Duração de amamentação em duas gerações

Objective: To assess the intergenerational repetition of breastfeeding duration in a cohort of adolescent mothers who had been prospectively followed up since birth. Methods: All hospital births occurred in Pelotas (N=5,914), a Southern Brazilian city, in 1982 were studied prospectively. The cohort was visited in 1984 and 1986, and information on feeding-practices was gathered. In 2001, a search was conducted in the Live Birth Information System and adolescents born in 1982 who gave birth between January 1995 and March 2001 were identified. Parous adolescents answered a detailed questionnaire on pregnancy-related variables and breastfeeding duration for each child. For multiparous adolescents, the information from the first live born child was used. Poisson regression with robust adjustment of the variance was used in the univariate and multivariable analysis. Results: A total of 446 parous adolescents belonging to the 1982 cohort were identified, of which 420 (94.2%) were interviewed. After adjustment for confounding variables, mothers who had not been breastfed presented a relative risk of 1.34 (95% CI: 0.35; 5.18) of not breastfeeding their children, compared to mothers who were ever breastfed. Similarly, adolescents who were breastfed for less than one month were slightly - but not significantly - more likely to fail to breastfeed their own infants (RR=1.64; 95% CI: 0.70; 4.03). The proportion of adolescent mothers who breastfed for less than six months was higher among those who were themselves breastfed for less than one month (PR=1.29; 95% CI: 1.02; 1.62)]. Conclusions: Duration of breastfeeding is slightly higher among infants whose mother was breastfed.