<?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>2183-5985</journal-id>
<journal-title><![CDATA[Acta Portuguesa de Nutrição]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Port Nutr]]></abbrev-journal-title>
<issn>2183-5985</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Nutrição]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-59852025000300006</article-id>
<article-id pub-id-type="doi">10.21011/apn.2025.4202</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[ALEITAMENTO MATERNO EXCLUSIVO: PRE-VALÊNCIA AO NASCIMENTO E AQUANDO DA CONSULTA DE SEGUIMENTO]]></article-title>
<article-title xml:lang="en"><![CDATA[EXCLUSIVE BREASTFEEDING: PREVALENCE AT BIRTH AND AT THE FOLLOW-UP VISIT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[Sofia Seabra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salgueiro]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Silva]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde São João Serviço de Pediatria ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde da Guarda Serviço de Pediatria ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde São João Serviço de Neonatologia ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<numero>42</numero>
<fpage>6</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-59852025000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-59852025000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-59852025000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  INTRODUÇÃO:  O aleitamento materno exclusivo até os seis meses é recomendado por entidades como a Organização Mundial da Saúde pelos seus inúmeros benefícios tanto para o bebé como para a mãe. Desta forma, têm sido implementadas medidas para aumentar o aleitamento materno exclusivo, com o objetivo de atingir uma prevalência de 70% em 2030.  OBJETIVOS:  O objetivo deste estudo foi determinar a prevalência do aleitamento materno exclusivo em recém-nascidos saudáveis à alta hospitalar e na consulta de seguimento, realizada entre a 2.ª e a 10.ª semana de vida.  METODOLOGIA:  Foi realizado um estudo transversal com os recém-nascidos saudáveis internados entre janeiro e março de 2024, avaliando o aleitamento à alta da maternidade e na consulta de seguimento através dos registos clínicos eletrónicos.  RESULTADOS E DISCUSSÃO:  Foram avaliados 416 recém-nascidos, dos quais 60,6% eram alimentados exclusivamente com leite materno à alta hospitalar. Fatores como menor idade gestacional e menor peso ao nascimento foram associados à não realização do aleitamento materno exclusivo. Na consulta de seguimento, a taxa de aleitamento materno exclusivo caiu para 55,0%. Comparando com um estudo de 2019, a prevalência de aleitamento materno exclusivo à data de alta da maternidade diminuiu de 80,5% para 60,6%.  CONCLUSÕES:  O estudo evidenciou redução da prevalência do aleitamento materno exclusivo entre a alta hospitalar e a consulta de seguimento, sendo o tipo de aleitamento à alta o principal preditor da sua continuidade. Destaca-se a necessidade de reforçar a promoção do aleitamento materno, especialmente nos primeiros dois meses de vida, período crítico para seu estabelecimento. A revisão das práticas relacionadas com o parto por cesariana e o apoio contínuo às mães após a alta hospitalar, bem como o fortalecimento do aconselhamento e a expansão de políticas públicas que incentivem a amamentação, são fundamentais para aumentar a prevalência do aleitamento materno exclusivo e alcançar as metas globais para 2030.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  INTRODUCTION:  Exclusive breastfeeding until six months is recommended by organizations such as the World Health Organization due to its numerous benefits for the baby and the mother. Considering this, measures have been implemented to increase exclusive breastfeeding rates, aiming for a prevalence of 70% by 2030.  OBJECTIVES:  This study aimed to determine the prevalence of exclusive breastfeeding in healthy newborns at hospital discharge and at a follow-up visit, conducted between the 2nd and 10th week of life.  METHODOLOGY:  A cross-sectional study was conducted with healthy newborns admitted between January and March 2024, assessing feeding at hospital discharge and at the follow-up visit using electronic medical records.  RESULTS AND DISCUSSION:  A total of 416 newborns were evaluated, with 60,6% being exclusively breastfed at hospital discharge. Factors such as lower gestational age and lower birth weight were associated with the absence of exclusive breastfeeding. By the follow-up visit, the exclusive breastfeeding rate had dropped to 55,0%. Compared to the 2019 study, the exclusive breastfeeding prevalence at hospital discharge decreased from 80,5% to 60,6%.  CONCLUSIONS:  The study demonstrated a decrease in the prevalence of exclusive breastfeeding between hospital discharge and the follow-up visit, with the feeding regimen at discharge being the main predictor of its continuation. The findings highlight the need to strengthen practices that promote breastfeeding, particularly during the critical period between the first and second month of life. Reviewing cesarean deliveries practices, providing continuous support to mothers after hospital discharge, enhancing counseling and expanding public policies that promote breastfeeding are essential to increase exclusive breastfeeding prevalence and to achieve the global targets for 2030.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Aleitamento materno]]></kwd>
<kwd lng="pt"><![CDATA[Alimentação]]></kwd>
<kwd lng="pt"><![CDATA[Amamentação]]></kwd>
<kwd lng="pt"><![CDATA[Nutrição]]></kwd>
<kwd lng="pt"><![CDATA[Recém-nascidos]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[Feeding]]></kwd>
<kwd lng="en"><![CDATA[Nursing]]></kwd>
<kwd lng="en"><![CDATA[Nutrition]]></kwd>
<kwd lng="en"><![CDATA[Newborns]]></kwd>
</kwd-group>
</article-meta>
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