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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La duraci&#243;n de la lactancia materna en nuestros ni&#241;os no alcanza las expectativas de la Organizaci&#243;n Mundial de la Salud &#40;OMS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizar el resultado de una pol&#237;tica de apoyo a la lactancia materna en asistencia primaria&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio de intervenci&#243;n del tipo antes-despu&#233;s de todas las madres de ni&#241;os nacidos en Ulldecona que decidieron lactar durante los a&#241;os 1992&#44; 1993&#44; 1996&#44; 1997 &#40;grupo control&#44; 125 ni&#241;os&#41;&#44; y de agosto 1999 a agosto 2001 &#40;72 ni&#241;os&#41;&#46; Variable de estudio&#58; puesta en marcha desde mayo de 1999 de una pol&#237;tica de apoyo a la lactancia materna&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La duraci&#243;n de la lactancia materna ha aumentado &#40;grupo control 18&#44;8 semanas de lactancia materna exclusiva media&#59; a&#241;os 1999-2001&#44; 28 semanas de lactancia materna exclusiva media&#41;&#46; Son factores negativos la gemelaridad&#44; introducci&#243;n de &#8220;una ayuda&#8482; y el nivel de estudios &#40;que tiene una relaci&#243;n inversa con la duraci&#243;n de la lactancia&#41;&#46; Las magreb&#237;s tiene lactancias m&#225;s largas&#46; No influye el sexo&#44; el peso al nacimiento&#44; la edad gestacional&#44; el tipo de parto&#44; la separaci&#243;n neonatal&#44; la edad materna&#44; los hijos previos ni el trabajo fuera del hogar&#46; Mediante un estudio de regresi&#243;n lineal simple se observa que la intervenci&#243;n es efectiva &#40;p 5 0&#44;046&#41;&#46; La hipogalactia precoz y los problemas de lactancia disminuyen&#44; y aumentan los destetes voluntarios &#40;p &#60; 0&#44;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El equipo de asistencia primaria es fundamental en el mantenimiento de la lactancia materna y en el bienestar de la madre y el lactante&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Breastfeeding duration in Spanish neonates does not fulfill the recommendations of the World Health Organization&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To report the results of a policy of breastfeeding support in a primary care center&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We performed a before-and-after intervention study of all mothers of children born in Ulldecona who decided to breast feed in 1992&#44; 1993&#44; 1996 and 1997 &#40;control group&#58; 125 infants&#41;&#44; and from August 1999-August 2001 &#40;72 infants&#41;&#46; Study variable&#58; in May 1999 a breastfeeding support policy was initiated in the primary care center&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Breastfeeding duration increased &#40;in the control group the mean duration of exclusive breastfeeding was 18&#46;8 weeks&#59; from 1999 to 2001 it was 28 weeks&#41;&#46; Negative factors for breastfeeding were the birth of twins&#44; introduction of a supplement&#44; and education &#40;there was an inverse relationship between greater education and breastfeeding duration&#41;&#46; Duration of breastfeeding was longer in Moroccan mothers&#46; Sex&#44; gestational age&#44; weight&#44; type of delivery&#44; separation between mother and neonate&#44; maternal age&#44; previous children&#44; and work outside the home did not influence breastfeeding duration&#46; Simple lineal regression revealed that the intervention was effective &#40;P 5 0&#46;046&#41;&#46; Early hypogalactia and breast problems decreased&#44; and voluntary weaning increased &#40;P &#60; 0&#46;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The primary care team plays key role in the maintenance of breastfeeding and in the well-being of the mother and neonate&#46;</p>"
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                      "titulo" => "Breast-feeding&#58; A guide for the Medical Profesion&#44; 4th e&#46;d&#46; St Louis"
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                      "titulo" => "Pruebas cient&#237;ficas de los Diez Pasos hacia una Feliz Lactancia Natural"
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                          "colaboracion" => "Divisi&#243;n de Salud y Desarrollo del Ni&#241;o"
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                      "titulo" => "Unsupplemented breastfeeding in the maternity"
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                          "autores" => array:4 [
                            0 => "G&#46; Nylander"
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                            2 => "E&#46; Helsing"
                            3 => "E&#46; Bendvold"
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                        ]
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                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Acta Obstet Gynecol Scand"
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                        "volumen" => "70"
                        "paginaInicial" => "205"
                        "paginaFinal" => "209"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1927297"
                            "web" => "Medline"
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                            3 => "Z&#46; Sevkovskaya"
                            4 => "I&#46; Dzikovich"
                            5 => "S&#46; Shapiro"
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                        "paginaFinal" => "420"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11242425"
                            "web" => "Medline"
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                            0 => "M&#46;D&#46; Est&#233;vez Gonz&#225;lez"
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                            2 => "R&#46; Medina Santana"
                            3 => "E&#46; Garc&#237;a Villanueva"
                            4 => "P&#46; Saavedra Santana"
                          ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "An Esp Pediatr"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11827651"
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                        "tituloSerie" => "J Clin Epidemiol"
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                          "autores" => array:1 [
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                        "tituloSerie" => "Diarrhoea Dis Res"
                        "fecha" => "1966"
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                      "titulo" => "Informe t&#233;cnico sobre la lactancia materna en Espa&#241;a"
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                          "colaboracion" => "Comit&#233; de Lactancia Materna de la AEP"
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                        "tituloSerie" => "An Esp Pediatr"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10356823"
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Vol. 57. Núm. 6.
Páginas 534-539 (diciembre 2002)
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Vol. 57. Núm. 6.
Páginas 534-539 (diciembre 2002)
Acceso a texto completo
Influencia del personal sanitario de asistencia primaria en la prevalencia de la lactancia materna
Influence of primary care personnel on breastfeeding duration
Visitas
8270
L. Jovani Roda
Autor para correspondencia
lourdesjova@eresmas.com

Correspondencia: CAP Ulldecona. Maestrat, 1. Ulldecona. 43500 Tarragona. España
, P. Gutiérrez Culsant, C. Aguilar Martín, R. Navarro Caballé, I. Mayor Pegueroles, Y. Jornet Torrent
Centro de Atención Primaria Ulldecona. Área Básica de Salud Ulldecona-La Sénia. Tarragona. España
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Información del artículo
Antecedentes

La duración de la lactancia materna en nuestros niños no alcanza las expectativas de la Organización Mundial de la Salud (OMS).

Objetivo

Analizar el resultado de una política de apoyo a la lactancia materna en asistencia primaria.

Material y métodos

Estudio de intervención del tipo antes-después de todas las madres de niños nacidos en Ulldecona que decidieron lactar durante los años 1992, 1993, 1996, 1997 (grupo control, 125 niños), y de agosto 1999 a agosto 2001 (72 niños). Variable de estudio: puesta en marcha desde mayo de 1999 de una política de apoyo a la lactancia materna.

Resultados

La duración de la lactancia materna ha aumentado (grupo control 18,8 semanas de lactancia materna exclusiva media; años 1999-2001, 28 semanas de lactancia materna exclusiva media). Son factores negativos la gemelaridad, introducción de “una ayuda™ y el nivel de estudios (que tiene una relación inversa con la duración de la lactancia). Las magrebís tiene lactancias más largas. No influye el sexo, el peso al nacimiento, la edad gestacional, el tipo de parto, la separación neonatal, la edad materna, los hijos previos ni el trabajo fuera del hogar. Mediante un estudio de regresión lineal simple se observa que la intervención es efectiva (p 5 0,046). La hipogalactia precoz y los problemas de lactancia disminuyen, y aumentan los destetes voluntarios (p < 0,001).

Conclusiones

El equipo de asistencia primaria es fundamental en el mantenimiento de la lactancia materna y en el bienestar de la madre y el lactante.

Palabras clave:
Lactancia
Centros de asistencia primaria
Actitud del personal sanitario
Motivos de destete
Background

Breastfeeding duration in Spanish neonates does not fulfill the recommendations of the World Health Organization.

Objective

To report the results of a policy of breastfeeding support in a primary care center.

Material and methods

We performed a before-and-after intervention study of all mothers of children born in Ulldecona who decided to breast feed in 1992, 1993, 1996 and 1997 (control group: 125 infants), and from August 1999-August 2001 (72 infants). Study variable: in May 1999 a breastfeeding support policy was initiated in the primary care center.

Results

Breastfeeding duration increased (in the control group the mean duration of exclusive breastfeeding was 18.8 weeks; from 1999 to 2001 it was 28 weeks). Negative factors for breastfeeding were the birth of twins, introduction of a supplement, and education (there was an inverse relationship between greater education and breastfeeding duration). Duration of breastfeeding was longer in Moroccan mothers. Sex, gestational age, weight, type of delivery, separation between mother and neonate, maternal age, previous children, and work outside the home did not influence breastfeeding duration. Simple lineal regression revealed that the intervention was effective (P 5 0.046). Early hypogalactia and breast problems decreased, and voluntary weaning increased (P < 0.001).

Conclusion

The primary care team plays key role in the maintenance of breastfeeding and in the well-being of the mother and neonate.

Key words:
Breastfeeding
Primary Care Centers
Health personnel's attitude
Reasons for weaning
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Bibliografía
[1.]
R.A. Laurence.
Breast-feeding: A guide for the Medical Profesion, 4th e.d. St Louis.
Mo: Mosby-Year Book, (1994),
[2.]
División de Salud y Desarrollo del Niño.
Pruebas científicas de los Diez Pasos hacia una Feliz Lactancia Natural.
[3.]
G. Nylander, R. Lindemann, E. Helsing, E. Bendvold.
Unsupplemented breastfeeding in the maternity.
Acta Obstet Gynecol Scand, 70 (1991), pp. 205-209
[4.]
M.S. Kramer, B. Chalmers, E.D. Hadnett, Z. Sevkovskaya, I. Dzikovich, S. Shapiro, et al.
A randomized trial in the republic of Belarus.
JAMA, 285 (2001), pp. 413-420
[5.]
M.D. Estévez González, D. Martell Cebrián, R. Medina Santana, E. García Villanueva, P. Saavedra Santana.
Factores relacionados con el abandono de la lactancia materna.
An Esp Pediatr, 56 (2002), pp. 144-150
[6.]
A. Leite, R. Puccini, A. Atollah, A. Cunha, M. Machado, A. Capiberibe, et al.
Impact on breastfeeding practices promoted by lay counselors: A randomized and controlled clinical trial. Abstract of the Inden 15 th global meeting of the International Clinical Epidemiology Network. Queretoro. México.
J Clin Epidemiol, 51 (1998), pp. 10s
[7.]
A.A. Davies-Adetugbo.
Promotion of breast feeding in the community: Impact of health education programme in rural communities in Nigeria.
Diarrhoea Dis Res, 14 (1966), pp. 5-11
[8.]
Comité de Lactancia Materna de la AEP.
Informe técnico sobre la lactancia materna en España.
An Esp Pediatr, 50 (1999), pp. 333-340
[9.]
J. Sikorski, F. Boyd, C. Dezateux, A. Wade, J. Rowe.
Prevalence of breastfeeding at four months in general practices in South London.
Br J Gen Pract, 51 (2001), pp. 445-450
[10.]
P. Suarez Gil, J. Alonso Lorenzo, A. López Díaz, D. Martín Rodríguez, M. Martín Suárez.
Prevalencia y duración de la Lactancia Materna en Asturias.
Gac Sanit, 15 (2001), pp. 104-110
[11.]
L. Jovani, B. Burguera, C. Urrea, R. Adell, M.T. Bueso, M.D. Rabasco.
¿Por qué es infrecuente la prolongación de la lactancia materna hasta el segundo año en nuestro medio?.
Bol Soc Val Pediatr, 18 (1998), pp. 80
[12.]
A. Morrow, M.L. Guerrero, J. Shults, J.J. Calvo, C. Lutter, J. Bravo, et al.
Estudio controlado aleatorio sobre la eficacia de la orientación entre iguales a domicilio para promover la lactancia materna.
Lancet, 353 (1999), pp. 1226-1231
Copyright © 2002. Asociación Española de Pediatría
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