Association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding

• Published in: Jornal de pediatria 2018-11, Vol.94 (6), p.596-601
• Main Authors: Batista, Christyann L.C., Ribeiro, Valdinar S., Nascimento, Maria do Desterro S.B., Rodrigues, Vandilson P.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age Factors; Amamentação; Bottle Feeding - adverse effects; Bottle Feeding - statistics & numerical data; Bottle-feeding; Breast Feeding - statistics & numerical data; Breastfeeding; Chupetas; Cross-Sectional Studies; Female; Humans; Infant; Infant Behavior - physiology; Infant, Newborn; Linear Models; Male; Middle Aged; Mother-Child Relations; Pacifiers; Pacifiers - adverse effects; Pacifiers - statistics & numerical data; PEDIATRICS; Reference Values; Socioeconomic Factors; Sucking Behavior - physiology; Uso de mamadeira; Young Adult
• ISSN: 0021-7557; 1678-4782; 1678-4782
• DOI: 10.1016/j.jped.2017.10.005

To investigate the association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding. A cross-sectional study was conducted with 427 babies/mothers. Socio-demographic, perinatal data, and information about the use of artificial nipples (pacifier and/or bottle) were collected through a questionnaire. The breastfeeding aspects regarding position, affectivity, sucking behavior, baby responses, and breast anatomy were evaluated through observation during breastfeeding. The chi-squared test and the multiple linear regression analysis were used to investigate the association between the variables. The aspects of breastfeeding that showed higher percentages of the category “poor” were sucking behavior (22.5%) and position (22.2%). The group of infants who used pacifiers and/or bottle showed higher percentages in the poor and fair categories when compared with the good category for all five breastfeeding aspects evaluated (p