<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032022000200087</article-id>
<article-id pub-id-type="doi">10.31698/ped.49022022004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disminución de la práctica de lactancia materna en lactantes ingresados a un programa alimentario: causas y factores asociados]]></article-title>
<article-title xml:lang="en"><![CDATA[Decrease in the practice of breastfeeding in infants admitted to a feeding program: causes and associated factors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benites Suárez]]></surname>
<given-names><![CDATA[Clotilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medín Espínola]]></surname>
<given-names><![CDATA[Mirna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Bernal]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Céspedes]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Químicas Carrera de Nutrición]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>87</fpage>
<lpage>96</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032022000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032022000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032022000200087&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La lactancia materna (LM), entre otros beneficios, previene la desnutrición. Por ello es importante conocer las razones de no amamantamiento en niños ingresados a un programa alimentario.  Objetivos:  determinar si la práctica de la lactancia materna disminuye en lactantes una vez ingresados a un programa de apoyo nutricional, en seis hospitales de referencia del Gran Asunción.  Materiales y métodos : estudio observacional y descriptivo de corte trasversal realizado con niños de 6 a 24 meses, ingresados a un programa alimentario entre mayo del 2016 y abril del 2017, en seis hospitales de referencia seleccionados. Los datos se recolectaron en junio y julio del 2017.Se aplicó un cuestionario semi estructurado mediante entrevista directa. Se indagó acerca de datos sociodemográficos y prácticas de LM. Se utilizó estadística descriptiva en el análisis de datos. El protocolo fue aprobado por el Comité de Ética institucional.  Resultados:  Se analizaron los datos de 39 participantes (21 del sexo femenino), con 18±4 meses de edad al ingreso al programa, 8 (20,5%) de ellos con diagnóstico de desnutrición. Al ingresar al programa 24 (61,5%) niños practicaban LM de los cuales 18(46,2%) abandonaron, siendo las causas principales que el niño no subía de peso, la recomendación del personal de salud, la percepción de poca producción de leche materna y el trabajo materno.  Conclusión:  Se evidencia disminución de la práctica de la lactancia materna en niños ingresados a un programa de apoyo nutricional a pesar de la indicación del personal de salud. Es necesario fortalecer la consejería a las madres que amamantan.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Breastfeeding (BF), among other benefits, prevents malnutrition. Therefore, it is important to know the reasons for not breastfeeding in children admitted to a feeding program.  Objectives: To determine if the practice of breastfeeding decreases in infants once admitted to a nutritional support program, in six referral hospitals in Greater Asunción.  Materials and methods: This was an observational, descriptive and cross-sectional study carried out with children aged 6 to 24 months, admitted to a feeding program between May 2016 and April 2017, at six selected referral hospitals. The data were collected in June and July 2017. A semi-structured questionnaire was applied through direct interviewing. Sociodemographic data and BF practices were inquired about. Descriptive statistics were used in data analysis. The protocol was approved by the institutional Ethics Committee.  Results:  The data of 39 participants (21 female) with 18±4 months of age at admission to the program were analyzed, 8 (20.5%) of them diagnosed with malnutrition. Upon entering the program, 24 (61.5%) children practiced BF, of which 18 (46.2%) dropped out, the main causes being that the child did not gain weight, because of the recommendation of healthcare personnel, the perception of low breast milk production and maternal work.  Conclusion:  There is evidence of a decrease in the practice of breastfeeding in children admitted to a nutritional support program despite encouragement by healthcare personnel. It is necessary to strengthen counseling for mothers who breastfeed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lactancia materna]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[nutrición del lactante]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[infant nutrition]]></kwd>
</kwd-group>
</article-meta>
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<collab>Organización Mundial de la Salud</collab>
<collab>UNICEF</collab>
<source><![CDATA[Marco Global de Vigilancia en Nutrición. Directrices operacionales de los progresos hacia el logro de las metas para 2025]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
