Consenso académico de prácticas de impacto de la lactancia en Colombia
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Introducción: La Sociedad Colombiana de Pediatría y la Asociación Colombiana de Nutrición Clínica reúne especialistas con el objetivo de llegar a acuerdos nacionales sobre tópicos relevantes y controversiales en lactancia, los cuales impactan el desarrollo y crecimiento de la población infantil.
Metodología: El grupo formuló 53 declaraciones controversiales tras una revisión exhaustiva de la literatura reciente. El panel contó con 44 especialistas de quince agremiaciones científicas y entidades no gubernamentales, destacando su enfoque multidisciplinario y representación regional. El proceso Delphi se realizó en una plataforma ad-hoc, con discusiones en línea. Los panelistas calificaron las declaraciones anónimamente en escala Likert de cinco puntos, estableciendo un consenso a priori del 85% de coincidencias. Cada participante justificó sus respuestas y se utilizó el coeficiente alfa de Cronbach para evaluar la consistencia interna, fijando en > 0,80 el criterio para la ronda final de consenso.
Resultados: Se realizaron dos rondas de discusión. El total de declaraciones alcanzó más del 85 % de consenso, con un alfa de Cronbach de 0.95.
Conclusiones: La evidencia científica respalda los beneficios de la lactancia, aunque persisten controversias. Este consenso brinda al profesional más herramientas para ayudar a las familias a tomar decisiones informadas. El uso del método Delphi en tiempo real permite la participación de expertos de todas las regiones del país con un análisis de datos objetivo y confiable. Estos resultados sientan una base de discusión para el análisis y soporte a las prácticas de lactancia materna en Colombia.
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