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Prevalence of breastfeeding and its obstacles in patients with CHD in southern Brazil

Published online by Cambridge University Press:  24 July 2020

Maíra Ribas Goulart Open the ORCID record for Maíra Ribas Goulart [Opens in a new window] ,
Julia Lima ,
Marcelo Ahlert ,
Sandra Barbiero ,
Daniela Schneid Schuh  and
Lucia Pellanda
Maíra Ribas Goulart*
Affiliation:
Graduate Program, Institute of Cardiology of Porto Alegre, University Foundation of Cardiology, Porto Alegre, RS, Brazil
Julia Lima
Affiliation:
Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil
Marcelo Ahlert
Affiliation:
Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil
Sandra Barbiero
Affiliation:
Graduate Program, Institute of Cardiology of Porto Alegre, University Foundation of Cardiology, Porto Alegre, RS, Brazil
Daniela Schneid Schuh
Affiliation:
Graduate Program, Institute of Cardiology of Porto Alegre, University Foundation of Cardiology, Porto Alegre, RS, Brazil
Lucia Pellanda
Affiliation:
Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil
*
Author for correspondence: Maíra Ribas Goulart, Instituto de Cardiologia/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 395, Bairro Santana, Porto Alegre, CEP: 90040-371, RS, Brazil. Tel: +55 51 3230 3757; Fax: +55 51 32303877. E-mail: [email protected]
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Abstract

Introduction:

Breast milk is nutritionally adequate and is related to the reduction of various health problems in childhood. Its offer is widely recommended in health guidelines.

Objective:

To estimate the prevalence and obstacles to breastfeeding in patients with CHD in southern Brazil.

Methods:

Cross-sectional study of patients with CHD between 2 and 18 years of age. Patients with genetic syndromes and patients whose mothers had died were excluded from the analysis. The variables on breastfeeding in the first 2 years of life were collected through a phone call to the mothers, which was conducted by trained evaluators. Prevalence was described in proportions and the continuous variables as means and standard deviation. Bivariate analyses were evaluated using a chi-square test to measure the association between the variables and the outcome.

Results:

A total of 351 patients with CHD were analysed. There was a predominance of males (53%) and a mean age of 9.54 ± 4.52 years. Breastfeeding up to the sixth month was present in 40% of the cases.

Conclusion:

The mothers of babies with CHD face great challenges to maintain the supply of breast milk, whether inherent to the practice of breastfeeding or related to CHD.

Keywords

BreastfeedingchildCHDs
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 10 , October 2020 , pp. 1417 - 1421
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Horta, BL, Victora, CG. Long-Term Effects of Breastfeeding: A Systematic Review. World Health Organization, Geneva, Switzerland, 2013. http://www.who.int/iris/handle/10665/ 79198 Google Scholar
WHO. Global nutrition targets 2025: childhood overweight policy brief (WHO/NMH/NHD/14.6). World Health Organization, Geneva, Switzerland, 2014 Google Scholar
Dez passos para uma alimentação saudável: guia alimentar para crianças menores de dois anos: um guia para o profissional da saúde na atenção básica/Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Atenção Básica. 2nd edn. Ministério da Saúde, Brasília, 2013: 72.Google Scholar
Andreas, NJ, Kampmann, B, Mehring Le-Doare, K. Human breast milk: a review on its composition and bioactivity. Early Hum Dev 2015; 91: 629–635.CrossRefGoogle ScholarPubMed
WHO. Infant and Young Child feeding. Model Chapter for textbooks for medical students and allied health professionals. World Health Organization, Geneva, Switzerland, 2009.Google Scholar
Victora, CG, Bahl, R, Barros, AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387: 475–490.CrossRefGoogle ScholarPubMed
Siqueira Boccolini, C, de Moraes Mello Boccolini, P, Ramos Monteiro, F, Isoyama Venâncio, S, Justo Giugliani, ER. Tendência de indicadores do aleitamento materno no Brasil em três décadas. Rev de Saúde Pública 2017; 51: 1–9.Google Scholar
Lopes, WC, Marques, FKS, Oliveira, CFd, et al. Infant feeding in the first two years of life. Rev Paul Pediatr 2018; 36: 164–170.CrossRefGoogle ScholarPubMed
Spatz, DL. State of the science: use of human milk and breast–feeding for vulnerable infants. J Perinat Neonatal Nurs 2006; 20: 51–55.CrossRefGoogle ScholarPubMed
Jadcherla, SR, Vijayapal, AS, Leuthner, S. Feeding abilities in neonates with congenital heart disease: a retrospective study. J Perinatol 2009; 29: 112–118.CrossRefGoogle ScholarPubMed
Tandberg, BS, Ystrom, E, Vollrath, ME, Holmstrøm, H. Feeding infants with CHD with breast milk: Norwegian mother and child cohort study. Acta Paediatr 2010; 99: 373–378.CrossRefGoogle ScholarPubMed
Gaspareto, N, Hinnig, PF, Cardoso, E, Adami, F, Nakasato, M, Hidaka, PT. Breastfeeding in children with congenital heart disease: prevalence and associated factors. Nutrire Rev Soc Bras Aliment Nutr 2013; 38: 57–66.Google Scholar
World Health Organization. Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6-8 November. WHO, Washington, DC, 2007.Google Scholar
Boccolini, CS, Boccolini, PdMM, Monteiro, FR, Venâncio, SI, Giugliani, ERJ. Breastfeeding indicators trends in Brazil for three decades. Rev de Saúde Pública 2017; 51: 108.CrossRefGoogle ScholarPubMed
Le Doare, K, Holder, B, Bassett, A, Pannaraj, PS. Mother’s milk: a purposeful contribution to the development of the infant microbiota and immunity. Front Immunol 2018; 9: 361.CrossRefGoogle ScholarPubMed
Monteiro, FPM, Ramos, MBL, De Oliveira Pontes, T, et al. Caracterización alimentaria de los niños con cardiopatías congênitas, Ciencia y enfermería. 2018; 18: 77–88.Google Scholar
Rendón-Macías, ME, Castañeda-Muciño, G, Cruz, JJ, Mejía-Aranguré, JM, Villasís-Keever, MA. Breastfeeding among patients with congenital malformations. Arch Med Res 2002; 33: 269–275.CrossRefGoogle ScholarPubMed
BRASIL. Ministério da Saúde. Saúde da criança: nutrição infantil: aleitamento materno e alimentação complementar. Ministério da Saúde, Brasília, 2009b (Cadernos de Atenção Básica, n. 23).Google Scholar
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. II Pesquisa de Prevalência de Aleitamento Materno nas capitais Brasileiras e Distrito Federal. Ministério da Saúde, Brasília, 2009, 108.Google Scholar
IBGE – INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. Pesquisa Nacional por Amostra de Domicílios. IBGE, Rio de Janeiro, 2015.Google Scholar
IPEA – INSTITUTO DE PESQUISA ECONⓞMICA APLICADA. Políticas sociais: acompanhamento e análise, Brasília, vol. 24, cap. 7, 2017. No prelo.Google Scholar
Damião, JJ. Influência da escolaridade e do trabalho maternos no aleitamento materno exclusivo. Rev. bras. epidemiol 2008; 11: 442–452.CrossRefGoogle Scholar
Mangili, G, Garzoli, E, Sadou, Y. Feeding dysfunctions and failure to thrive in neonates with congenital heart diseases. Pediatr Med Chir 2018; 40: 1–4. doi: 10.4081/pmc.208.196 Google ScholarPubMed
Barbosa, MDG, Castelo, PM, Ferreira, CLP, et al. Congenital heart disease in children: orofacial myofunctional aspects, eating behavior and facial temperature. Int J Pediatr Otorhinolaryngol 2020; 131: 109883. doi: 10.1016/j.ijporl.2020.109883 CrossRefGoogle ScholarPubMed
Simões, S, Pires, A, Barroca, A. Comportamento parental face à cardiopatia congénita. Ana Psicológica 2010; 28: 619–630.CrossRefGoogle Scholar
Tregay, J, Brown, K, Crowe, S, Bull, C, Knowles, R, Wray, J. “I was so worried about every drop of milk” – feeding problems at home are a significant concern for parents after major heart surgery in infancy. Matern Child Nutr 2017; 13: e12302.CrossRefGoogle ScholarPubMed
Hartman, DM, Medoff-Cooper, B. Transition to home after neonatal surgery for congenital heart disease. MCN Am J Matern Child Nurs 2012; 37: 95–100.CrossRefGoogle ScholarPubMed
Pados, BF. Symptoms of problematic feeding in children with CHD compared to healthy peers. Cardiol Young 2019; 29: 152–161.CrossRefGoogle ScholarPubMed
Barbas, KH, Kelleher, DK. Breastfeeding success among infants with congenital heart disease. Pediatr Nurs 2004; 30: 285–289 Google ScholarPubMed
Van Veldhuizen-Staas, CG. Overabundant milk supply: an alternative way to intervene by full drainage and block feeding. Int Breastfeed J 2007; 2: 11 CrossRefGoogle ScholarPubMed
Aragaki, IMM, Silva, IA, Santos, JLFd. Traço e estado de ansiedade de nutrizes com indicadores de hipogalactia e nutrizes com galactia normal. Rev Esc Enferm USP 2006; 40: 396–403.CrossRefGoogle Scholar
Machado, MCM, Assis, KF, Oliveira, FdCC, et al. Determinants of the exclusive breastfeeding abandonment: psychosocial factors. Rev Saude Publica 2014; 48: 985–994.CrossRefGoogle ScholarPubMed
Rocha, GP, Oliveira, M, Avila, LBB, Longo, GZ, Cotta, RMM, Araujo, RMA. [Conditioning factors for exclusive breastfeeding from the mother’s perspective]. Cad Saude Publica 2018; 34: e00045217.Google ScholarPubMed
Escobar, AMU, Ogawa, AR, Hiratsuka, M, et al. Aleitamento materno e condições socioeconômico-culturais: fatores que levam ao desmame precoce. Rev Bras Saude Mater Infant 2002; 2: 253–261. doi: 10.1590/S1519-38292002000300006 CrossRefGoogle Scholar