<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000700002</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i7.7682</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Repercusiones de la alimentación temprana en la lactancia materna exclusiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of early initiation of breastfeeding on exclusive breastfeeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco-del Río]]></surname>
<given-names><![CDATA[Guillermo R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes-Melesio]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Querétaro Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles  ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>7</numero>
<fpage>551</fpage>
<lpage>558</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000700002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000700002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000700002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Comparar el efecto de la alimentación temprana y su repercusión en la lactancia materna exclusiva con los cuidados neonatales convencionales en un hospital privado.  MATERIALES Y MÉTODOS:  Estudio comparativo, observacional, de cohortes, prospectivo y analítico llevado a cabo en el Hospital Ángeles de Querétaro de abril 2015 a octubre de 2021. Criterios de inclusión: madres con periodos intraparto y posparto inmediato, cualquier vía de nacimiento y aplicación o no de anestesia y neonatos de uno y otro sexo, de término, sin patología neonatal o malformaciones congénitas, Apgar a los 5 minutos más o menos mayor a 7 y peso mayor de 2500 g. Criterios de exclusión: embarazos múltiples, recién nacidos con algún padecimiento después del nacimiento o condiciones que impidieron la lactancia. Para la comparación entre grupos de las variables cualitativas se aplicó la prueba de &#967;2 y, en su caso, corrección de Yates con estimaciones de riesgo.  RESULTADOS:  Se analizaron 1175 madres de las que 687 (58.4%) recién nacidos tomaron lactancia exclusiva y 488 (41.6%) no lo hicieron. Las características clínicas y sociodemográficas entre los dos grupos de comparación fueron similares. Sobresalió que las madres y neonatos que lograron lactancia materna exclusiva exitosa fueron los del grupo de alimentación temprana en comparación con quienes no la hicieron (91.9 vs 52.6%; p &lt; 0.001, RR 4.85, IC95%: 3.80-6.18).  CONCLUSIONES:  La alimentación temprana, en la primera hora de vida, tiene un efecto benéfico, protector y positivo en la lactancia exclusiva, incluso de hasta casi cinco veces más que cuando no se consigue.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To compare the effect of early feeding and its impact on exclusive breastfeeding with conventional neonatal care in a private hospital.  MATERIALS AND METHODS:  Comparative, observational, cohort, prospective and analytical study conducted at the Hospital Ángeles de Querétaro from April 2015 to October 2021. Inclusion criteria: mothers with intrapartum and immediate postpartum periods, any birth route and application or not of anesthesia and neonates of either sex, term, without neonatal pathology or congenital malformations, Apgar at 5 minutes plus or minus greater than 7 and weight greater than 2500g. Exclusion criteria: multiple pregnancies, newborns with any condition after birth or conditions that prevented breastfeeding. For the comparison between groups of qualitative variables, the 2&#8217;s test was applied and, if necessary, Yates&#8217; correction with risk estimates.  RESULTS:  We analyzed 1175 mothers of whom 687 (58.4%) newborns were exclusively breastfed and 488 (41.6%) were not. The clinical and sociodemographic characteristics between the two comparison groups were similar. It stood out that mothers and infants who achieved successful exclusive breastfeeding were those in the early feeding group compared to those who did not (91.9 vs 52.6%; p &lt; 0.001, RR 4.85, 95%CI: 3.80-6.18).  CONCLUSIONS:  Early feeding, in the first hour of life, has a beneficial, protective and positive effect on exclusive breastfeeding even up to almost five times more than when it is not achieved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lactancia materna exclusiva]]></kwd>
<kwd lng="es"><![CDATA[neonatal]]></kwd>
<kwd lng="es"><![CDATA[hospital privado]]></kwd>
<kwd lng="es"><![CDATA[posparto]]></kwd>
<kwd lng="es"><![CDATA[anestesia]]></kwd>
<kwd lng="es"><![CDATA[neonatos]]></kwd>
<kwd lng="en"><![CDATA[Exclusive brestfeedig]]></kwd>
<kwd lng="en"><![CDATA[Neonatal]]></kwd>
<kwd lng="en"><![CDATA[Private Hospital]]></kwd>
<kwd lng="en"><![CDATA[Pospartum]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Neonates]]></kwd>
</kwd-group>
</article-meta>
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