PREVALENCE OF BREASTFEEDING DIFFICULTIES IN HEALTHY NEWBORNS IN THE ROOMING-IN UNIT TRABAJO ORIGINAL

Abstract

INTRODUCTION: Exclusive breastfeeding is recommended during the first six months of life. However, between 25% and 45% of newborns may experience breastfeeding difficulties which, if not identified by trained professionals or recognized by mothers, can result in early cessation of breastfeeding or the development of specific feeding disorders. Participation in the Comprehensive Maternity Preparation (CMP) course provides families with resources to address these challenges.

OBJECTIVE: To estimate the prevalence of breastfeeding difficulties among healthy newborns (HNB) admitted to the rooming-in unit of Hospital General de Agudos Dr. Cosme Argerich (HGACA).

MATERIALS AND METHODS: A quantitative, observational, analytical, cross-sectional, and prospective study was conducted. Data were collected using a study-specific protocol.

RESULTS: Among 114 mother–newborn dyads, speech-language pathology assessments revealed breastfeeding difficulties in 64%. Feeding technique and comfort parameters were the most frequently affected. More than half of the mothers (55.4%) did not perceive these difficulties (Kappa = 0.237; p < 0.001). Mothers who attended the CMP course showed a significantly lower prevalence of breastfeeding difficulties compared with those who did not (?² = 9.06; p = 0.002).

CONCLUSIONS: Speech-language pathologists play a critical role in monitoring healthy newborns to ensure the successful establishment of breastfeeding. Preventive strategies should be reconsidered, and incorporation of a speech-language pathology perspective into CMP courses is recommended.