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[Factors associated with cross-nursing].

Mariana Pujól von Seehausen¹, Maria Inês Couto de Oliveira², Cristiano Siqueira Boccolini³

¹Programa de Pós-Graduação em Saúde Coletiva, Instituto de Saúde Coletiva (ISC), Universidade Federal Fluminense (UFF). R. Marques de Paraná 303/anexo/4º andar, Centro. 24033-900 Niterói RJ Brasil. maripujol@hotmail.com.

Ciencia & Saude Coletiva

|May 25, 2017

Summary

Cross-nursing, the practice of one mother breastfeeding another

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Area of Science:

Public Health
Maternal and Child Health
Epidemiology

Background:

Cross-nursing, defined as breastfeeding another woman's infant, is a practice with potential health implications.
Understanding its prevalence and associated factors is crucial for targeted public health interventions.
Previous research on cross-nursing prevalence and determinants in urban primary healthcare settings is limited.

Purpose of the Study:

To estimate the prevalence of cross-nursing among mothers attending primary healthcare units in Rio de Janeiro.
To analyze sociodemographic, pregnancy, childbirth, and infant-related factors associated with cross-nursing.

Main Methods:

A cross-sectional study was conducted in 2013, involving 695 mothers of infants under one year old.
Data were collected through interviews covering maternal characteristics, health habits, and infant feeding practices.
Prevalence ratios (PR) were calculated using Poisson Regression to identify associated factors.

Main Results:

The prevalence of cross-nursing was found to be 29.4%.
Factors directly associated with cross-nursing included adolescent motherhood (PR=1.595), smoking (PR=1.396), alcohol consumption (PR=1.613), inappropriate infant feeding habits (PR=1.371), and infant age (PR=1.066).
Maternal formal employment showed an inverse association (PR=0.579).

Conclusions:

Cross-nursing is a prevalent practice in Rio de Janeiro's primary healthcare settings.
The practice is significantly associated with adolescent mothers and unhealthy maternal habits.
Public health strategies should address cross-nursing, particularly among vulnerable populations, focusing on education regarding associated risks.