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• W2302431243 abstract "To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital. The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed were included and excluded twins and those undergoing phototherapy as well as those discharged after 96h of life. The analyzed maternal and neonatal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant p<0.05. We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss>8% were cesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (Relative risk 2.27, 95% of Confidence Interval 1.54–3.35). The independent predictor for weight loss>8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life. Determinar os fatores de risco para perda de peso acima de 8% em recém-nascido a termo por ocasião da alta pós-parto de um Hospital Amigo da Criança. Os casos foram selecionados de uma coorte de recém-nascido, pertencentes a um estudo prévio. Foram incluídos recém-nascidos a termo com peso ao nascer ≥2.000g, saudáveis e amamentados exclusivamente, excluídos os gemelares, os recém-nascidos que usaram fototerapia e aqueles com alta hospitalar após 96 horas de vida. As variáveis maternas e neonatais estudadas foram idade materna, paridade, raça, tipo de parto, diabete materna, sexo, idade gestacional e adequação do peso para idade. Foram usadas as análises de regressão de Cox univariada e múltipla ajustadas e foi considerado significativo p<0,05. Foram estudados 414 recém-nascidos dos quais 107 (25,8%) tiveram perda excessiva de peso. Pela regressão univariada, os fatores de risco associados à perda de peso>8% foram parto cesárea e maior idade materna. Pela análise de regressão múltipla ajustada, o modelo para explicar a perda de peso foi o parto cesárea (Risco Relativo: 2,27 e Intervalo de Confiança 95%: 1,54–3,35). O preditor independente para perda de peso maior do que 8% em recém-nascidos a termo amamentados exclusivamente em um Hospital Amigo da Criança foi a cesárea. É possível que a redução do número de cesáreas possa minimizar a perda de peso neonatal excessiva e o consequente uso de fórmula láctea na primeira semana de vida." @default.
• W2302431243 created "2016-06-24" @default.
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• W2302431243 date "2016-09-01" @default.
• W2302431243 modified "2023-10-16" @default.
• W2302431243 title "Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital" @default.
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• W2302431243 doi "https://doi.org/10.1016/j.rppede.2016.03.003" @default.
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