Abstract
The scope of this research was to assess the breastfeeding intention among high-risk pregnant women and related factors. It is a cross-sectional, qualitative and quantitative study, with 1,118 high-risk pregnant women who attended the prenatal care unit at a specialized center of the Unified Health System. The dependent variables were exclusive breastfeeding intention, intended duration and conditions that might interfere with breastfeeding. The Epi Info 7.4.1, Bioestat 5.3 and IRAMUTEQ 0.7.2.0 programs were used for data processing. The results showed that 8.76% of the pregnant women had conditions that could affect lactation. Among the women, 93.83% affirmed having exclusive breastfeeding intention, of which 69.86% intended to breastfeed until the child was six months old, revealing an association with sociodemographic variables (p<0.05). The intended breastfeeding duration was related to the age (p=0.0041), marital status (p=0.0053) and level of education (p=0.0116). The main reasons reported for not providing exclusive breastfeeding were the following: HIV, use of medications, work and lack of information. This research concluded that a small cohort of high-risk pregnant women presented conditions that could interfere with breastfeeding. Most of them intended to breastfeed exclusively for six months.
Highlights
Resumo O objetivo nesta pesquisa foi avaliar a intenção de amamentação de gestantes de alto risco e fatores relacionados
A Organização Mundial de Saúde (OMS) recomenda que, nos seis primeiros meses de amamentação, seja oferecido somente o leite do peito ao bebê e, após esse período, a continuação do aleitamento até os dois anos de vida[6]
O apoio às mães no que concerne a amamentação pode ser um fator diferencial para o sucesso do aleitamento materno[7,9,29,30]
Summary
Nota: Diversas entrevistadas apresentaram mais de uma condição de alto risco. nenhum tipo de lactose. Foram poucas as gestantes de alto risco neste estudo que apresentavam essas condições. A transmissão vertical do HIV pode ocorrer no período gestacional ou por meio do leite materno. O leite materno é o principal alimento para garantir o crescimento do bebê nos primeiros seis meses de vida[16]. A OMS recomenda que, nos seis primeiros meses de amamentação, seja oferecido somente o leite do peito ao bebê e, após esse período, a continuação do aleitamento até os dois anos de vida[6]. Foi observado que a maioria das gestantes pretendia amamentar até um ano de vida do bebê. O apoio às mães no que concerne a amamentação pode ser um fator diferencial para o sucesso do aleitamento materno[7,9,29,30].
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