48
views
1
recommends
+1 Recommend
1 collections
    3
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Mejoramiento de la lactancia materna exclusiva a través de una estrategia de información y comunicación prenatal y posnatal, Cali (Colombia): 2014-2017 Translated title: A strategy to improve exclusive breastfeeding through prenatal and postnatal information and communication, Cali (Colombia): 2014-2017 Translated title: Melhorar o aleitamento materno exclusivo através de uma estratégia de informação e comunicação pré-natal e pós-natal, Cali (Colômbia): 2014-2017

      research-article

      Read this article at

      Bookmark

          Summary

          A strategy to improve exclusive breastfeeding through prenatal and postnatal information and communication: A quasi-experimental randomized study

          Introduction: Accomplishing exclusive breastfeeding goals has been a challenge. Objective: To assess the effectiveness of a strategy to promote and achieve exclusive breastfeeding during the first months of life. Materials and methods: A quasi-experimental randomized non-masked study was carried out during the 2014-2017 period. Adult first-time pregnant women at gestational age between 12-27 weeks from Cali, Colombia were included. While the control group received standard care only, the intervention group was also subjected to a prenatal and postnatal strategy that included information and communication technologies. Follow-up was carried out until 6 months postpartum. Results: The 141 participants were distributed in two groups: control (73) and intervention (68). The mean adherence to exclusive breastfeeding was greater in the intervention group (1.1 ± 0.65, p<0.001), reaching an average of 4.8 months (IC95%= [4.4; 5.3]). The control group was 11.68 times more likely to end exclusive breastfeeding during the first six months postpartum as compared to the intervention group. Conclusion: The incorporation of prenatal and postnatal counseling through information and communication technologies promoted a sustained exclusive breastfeeding.

          Abstract

          Resumen Introducción: Alcanzar las metas de lactancia materna exclusiva ha sido un desafío. Objetivo: Evaluar la efectividad de una estrategia para promover y lograr la lactancia materna exclusiva durante los primeros seis meses de vida. Materiales y métodos: Estudio cuasiexperimental aleatorizado no enmascarado. Se incluyeron primigestantes adultas con edad gestacional entre 12 y 27 semanas, en Cali, Colombia, entre 2014 y 2017. El grupo control recibió atención estándar; el grupo de intervención, además, se sometió a una estrategia prenatal y posnatal que incorporó las tecnologías de la información y comunicación. El seguimiento se realizó hasta los 6 meses posparto. Resultados: Se analizó a 141 participantes distribuidas en dos grupos: control (73) e intervención (68). La duración media de la adherencia a la lactancia materna exclusiva fue mayor en el grupo de intervención (1,1 ± 0,65, p<0,001), alcanzando un promedio de 4,8 meses (IC95%=[4,4; 5,3]). El grupo control presentó 11,68 veces mayor probabilidad de no lograr la lactancia materna exclusiva durante los primeros seis meses posparto, en comparación con el grupo de intervención. Conclusión: La integración de asesoramiento prenatal y posnatal, utilizando tecnologías de la información y comunicación, fomentó la lactancia materna exclusiva y mejoró su duración promedio.

          Translated abstract

          Abstract Introduction: Accomplishing exclusive breastfeeding goals has been a challenge. Objective: To assess the effectiveness of a strategy to promote and achieve exclusive breastfeeding during the first months of life. Materials and methods: A quasi-experimental randomized non-masked study was carried out during the 2014-2017 period. Adult first-time pregnant women at gestational age between 12-27 weeks from Cali, Colombia were included. While the control group received standard care only, the intervention group was also subjected to a prenatal and postnatal strategy that included information and communication technologies. Follow-up was carried out until 6 months postpartum. Results: The 141 participants were distributed in two groups: control (73) and intervention (68). The mean adherence to exclusive breastfeeding was greater in the intervention group (1.1 ± 0.65, p<0.001), reaching an average of 4.8 months (IC95%=[4.4; 5.3]). The control group was 11.68 times more likely to end exclusive breastfeeding during the first six months postpartum as compared to the intervention group. Conclusion: The incorporation of prenatal and postnatal counseling through information and communication technologies promoted a sustained exclusive breastfeeding.

          Translated abstract

          Resumo Introdução: Alcançar as metas de amamentação exclusiva tem sido um desafio. Objetivo: Avaliar a eficácia de uma estratégia para promover e alcançar o aleitamento materno exclusivo durante os primeiros seis meses de vida. Materiais e métodos: Estudo quase-experimental aleatório, não mascarado. Foram incluídas mulheres adultas primeiras gestantes, com idade gestacional entre 12 e 27 semanas em Cali, Colômbia, entre 2014 e 2017. O grupo controle recebeu cuidados padrão; o grupo intervenção também passou por uma estratégia pré-natal e pós-natal que incorporou tecnologias de informação e comunicação. O acompanhamento foi realizado até 6 meses pós-parto. Resultados: foram analisados 141 participantes distribuídos em dois grupos: controle (73) e intervenção (68). O tempo médio de adesão ao aleitamento materno exclusivo foi maior no grupo intervenção (1,1 ± 0,65, p < 0,001), atingindo média de 4,8 meses (IC 95%= [4,4; 5,3]). O grupo controle teve 11,68 vezes mais chances de não conseguir o aleitamento materno exclusivo durante os primeiros seis meses pós-parto, comparado ao grupo intervenção. Conclusão: A integração do aconselhamento pré-natal e pós-natal, com recurso às tecnologias de informação e comunicação, promoveu o aleitamento materno exclusivo e melhorou a sua duração média.

          Related collections

          Most cited references40

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Meta-analysis of effects of exclusive breastfeeding on infant gut microbiota across populations

          Previous studies on the differences in gut microbiota between exclusively breastfed (EBF) and non-EBF infants have provided highly variable results. Here we perform a meta-analysis of seven microbiome studies (1825 stool samples from 684 infants) to compare the gut microbiota of non-EBF and EBF infants across populations. In the first 6 months of life, gut bacterial diversity, microbiota age, relative abundances of Bacteroidetes and Firmicutes, and predicted microbial pathways related to carbohydrate metabolism are consistently higher in non-EBF than in EBF infants, whereas relative abundances of pathways related to lipid metabolism, vitamin metabolism, and detoxification are lower. Variation in predicted microbial pathways associated with non-EBF infants is larger among infants born by Caesarian section than among those vaginally delivered. Longer duration of exclusive breastfeeding is associated with reduced diarrhea-related gut microbiota dysbiosis. Furthermore, differences in gut microbiota between EBF and non-EBF infants persist after 6 months of age. Our findings elucidate some mechanisms of short and long-term benefits of exclusive breastfeeding across different populations.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy.

            To examine the associations of duration of exclusive breastfeeding with infections in the upper respiratory (URTI), lower respiratory (LRTI), and gastrointestinal tracts (GI) in infancy. This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life onward in the Netherlands. Rates of breastfeeding during the first 6 months (never; partial for <4 months, not thereafter; partial for 4-6 months; exclusive for 4 months, not thereafter; exclusive for 4 months, partial thereafter; and exclusive for 6 months) and doctor-attended infections in the URTI, LRTI, and GI until the age of 12 months were assessed by questionnaires and available for 4164 subjects. Compared with never-breastfed infants, those who were breastfed exclusively until the age of 4 months and partially thereafter had lower risks of infections in the URTI, LRTI, and GI until the age of 6 months (adjusted odds ratio [aOR]: 0.65 [95% confidence interval (CI): 0.51-0.83]; aOR: 0.50 [CI: 0.32-0.79]; and aOR: 0.41 [CI: 0.26-0.64], respectively) and of LRTI infections between the ages of 7 and 12 months (aOR: 0.46 [CI: 0.31-0.69]). Similar tendencies were observed for infants who were exclusively breastfed for 6 months or longer. Partial breastfeeding, even for 6 months, did not result in significantly lower risks of these infections. Exclusive breastfeeding until the age of 4 months and partially thereafter was associated with a significant reduction of respiratory and gastrointestinal morbidity in infants. Our findings support health-policy strategies to promote exclusive breastfeeding for at least 4 months, but preferably 6 months, in industrialized countries.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              The Impact of Human Milk on Necrotizing Enterocolitis: A Systematic Review and Meta-Analysis

              Background. Premature infants receiving breastfeed have a lower incidence of NEC than those fed preterm formula. This study aimed: (1) to update a systematic review and meta-analyses to evaluate the relationship between feeding and necrotizing enterocolitis (NEC) in low weight premature infants; (2) to conduct meta-regression analyses by subgroups; (3) to describe geographical distribution of milk banks in the world. Methods. Papers included in the meta-analysis were updated as of June 2019. Relative risks were used as a measure of effect size. Random effect models were used to account for different sources of variation among studies. For milk banks, the data reviewed by the literature were integrated with the information collected from countries’ institutional sites and milk bank networks. Results. Thirty-two papers were included in meta-analysis: six randomized controlled trials (RCTs) and 26 observational studies (OS). The census has found 572 milk banks around in the world. Brazil has the most active milk banks. RCTs meta-analysis indicates a risk reduction of NEC using human milk respect to formula: Relative risk (RR) = 0.62 (0.42–0.93). Seven OS compared quantities lower than human milk or higher than the 50th quantile showing a risk reduction of NEC:RR = 0.51 (0.31–0.85); 3 OS that evaluated human milk versus mixed feeding showing that human milk has a protective role on the development of NEC:RR = 0.74 (0.63–0.91). Results of subgroups analysis show that the risk reduction is statistically significant only for studies in which premature infants are given both their own and donated breastmilk. Conclusions. The possibility of preserving human milk and promoting donations guarantees an improvement in the health of newborns.
                Bookmark

                Author and article information

                Journal
                reus
                Universidad y Salud
                Univ. Salud
                Universidad de Nariño (Pasto, Nariño, Colombia )
                0124-7107
                2389-7066
                April 2024
                : 26
                : 1
                : 1-8
                Affiliations
                [1] Cali orgnameUniversidad Libre orgdiv1Grupo Interdisciplinario de Investigación en Epidemiología y Salud Pública Colombia
                [2] Cali orgnameUniversidad Libre orgdiv1Grupo de Investigación EPICRÍTICA Colombia
                [3] Cali Valle del Cauca orgnameUniversidad Icesi orgdiv1Facultad de Ciencias de la Salud orgdiv2Programa de Medicina Colombia
                [4] Cali Bogotá orgnamePontificia Universidad Javeriana orgdiv1Facultad de Ciencias de la Salud orgdiv2Programa de Enfermería Colombia
                [5] Cali Bogotá orgnamePontificia Universidad Javeriana orgdiv1Facultad de Ciencias de la Salud orgdiv2Programa de Gerencia en Salud Colombia
                Author information
                https://orcid.org/0000-0003-0269-3421
                https://orcid.org/0000-0001-8952-6209
                https://orcid.org/0000-0002-3810-4943
                https://orcid.org/0000-0001-5961-0880
                https://orcid.org/0000-0002-5176-3695
                Article
                S0124-71072024000100010 S0124-7107(24)02600100010
                10.22267/rus.242601.315
                9650c88b-7248-4caa-be1c-b9eb9b2012ce

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 11 June 2022
                : 14 September 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 40, Pages: 8
                Product

                SciELO Colombia

                Categories
                Promoción de la salud y prevención de la enfermedad

                The data that support the findings of this study are available from rodolfo-herreram@unilibre.edu.co but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of rodolfo-herreram@unilibre.edu.co.
                telemedicina,cuidado pré-natal,nutrição do lactente,Tecnologias da Informação e Comunicação,Lactation,Information and Communication Technologies,infant nutrition,prenatal care,telemedicine,nutrición del lactante,atención prenatal,Tecnologías de la Información y Comunicación,Lactancia,Lactação
                The data that support the findings of this study are available from rodolfo-herreram@unilibre.edu.co but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of rodolfo-herreram@unilibre.edu.co.
                telemedicina, cuidado pré-natal, nutrição do lactente, Tecnologias da Informação e Comunicação, Lactation, Information and Communication Technologies, infant nutrition, prenatal care, telemedicine, nutrición del lactante, atención prenatal, Tecnologías de la Información y Comunicación, Lactancia, Lactação

                Comments

                A strategy to improve exclusive breastfeeding through prenatal and postnatal information and communication: A quasi-experimental randomized study

                2023-12-04 23:11 UTC
                +1
                One person recommends this

                Comment on this article

                scite_
                0
                0
                0
                0
                Smart Citations
                0
                0
                0
                0
                Citing PublicationsSupportingMentioningContrasting
                View Citations

                See how this article has been cited at scite.ai

                scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

                Similar content186

                Most referenced authors403