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Type: Artigo
Title: Excessive Weight Loss In Exclusively Breastfed Full-term Newborns In A Baby-friendly Hospital
Title Alternative: Perda De Peso Excessiva Em Recém-nascidos A Termo Amamentados Exclusivamente Ao Seio Materno Em Um Hospital Amigo Da Criança
Author: Mezzacappa M.A.
Ferreira B.G.
Abstract: To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital. Methods The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed were included and excluded twins and those undergoing phototherapy as well as those discharged after 96h of life. The analyzed maternal and neonatal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant p<0.05. Results We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss>8% were cesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (Relative risk 2.27, 95% of Confidence Interval 1.54–3.35). Conclusions The independent predictor for weight loss>8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life. © 2015 Sociedade de Pediatria de São Paulo
Subject: Breastfeeding
Cesarean Section
Weight Loss
Editor: Sao Paulo Pediatric Society
Rights: aberto
Identifier DOI: 10.1016/j.rppede.2016.03.003
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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