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Cristianny Miranda, Taciana Maia de Sousa, Ariene Silva do Carmo, Simone Cardoso Lisboa Pereira, Karine Antunes Marques Notaro, Luana Caroline dos Santos, Use of Artificial Nipples Among Brazilian Infants and Associated Factors, Journal of Tropical Pediatrics, Volume 66, Issue 5, October 2020, Pages 511–516, https://doi.org/10.1093/tropej/fmaa007
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Abstract
Transversal study conducted in a Human Milk Bank to evaluate the factors associated with the use of artificial nipples (pacifier and/or nursing bottle) among Brazilian infants. Analyses were performed using the χ2 test and logistic regression analysis. A total of 6017 nursing mothers were evaluated and the use of artificial nipples was reported by 31.3%. The chance of using artificial nipples was higher among infants whose mothers attended antenatal care in private hospitals [odds ratio (OR): 1.61, 95% confidence interval (CI) 1.21–2.14], born in maternities without the Baby-Friendly Hospital Initiative (BFHI) (OR: 18.38, 95% CI 13.50–25.04) and those with adequate birth weight (OR: 2.83, 95% CI 1.99–4.03). A lower chance of using artificial nipples was observed among infants whose mothers had previous breastfeeding experience (OR: 0.76, 95% CI 0.61–0.95), received guidance on breastfeeding during antenatal care (OR: 0.80, 95% CI 0.65–0.98), practiced exclusive breastfeeding (OR: 0.36, 95% CI 0.28–0.45), breastfeeding on demand (OR: 0.66, 95% CI 0.52–0.85) and residents of inland cities/towns (OR: 0.38, 95% CI 0.20–0.72). The findings highlight the importance of breastfeeding guidance during antenatal care and the role of BFHI in clarifying risks associated with artificial nipple use.
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