Trastornos de la lactancia materna y otros factores asociados a la pérdida de peso neonatal excesiva en un hospital de la Seguridad Social en Lima, Perú

Melissa Berger-Larrañaga, Claudia Bustamante-Abuid, Silvia Díaz-Vergara, Julio Tresierra-Cabrera, Percy Mayta-Tristán, Eddy R. Segura

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

4 Citas (Scopus)

Resumen

Introduction: during the first days of life the mother is the main source of nutrients for the newborn. However, breastfeeding difficulties are common and may generate excessive neonatal weight loss. Objective: estimate the magnitude and association between breastfeeding problems and excessive neonatal weight loss beyond the physiological norm in the neonatology ward in a social security hospital in Lima, Peru. Methods: we conducted a cross sectional analysis of the recorded neonatal weight in a routine evaluation (between 24 and 72 hours of life) and compared it against birth weight. Excessive weight loss was defined as a difference greater than or equal to 7 %. Breastfeeding problems (defined as problems with breastfeeding initiation, mouth position, breastfeeding duration, breastfeeding frequency, too much clothing, nipple pain and C form) were investigated using a survey and visual verification. The association between excessive weight loss and breastfeeding problems, adjusted by other factors, was quantified using a multiple generalized linear model. Results: excessive weight loss was present in 18.8% (74/393) of the newborns. Improper positioning of the mouth on the nipple was present in 53.7% (211/393) of neonates while nipple pain was reported by 44.0% (173/393) of mothers. In the adjusted analysis, nipple pain [PR = 1.50 (95% CI: 1.02 to 2.22)] and improper positioning of the mouth [PR = 1.67 (95% CI: 1.09- 2.57)] were associated with an increased occurrence of excessive neonatal weight loss. Conclusions: breastfeeding problems are common. These difficulties are significantly associated with an increased occurrence of excessive neonatal weight loss. Improvements in breastfeeding practices, for example through educational programs, may decrease the occurrence of excessive neonatal weight loss.

Título traducido de la contribuciónBreastfeeding problems and other factors associated with excessive neonatal weight loss in a social security hospital in Lima, Peru
Idioma originalEspañol
Páginas (desde-hasta)2062-2070
Número de páginas9
PublicaciónNutricion hospitalaria
Volumen32
N.º5
DOI
EstadoPublicada - 2015

Palabras clave

  • Breastfeeding problems
  • Early neonatal period
  • Exclusive breastfeeding
  • Neonatal excessive weight loss
  • Neonatal weight loss
  • Neonatal weight loss greater than the physiological norm

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