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Vol. 52. Núm. 3.
Páginas 225-231 (marzo 2000)
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Vol. 52. Núm. 3.
Páginas 225-231 (marzo 2000)
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Pautas hospitalarias respecto a la lactancia materna en el centro-norte de España
Maternity Protocols About Breastfeeding In The North-Center Of Spain
Visitas
7025
L. Barriuso Lapresaa,*, F. Sánchez-Valverde Visusa, C. Romero Ibarraa, J.C. Vitoria Comerzanab
a Servicio de Pediatría. Hospital Virgen del Camino. Pamplona
b Servicio de Pediatría. Hospital de Cruces. Baracaldo. Vizcaya
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Estadísticas
Objetivos

Se estudia la influencia que ejercen las pautas hospitalarias en la incidencia y prevalencia de la lactancia materna en las 15 maternidades más importantes del centronorte de España

Métodos

La investigacion se ha llevado a cabo en un total de 1.175 ninos seleccionados en el periodo comprendido entre octubre y diciembre de 1992. Se realizo un estudio prospectivo a lo largo de los primeros 12 meses de vida. Se diseno una base de datos en DBase-IV exportandose posteriormente al paquete estadistico SPSS para Windows 6.0. El estudio estadistico asociativo se realizo mediante el test de la X2

Resultados

La presencia del marido en el parto no influye en la prevalencia de la lactancia materna. El rooming-in la dificulta. Los partos distócicos, y en especial las cesáreas, dificultan la lactancia materna. La entrega de suero glucosado y la puesta al pecho tardía también la dificulta

Conclusiones

Las pautas empleadas en las maternidades del centronorte de España se alejan del decálogo de la Iniciativa de los Hospitales Amigos de los Niños. La puesta al pecho precoz y la restricción de suplementos glucosados favorecen la lactancia materna. Las distocias la dificultan

Palabras clave:
Pautas hospitalarias
Lactancia materna
Pactos distócicos
Cesáreas
Objectives

To investigate the influence of the maternity protocols on frequency and prevalence of breastfeeding in the 15 most importants maternity units from the north-center region of Spain

Methods

From October 1992 to December 1992 we collected 1175 newborn babies and we followed them up for 12 months. A protocol study was designed to collect the data in DBase IV format and the stadistical study was done with SPSS version Window 6.0. X2 test was applied

Results

The presence of the father at the delivery did not influence breastfeeding. The rooming-in was an adverse factor. Instrumental delivery and specially cesarean section act as an adverse factor for breastfeeding. To feed the baby with glucose or water and to delay the breast exposure was also negative to breastfeeding

Conclusions

The protocols used in the Spanish north-center maternity units are at a distance from those of Baby-friendly- Hospital Initiative. The early exposure to the breast and the restriction of bottle-feed with glucose in the early hours of life favours breast feeding. Instrumental delivery act as an adverse factor for breastfeeding

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