<?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>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052023000200050</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.7080</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que afectan la práctica de lactancia materna exclusiva en un centro de referencia: un estudio de casos y controles]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors that affect exclusive breastfeeding in a Reference Center: A cases and control comparison]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández R]]></surname>
<given-names><![CDATA[Gloria Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[D&#8217;Amato-Gutiérrez]]></surname>
<given-names><![CDATA[Monica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neira Trujillo]]></surname>
<given-names><![CDATA[Lucy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrientos]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Marín]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana Grupo de salud clínica y quirúrgica facultad de medicina UPB ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Pontificia Bolivariana Grupo de salud clínica y quirúrgica facultad de medicina UPB ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pontificia Bolivariana Clínica Universitaria Bolivariana ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica Universitaria Bolivariana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Pontificia Bolivariana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Pontificia Bolivariana Facultad de Medicina Grupo de Investigación en Salud Pública]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>50</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052023000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052023000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052023000200050&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Identificar las causas por las cuales las mujeres abandonan la lactancia materna exclusiva antes de que sus bebés alcancen los seis meses de edad, e identificar los factores asociados con la interrupción de la lactancia.  Metodología:  Estudio observacional con un análisis de casos y controles, en la Clínica Universitaria Bolivariana, en Medellín, entre octubre de 2018 y febrero de 2020. Se incluyeron binomios madre - hijo, de lactantes entre los 0 y 6 meses, se dividieron en dos grupos adherentes (controles) madres que alimentaban a sus hijos con leche materna de forma exclusiva y no adherente (casos) madres que alimentaban a sus hijos con formula exclusivamente o de forma &#8220;mixta&#8221; es decir con leche materna y formula. Se aplicaron métodos descriptivos y analíticos para el análisis de la información.  Resultados:  Se incluyeron 270 mujeres, el 32,5% (88/270) del grupo no adherente y el 67,4% (182/270) del grupo adherente. Los principales factores relacionados con la falta de adherencia a LM fueron haber tenido algún motivo para suspender la lactancia materna como dificultades con la técnica de posición y agarre, sensación de baja producción, y que el bebé naciera con bajo peso o hubiera tenido bajo peso en algún momento durante sus primeros seis meses, con OR 32,186 (IC95% 13,352-77,591) y el no haber recibido educación prenatal adecuada sobre lactancia materna con OR 2,169 (IC95%:1,0161-4,435).  Conclusión:  El apoyo y la educación materna tanto en el control prenatal como en el periodo postparto por personal entrenado, favorecen la adherencia a la lactancia materna exclusiva. Los demás factores analizados, como enfermedades de madre o hijo, sensación de baja producción de leche, trabajo materno, entre otros, no mostraron diferencia significativa para definir como factor de riesgo para no dar lactancia materna exclusiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To identify the causes for which women abandon exclusive breastfeeding before their babies reach six months of age, and to identify the factors associated with breastfeeding discontinuation.  Methodology:  Observational study with a Case-Control analysis, at the Clínica Universitaria Bolivariana, in Medellín, between October 2018 and February 2020. Parent-child binomials were included, with infants between 0 and 6 months. They were divided into two groups: Adherent mothers who fed their children with breast milk exclusively (controls) and not adherent mothers who fed their children with infant formula exclusively or in a "mixed" way, that is, with breast milk and formula (cases). Descriptive and analytical methods were applied for the analysis of information.  Results:  270 women were included, 32.5% (88/270) of the non-adherent group and 67.4% (182/270) of the adherent group. The main factors related to the lack of adherence to LM were to have had some reason to stop breastfeeding such as difficulties with the technique, with position or lack of grip, feeling of low production, and that the baby was born with low weight or had low weight at some point during his first six months, with OR 32,186 (IC95% 13,352-77,591) and not having received adequate prenatal education about breastfeeding.  Conclusion:  Support and maternal education in both prenatal and postpartum control by trained personnel, favor adherence to exclusive breastfeeding. The other factors analyzed, such as mother or child diseases, feeling of low milk production, maternal work, among others, did not show a significant difference to define as a risk factor for not giving exclusive breastfeeding.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lactancia materna]]></kwd>
<kwd lng="es"><![CDATA[lactancia materna parcial]]></kwd>
<kwd lng="es"><![CDATA[sustitutos de la leche humana]]></kwd>
<kwd lng="es"><![CDATA[lactante]]></kwd>
<kwd lng="en"><![CDATA[breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[Partial Breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[breast-milk substitute]]></kwd>
<kwd lng="en"><![CDATA[infant]]></kwd>
</kwd-group>
</article-meta>
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