Resumo

GIMENEZ LOPEZ, V.; JIMENO SIERRA, B.; VALLES PINTO, M. D.  e  SANZ DE MIGUEL, E.. Breastfeeding prevalence in a Zaragoza primary health care centre: socioeconomic factors related. Rev Pediatr Aten Primaria [online]. 2015, vol.17, n.65, pp.17-26. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322015000100004.

Objective: to describe the current situation of breastfeeding (BF) in our primary care health center and analyze the socioeconomic factors conditioning its maintenance, in order to promote improvement opportunities for the upcoming years. Materials and methods: descriptive retrospective study of the population monitored from birth date at the Santa Isabel health center (Zaragoza) for 3 years (2010-2012), and followed up until 12 months of age (N:570). Results: the mean duration of exclusive BF is 2.5 months, and of total BF 5.1 months. The rate of BF is 86.3% at birth, 74% at the 1^st month of age, 40.7% at the 6^th, and 14.2% at the age of 12 months. Factors related to longer exclusive BF are: larger birth weight and gestational age, singleton pregnancy, and normal childbirth. Higher rates of BF are correlated to mothers' attendance to childbirth and breastfeeding classes as well as to older mothers. Conclusions: prevalence of BF in our primary care health center is higher than the previously published data for Spain, but lower than the data for Aragon. BF rates decrease at the 1^st month of life as a result of problems at the beginning of BF; and at the 4^th-6^th month due to mothers returning to work. Factors against exclusive BF are: low weight at birth, prematurity, multiple birth and dystocia/cesarean birth. Attendance of childbirth and breastfeeding classes and older mothers are factors related to longer BF.

Palavras-chave : Breastfeeding; Primary Care; Prevalence.

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