Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-11-09T10:23:59Z No. of bitstreams: 1 DIS_CAROLINA_MENNA_BARRETO_SILVEIRA_PARCIAL.pdf: 882195 bytes, checksum: 4e9eed2bd20f440884bd27fcba9fbdfd (MD5) / Made available in DSpace on 2016-11-09T10:23:59Z (GMT). No. of bitstreams: 1 DIS_CAROLINA_MENNA_BARRETO_SILVEIRA_PARCIAL.pdf: 882195 bytes, checksum: 4e9eed2bd20f440884bd27fcba9fbdfd (MD5) Previous issue date: 2016-08-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Recent data from scientific literature show low exclusive breastfeeding (EBF) rates in the world, and diversity in the factors that influence it. However, the number of studies about the power of pediatricians and their interventions on duration of EBF is still limited. Objective: To determine the influence of the pediatrician and their interventions on the success of EBF at 3 and 6 months of age in full-term newborns (FNT), undergoing elective cesarean delivery. Methods: A cohort study in a private hospital in Brazil. Questionnaires to mothers at discharge, at 7 days, 3 and 6 months of life were applied. At the day of discharge, the contact was in person, while the following steps was by phone calling. To evaluate the association between categorical variables, chi-squared tests or Fisher's exact were used. Results: The final sample consisted of 907 mother-baby pairs, assisted by 32 pediatricians. The influence of the pediatrician was significant in EBF at 3 months of age (p=0.001). The prevalence of complement in the first prescription varied significantly among pediatricians (31.6% to 100%, p <0.001) and was negatively associated with the EBF at 3 months (p=0.003). When comparing the prevalence of the use of bottles and pacifiers at the first 7 days of life, among the pediatricians, there was a significant difference (p=0.005). The use of pacifiers at 7 days and 3 months was negatively associated with the EBF at 3 months (p<0.001). FNTs who used a bottle at 7 days showed lower prevalence of EBF until sixth month of life. Conclusion: This study provides evidences about the influence of the pediatrician in the prevalence and duration of exclusive breastfeeding at third month of life. This reinforces the need to improve their knowledge, attitudes and practices on breastfeeding. / Dados recentes da literatura cient?fica mostram baixas taxas de aleitamento materno exclusivo (AME) no Brasil e no mundo, al?m de uma grande diversidade nos fatores que o influenciam. Contudo, o n?mero de estudos sobre o poder de atua??o do pediatra e suas interven??es na dura??o do AME ainda ? limitado. Objetivo: Verificar a influ?ncia do pediatra e suas interven??es no sucesso do AME aos tr?s e seis meses de vida, em rec?m-nascidos (RNs) a termo, submetidos ? cesariana eletiva. Me?todos: Estudo de coorte, em um hospital privado do Brasil. Foram aplicados question?rios ?s m?es na alta, aos 7 dias, 3 e 6 meses de vida. No dia da alta, o contato foi presencial, enquanto nas etapas seguintes foi telef?nico. Para avaliar a associa??o entre as vari?veis categ?ricas, foram utilizados os testes qui-quadrado de Pearson ou Exato de Fisher. Resultados: A amostra final foi composta por 907 duplas m?es-beb?s, assistidas por 32 pediatras. A influ?ncia do pediatra foi significativa no AME aos 3 meses de vida do beb? (p=0,001). A preval?ncia de complemento na 1? prescri??o variou significativamente entre os pediatras (de 31,6% a 100%; p<0,001) e esteve associada negativamente com o AME aos 3 meses (p=0,003). Quando comparadas as preval?ncias de uso de mamadeira e chupeta aos 7 dias, entre os pediatras, houve diferen?a significativa (p=0,005). O uso de chupeta aos 7 dias e 3 meses associou-se ao insucesso do AME no 3? m?s de vida (p<0,001). RNs que utilizaram mamadeira aos 7 dias apresentaram preval?ncias de AME mais baixas at? o 6? m?s de vida. Conclus?o: Este estudo fornece evid?ncias sobre a influ?ncia do pediatra e suas interven??es na preval?ncia e dura??o do AME no terceiro m?s de vida. Isso refor?a a necessidade de aprimorar seus conhecimentos, atitudes e pr?ticas sobre a amamenta??o.