Intervención Digital en la Promoción de la Lactancia Materna en Puérperas: Un Ensayo Clínico Aleatorizado
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i103p18312-18329Palabras clave:
Educación en salud, Salud digital, Puerperio, Lactancia materna, Ensayo clínico controladoResumen
Objetivo: El estudio tuvo como objetivo analizar el efecto de las redes digitales en la duración de la lactancia materna. Método: Se trata de un ensayo clínico con 173 puérperas en una maternidad, distribuidas en grupos de intervención y control. El grupo de intervención recibió información semanal sobre lactancia materna, durante 3 meses, a través de WhatsApp. La práctica de lactancia fue evaluada en el primer y tercer mes mediante entrevistas. Resultado: A los 30 días posparto, el grupo de intervención presentó una mayor intención de continuar amamantando en comparación con el grupo control (p = 0,017). A los tres meses, se observó una mayor prevalencia de lactancia materna exclusiva en el grupo de intervención (66,7% vs. 40,6%; p = 0,031; RR = 1,64; IC95%: 1,01–2,64). No se encontraron diferencias estadísticamente significativas en cuanto al uso de chupete o biberón. Conclusión: La intervención educativa participativa, realizada por profesionales de la salud y mediante el uso de redes digitales, demostró ser eficaz para aumentar la prevalencia de la lactancia materna exclusiva.
Citas
Brasil. Ministério da Saúde. Sistema de Vigilância Alimentar e Nutricional – SISVAN: relatório do consumo alimentar dos indivíduos acompanhados por período, fase do ciclo da vida e índice. Brasília (DF): Ministério da Saúde; 2022.
Marrs T et al. Gut microbiota development during infancy: impact of introducing allergenic foods. J Allergy Clin Immunol. 2021;147(2):613-21.e9. DOI: https://doi.org/10.1016/j.jaci.2020.09.042 DOI: https://doi.org/10.1016/j.jaci.2020.09.042
Rajagopalan V, et al. Breastfeeding duration and brain-body development in 9-10-year-olds: modulating effect of socioeconomic levels. Pediatr Res. 2025;97(1):378-86. DOI: https://doi.org/10.1038/s41390-024-03330-0 DOI: https://doi.org/10.1038/s41390-024-03330-0
McGowan C, Bland R. The benefits of breastfeeding on child intelligence, behavior, and executive function: a review of recent evidence. Breastfeed Med. 2023;18(3):172-87. DOI: https://doi.org/10.1089/bfm.2022.0192 DOI: https://doi.org/10.1089/bfm.2022.0192
Nuzzi G, Di Cicco ME, Peroni DG. Breastfeeding and allergic diseases: what's new? Children (Basel). 2021;8(5):330. DOI: https://doi.org/10.3390/children8050330. Accessed 2025 Jul 25. DOI: https://doi.org/10.3390/children8050330
Zuurveld M, et al. Specific human milk oligosaccharides differentially promote Th1 and regulatory responses in a CpG-activated epithelial/immune cell coculture. Biomolecules. 2023;13(2):263. DOI: 10.3390/biom13020263. Available from: https://pubmed.ncbi.nlm.nih.gov/36830632/. Accessed 2024 Jan 20. DOI: https://doi.org/10.3390/biom13020263
Souza BS, et al. Fatores associados ao desmame precoce no contexto brasileiro. Saberes Plurais Educ Saúde [Internet]. 2023 Oct 6 [cited 2025 May 2];7(2):e133427. Available from: https://seer.ufrgs.br/index.php/saberesplurais/article/view/133427 DOI: https://doi.org/10.54909/sp.v7i2.133427
Regalo IH, et al. Breastfeeding, introduction of food and use of pacifier on the stomatognathic system of children with mixed dentition. J Health Sci [Internet]. 2020 Dec 21 [cited 2025 May 2];22(4):222-8. Available from: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/7821 DOI: https://doi.org/10.17921/2447-8938.2020v22n4p222-228
Alotiby A. The role of breastfeeding as a protective factor against type 1 and type 2 diabetes and rheumatoid arthritis in mothers: a systematic review. Front Pediatr. 2023;11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981158/ DOI: https://doi.org/10.3389/fped.2023.1086999
. Accessed 2025 Aug 4.
ENANI. Estudo Nacional de Alimentação e Nutrição Infantil – ENANI-2019: Resultados preliminares – Indicadores de aleitamento materno no Brasil [Internet]. Rio de Janeiro: UFRJ; 2020 [cited 2025 Mar 19]. Available from: https://enani.nutricao.ufrj.br/
Brasil. Ministério da Saúde. II Pesquisa de Prevalência de Aleitamento Materno nas Capitais Brasileiras e Distrito Federal [Internet]. Brasília (DF): Ministério da Saúde; 2009 [cited 2025 Mar 19]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_prevalencia_aleitamento_materno.pdf
Organização Mundial da Saúde (OMS). Infant and young child feeding: Indicators for assessing infant and young child feeding practices. Geneva: WHO; 2021. Available from: https://www.who.int/publications/i/item/9789240018389
Unfried AGC, et al. Neonatal factors associated with early weaning in a municipality in Bahia, Brazil: a cross-sectional study. Rev Esc Enferm USP. 2024;58:e20240091. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2024-0091en . Accessed 2025 Jul 26. DOI: https://doi.org/10.1590/1980-220x-reeusp-2024-0091pt
Wu Q, et al. Effectiveness of WeChat for improving exclusive breastfeeding in Huzhu County, China: randomized controlled trial. J Med Internet Res. 2020;22(12):e23273. DOI: https://doi.org/10.2196/23273 DOI: https://doi.org/10.2196/23273
Dodou HD, et al. Telephone intervention to promote maternal breastfeeding self-efficacy: randomized clinical trial. Rev Esc Enferm USP. 2021;55:e20200520. Available from: https://doi.org/10.1590/1980-220X-REEUSP-2020-0520 . Accessed 2025 Jun 5. DOI: https://doi.org/10.1590/1980-220x-reeusp-2020-0520
Cirino AG, et al. Mídias sociais como ferramenta de apoio e incentivo ao aleitamento materno no pós-parto: uma revisão sistemática. gepnews [Internet]. 31º de agosto de 2023 [citado 6º de novembro de 2025];7(2):220-7. Disponível em: https://seer.ufal.br/index.php/gepnews/article/view/16112
David HMSL, et al. Análise de redes sociais na atenção primária em saúde: revisão integrativa. Acta Paul Enferm. 2018;31(1):108-15. DOI: https://doi.org/10.1590/1982-0194201800016 DOI: https://doi.org/10.1590/1982-0194201800016
Cavalcanti DS, et al. Online participatory intervention to promote and support exclusive breastfeeding: randomized clinical trial. Matern Child Nutr. 2019;15(3):e12806. DOI: https://doi.org/10.1111/mcn.12806 DOI: https://doi.org/10.1111/mcn.12806
Aldana-Parra F, Romero-Álvarez N, Alzate-Yepes M, et al. Effectiveness of a new breastfeeding counselling intervention on breastfeeding prevalence, infant growth velocity and postpartum weight loss in overweight women: a randomized controlled trial. Int Breastfeed J. 2025;20:14. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-025-00703-x. Accessed 2025 Aug 12. DOI: https://doi.org/10.1186/s13006-025-00703-x
Boutron I, et al. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Ann Intern Med. 2017;167(1):40-7. Available from: https://doi.org/10.7326/M17-0046 . Accessed 2020 Jul 10. DOI: https://doi.org/10.7326/M17-0046
Bezerra MKA, et al. Apoio à amamentação: um guia acolhedor para mães, familiares e profissionais de saúde [Internet]. 1st ed. Maceió (AL): Agência de Produção Editorial de Alagoas (Apeal); 2024 [cited 2025 Mar 19]. Available from: https://apealeditora.com.br/ebooks/202519144632726.pdf
de Souza J et al. Investigating interactive methods in remote lactation support in Brazil: a qualitative study. Front Digit Health. 2023;5. Available from: https://www.frontiersin.org/articles/10.3389/fdgth.2023.1143528/full. Accessed 2025 Aug 2. DOI: https://doi.org/10.3389/fdgth.2023.1143528
Zander LRM et al. Aleitamento materno e hábitos de sucção nutritiva e não-nutritiva: acompanhamento de bebês aos seis meses em um projeto de extensão. Braz J Health Rev [Internet]. 2022 Mar 18 [cited 2025 May 2];5(2):4568-77. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/45303 DOI: https://doi.org/10.34119/bjhrv5n2-047
Peres JF, et al. Percepções dos profissionais de saúde acerca dos fatores biopsicossocioculturais relacionados com o aleitamento materno. Saúde Debate [Internet]. 2022 Jun 27 [cited 2025 May 2];45(128):141-5. Available from: https://revista.saudeemdebate.org.br/sed/article/view/3500 DOI: https://doi.org/10.1590/0103-1104202112811








