Abstract

Author(s): Coelho Alves, Maria Marly1; Freire Salviano, Andressa1; Fernandes Brito, Leontina2; Ferreira Carioca, Antônio Augusto1; Vasconcelos de Azevedo, Daniela1

Introduction: Adequate feeding during breastfeeding might benefit both the mother, in terms of return to healthy weight, in relation to breast milk.

Objective: Investigate the main aliments included and excluded during breastfeeding by the mothers and their relationship with maternal variables..

Methods: A cross-sectional study was carried out with 292 mothers in eight basic health units from November 2014 to September 2015. Socioeconomic and anthropometric data were collected, about inclusion and exclusion of aliments in the usual diet and feeding orientation.

Results: The average age of the mothers was 27.3 (±6,41) years. The majority had completed high school education (66%), was multipara (60.5%), overweight (58.4%), not exclusively emanated (65.7%) and received guidance on nutrition by health professionals (52.6%). The most cited excluded aliments were refrigerant (25.8%) and chocolate (15.5%), while the most included aliments were fruits (50.4%) and vegetables (18.7%). Food exclusion was associated with the type of breastfeeding practiced (p = 0.006). Furthermore, the inclusion (p = 0,006) and exclusion (p = 0,005) of aliments were associated with feeding orientation.

Discussion: Most of the nursing mothers claimed to have made some modification either by inclusion or exclusion of food during the breastfeeding period, and such changes were generally positive in terms of making diet healthier. Women receiving guidance from health professionals included more fruits and vegetables in their diet and excluded refrigerant. Those who practiced exclusive breastfeeding excluded less food when compared to those who did not breastfeed exclusively.

Conclusions: Nursing mothers excluded and included aliments in the usual diet and this practice was associated with the guidance from the health professionals and the type of breastfeeding practiced.

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