was a prospective, longitudinal, observational study with 90 infants with T21. Parents answered two questionnaires about clinical and BF conditions, one in the sixth and the other in the 12th month of the infant’s life. Habitual lip and tongue posture was obtained through videos, and clinical history was obtained through medical records. The presence of BF and exclusive BF in the sixth and 12th months was associated with clinical and myofunctional orofacial conditions using Pearson’s chi-square test, with a 5% significance level. Results: There were associations between male infants and the presence of BF/exclusive BF at the sixth month; formula use and absence of BF; BF in the first hour and the presence of BF in the first year; lung disease and BF in the first year; BF difficulties and BF in the sixth month; BF in the sixth month and latching difficulties; low milk production and absence of BF in the first year; pacifier use and absence of BF in the sixth month and of BF in the first year. Conclusion: Sex, lung disease, formula use, BF in the first hour of life, self-reported BF difficulties, low milk production, and pacifier use were factors associated with BF in infants with T21.
Keywords
Referencias
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Submitted date:
27/08/2024
Accepted date:
22/03/2025
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