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Pinto SL, Barruffini ACC, Silva VO, Ramos JEP, Borges LL, Cordeiro JABL, Silva AMTC, Almeida RJD, Junqueira IC. Evaluation of breastfeeding self-effectiveness and its associated factors in puerperal women assisted at a public health system in Brazil. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2021. [DOI: 10.1590/1806-93042021000100005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Abstract Objectives: evaluate breastfeeding self-efficacy and its associated factors in puerperal women assisted at a public health system in Brazil. Methods: it is a cross-sectional analytical study, with convenience sampling and two instruments: sociodemographic, personal and clinical, and Breastfeeding Self-Efficacy Scale (BSES-SF), applied to puerperal women in a puerperal outpatient clinic at two public maternity hospitals in Goiânia/GO, from September to November 2019. Inclusion criteria: mothers in puerperal period, age above 18 years, children born at term and on exclusive breastfeeding. Exclusion criteria: report depression and premature wean. Results: 128puerperal women were interviewed. The average age was 26.7 (± 5.9) years old. The levels of self-efficacy were high (95.3%) and no puerperal had a low level. The variables with statistical significance were: experience in breastfeeding (p= 0.0312), not having received information on breastfeeding during pregnancy (p=0.0292), did not receive other milk at the maternity (p=0.0380), did not feel pain while breastfeeding (p=0.0242), being able to breastfeed on demand (p=0.0124), presence of breast engorgement (p=0.0207), presenting protruding nipples (p=0.0427). Conclusions: clinical and personal aspects were identified as risk factors for early weaning. This can provide information for the training ofprofessionals and structuring the interventions in health services, with a view in preventing these risks.
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Silva CS, Lima MC, Sequeira‐de‐Andrade LA, Oliveira JS, Monteiro JS, Lima NM, Santos RM, Lira PI. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2017. [DOI: 10.1016/j.jpedp.2017.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Silva CS, Lima MC, Sequeira-de-Andrade LAS, Oliveira JS, Monteiro JS, Lima NMS, Santos RMAB, Lira PIC. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. J Pediatr (Rio J) 2017; 93:356-364. [PMID: 28034730 DOI: 10.1016/j.jped.2016.08.005] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Revised: 08/02/2016] [Accepted: 08/09/2016] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVE To investigate the association between postpartum depression and the occurrence of exclusive breastfeeding. METHOD This is a cross-sectional study conducted in the states of the Northeast region, during the vaccination campaign in 2010. The sample consisted of 2583 mother-child pairs, with children aged from 15 days to 3 months. The Edinburgh Postnatal Depression Scale was used to screen for postpartum depression. The outcome was lack of exclusive breastfeeding, defined as the occurrence of this practice in the 24h preceding the interview. Postpartum depression was the explanatory variable of interest and the covariates were: socioeconomic and demographic conditions; maternal health care; prenatal, delivery, and postnatal care; and the child's biological factors. Multivariate logistic regression analysis was conducted to control for possible confounding factors. RESULTS Exclusive breastfeeding was observed in 50.8% of the infants and 11.8% of women had symptoms of postpartum depression. In the multivariate logistic regression analysis, a higher chance of exclusive breastfeeding absence was found among mothers with symptoms of postpartum depression (OR=1.67; p<0.001), among younger subjects (OR=1.89; p<0.001), those who reported receiving benefits from the Bolsa Família Program (OR=1.25; p=0.016), and those started antenatal care later during pregnancy (OR=2.14; p=0.032). CONCLUSIONS Postpartum depression contributed to reducing the practice of exclusive breastfeeding. Therefore, this disorder should be included in the prenatal and early postpartum support guidelines for breastfeeding, especially in low socioeconomic status women.
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Affiliation(s)
- Catarine S Silva
- Centro Acadêmico de Vitória, Universidade Federal de Pernambuco (UFPE), Núcleo de Nutrição, Vitória de Santo Antão, PE, Brazil.
| | - Marilia C Lima
- Universidade Federal de Pernambuco (UFPE), Departamento Materno Infantil, Recife, PE, Brazil
| | | | - Juliana S Oliveira
- Centro Acadêmico de Vitória, Universidade Federal de Pernambuco (UFPE), Núcleo de Nutrição, Vitória de Santo Antão, PE, Brazil
| | - Jailma S Monteiro
- Universidade Federal de Pernambuco (UFPE), Departamento de Nutrição, Recife, PE, Brazil
| | - Niedja M S Lima
- Centro Acadêmico de Vitória, Universidade Federal de Pernambuco (UFPE), Vitória de Santo Antão, PE, Brazil
| | | | - Pedro I C Lira
- Universidade Federal de Pernambuco (UFPE), Departamento de Nutrição, Recife, PE, Brazil
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Silva CME, Pellegrinelli ALR, Pereira SCL, Passos IR, Santos LCD. Práticas educativas segundo os “Dez passos para o sucesso do aleitamento materno” em um Banco de Leite Humano. CIENCIA & SAUDE COLETIVA 2017; 22:1661-1671. [DOI: 10.1590/1413-81232017225.14442015] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 11/19/2017] [Indexed: 11/21/2022] Open
Abstract
Resumo Este artigo objetivou avaliar práticas educativas segundo os “Dez Passos para o Sucesso do Aleitamento Materno” em Banco de Leite Humano. Estudo retrospectivo com informações sociodemográficas e gestacionais maternas e referentes ao bebê, obtidas de protocolo de atendimento de nutrizes (2009-2012). Tais dados foram associados aos passos relacionados a práticas educativas dentre os “Dez Passos”. Realizou-se análise descritiva, teste qui-quadrado e regressão de Poisson. Foram avaliadas 12.283 mães, com mediana de 29 (12-54) anos de idade. As orientações recebidas sobre amamentação no pré-natal (passo 3) prevaleceram entre mães de 30-39 anos e o contato pele/pele (passo 4) entre as orientadas. O treinamento sobre amamentação (passo 5) predominou entre aquelas que amamentaram exclusivamente. Notou-se maior prevalência de amamentação exclusiva (passo 6) e sob livre demanda (passo 8) e uso de bicos artificiais (passo 9) entre os lactentes de mães orientadas. Os achados apontam importante papel do profissional da saúde no treinamento mãe/filho sobre aleitamento materno e incentivo ao contato pele/pele, amamentação exclusiva e sob livre demanda. As orientações ofertadas necessitam aprimoramento a fim de reduzir o uso de bicos artificiais e potencializar a amamentação exclusiva.
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Silva AED, Campos COM, Oliveira MDCFD, Ribeiro AQ, Cotta RMM, Araújo RMA. Changes in maternal conception about breastfeeding. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2016. [DOI: 10.1590/1806-93042016000400003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to analyze maternal conceptions about the conditions of stimulating and discouraging breastfeeding before and after the educational intervention. Methods: An intervention study type pretest/posttest was conducted for 113 women attended at a public health service. An adapted cross-cultural questionnaire was applied to identify the conceptions of pregnant women about the conditions of stimulating and discouraging breastfeeding. The effect of the intervention was verified by assessing the Decisional Balance scores before and after the intervention. Results: there was a reduction in the overall score of the discouraging conditions and an increase of the overall score of the stimulating conditions (p<0.001). In evaluating each discouraging condition, a significant reduction in the affirmative scores was observed as "breastfeeding makes the breasts saggy" (p=0.003), "I think my breasts are too small to have enough breast milk for my baby" (p=0.001). Regarding to the stimulating conditions, it showed a significant increase in the affirmative score for "breastfeeding is good for me" (p=0.006), "breastfeeding can help me lose weight" (p=0.013), "breastfeeding is easy" (p=0.004). Conclusions: the intervention resulted in changing maternal conceptions of breastfeeding and can be an interesting strategy on promoting breastfeeding in health services.
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de Sousa TM, dos Santos LC, Peixoto ÉF, Lopes LMC, de Andrade LB, Frois MC, Santiago MA, Bouzada MCF. Factors Associated with Nipple Lesions in Puerperae. J Trop Pediatr 2016; 62:63-8. [PMID: 26330461 PMCID: PMC4892383 DOI: 10.1093/tropej/fmv056] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This retrospective cross-sectional study aimed to evaluate the factors associated with nipple lesion development in puerperae. Analyses were performed using the Poisson regression with robust variance. The level of significance was set at 5% (p < 0.05). We evaluated 1270 puerperae, among whom 193 (15.4%) presented with nipple lesions. The condition was more prevalent among the mothers who did not receive information about breastfeeding [PR, 1.69; 95% confidence interval (CI), 1.19-2.42], those who underwent cesarean delivery (PR, 1.48; 95% CI, 1.02-2.16), those who used a pacifier (prevalence ratios (PR), 2.04; 95% CI, 1.05-3.95), those who used baby formula only (PR, 1.61; 95% CI, 4.82-5.36) and those who used baby formula combined with breastfeeding (PR, 1.61; 95% CI, 1.06-2.45). A lower incidence of nipple lesions was observed among those who did not receive information on hand expression of breast milk (PR, 0.65; 95% CI, 0.46-0.93) and those who did not breastfeed in the first hour of life (PR, 0.61; 95% CI, 0.38-0.97).
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Pellegrinelli ALR, Pereira SCL, Ribeiro IP, Santos LCD. Influência do uso de chupeta e mamadeira no aleitamento materno exclusivo entre mães atendidas em um Banco de Leite Humano. REV NUTR 2015. [DOI: 10.1590/1415-52732015000600006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJETIVO: Avaliar o uso de chupeta e mamadeira e sua influência na prevalência do aleitamento materno exclusivo entre lactentes de mães atendidas em um Banco de Leite Humano. MÉTODOS: Estudo transversal com mães atendidas em um Banco de Leite Humano entre 2009 e 2011 a partir de informações (sociodemográficas, antecedentes obstétricos, dados sobre aleitamento materno exclusivo, mamadeira e chupeta) obtidas por meio de questionário estruturado. Realizaram-se análise descritiva, teste de Qui-quadrado e regressão de Poisson. RESULTADOS: Avaliaram-se 9 474 mães, 65,2% com escolaridade até o ensino médio e 60,6% referiram aleitamento materno exclusivo. A prevalência de uso de mamadeira e chupeta foi de 22,9 e 25,0%, respectivamente. A amamentação exclusiva foi menor entre os lactentes que usavam chupeta (38,4 versus 43,2%; p<0,001) e mamadeira (13,5 versus 46,6%; p<0,001). O uso de mamadeira se associou à menor prevalência de aleitamento exclusivo (RP=0,43; IC95%=0,35-0,53), em contraste com a amamentação sob livre demanda (RP=5,5; IC95%=4,17-7,3), maior nível de escolaridade materna (RP=1,2; IC95%=1,08-1,35), pré-natal (RP=1,25; IC95%=1,13-1,38) e a mãe orientada sobre amamentação (RP=1,10; IC95%=1,02-1,18), que favoreceram esta prática. O uso de chupeta não se associou à prevalência de aleitamento materno exclusivo (RP=1,10; IC95%=1,00-1,21). CONCLUSÃO: O uso de mamadeira exerceu influência negativa na prevalência do aleitamento materno exclusivo e deve ser considerado alvo de estratégias para incremento dessa prática.
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