%0 Journal Article
%T Incentivo ao aleitamento materno: a importancia do pediatra com treinamento espec¨ªfico
%A Santiago
%A Luciano B.
%A Bettiol
%A Heloisa
%A Barbieri
%A Marco A.
%A Guttierrez
%A Manoel R. P.
%A Del Ciampo
%A Luiz A.
%J Jornal de Pediatria
%D 2003
%I Sociedade Brasileira de Pediatria
%R 10.1590/S0021-75572003000600008
%X objectives: to study the factors involved in the maintenance of exclusive breastfeeding in healthy infants during the first 4 months of life, with emphasis on the role of pediatricians. material and methods: a longitudinal study was carried out with 101 healthy term babies at a pediatrics outpatient clinic in uberaba, state of minas gerais, brazil. the babies were divided at random into three groups: g1, receiving advice from a multiprofessional breastfeeding team; g2, receiving advice from a pediatrician trained in breastfeeding; and g3, receiving advice from a pediatrician with no breastfeeding training. group randomization was confirmed by analysis of variance. the factors involved in the type of feeding at 4 months were analyzed by the chi-square test, by analysis of variance and by multiple variable analysis. results: at the end of follow-up, groups 1 and 2 showed similar percentages with respect to exclusive breastfeeding. in addition, the percentage of exclusively breastfed babies in groups 1 and 2 was significantly higher than in group 3 (p = 0.002). the use of a pacifier was negatively correlated with exclusive breastfeeding (p = 0.003). more maternal schooling increased the chance of exclusive breastfeeding at 4 months (p = 0.041). conclusion: in this study, a pediatrician who was prepared and motivated to encourage breastfeeding performed similarly to a multiprofessional breastfeeding team in terms of promoting exclusive breastfeeding until 4 months, a fact that was not observed when the pediatrician did not show this motivation. higher maternal schooling was associated with a higher frequency of exclusive maternal breast-feeding at 4 months, whereas the use of a pacifier favored early weaning.
%K breastfeeding
%K pacifiers
%K educational level
%K pediatrics
%K medical education.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0021-75572003000600008&lng=en&nrm=iso&tlng=en