Abstract
Objective: To analyse breastfeeding in premature babies, relating the characteristics of the mother-child binomial and maternal self-efficacy. Methods: Cross-sectional, descriptive, and exploratory study, with quantitative approach, in a public maternity hospital in the state of Piaui, Brazil, with 21 mothers and their children admitted to a Neonatal Intermediate Care Unit. A questionnaire on the maternal characterization, a checklist for assessment of the breastfeeding technique, and the Breastfeeding Self-Efficacy Scale – Short Form were applied. Results: Of the mothers, 10 (47.6%) were teenagers, 11 (52.4%) single, 10 (47.6%) with low education level, 10 (47.6%) with low income, 12 (57%) had no employment bond, 15 (71.4%) resided in the countryside of the state, 13 (61.9%) had a caesarean section, 11 (52.4%) had a previous pregnancy, 12 (57.1%) were multiparous, 11 (52.4%) had experience in breastfeeding, 12 (57.1%) planned the pregnancy, 16 (72.5%) had prenatal care with less than six visits, without any diagnosis of diseases, and 13 (81.3%) did not receive guidance about breastfeeding. Regarding the newborns, 18 (85.7%) weighed less than 1,500 kg at birth, 10 (47.6%) were fed with mixed/partial maternal breastfeeding, 16 (76.2%) had already used the orogastric feeding tube, 8 (66.7%) had latch difficulties, 7 (58.3%) poor suction, 8 (66.7%) disorganized swallowing, 10 (83.3%) reduced alertness, 9 (75.5%) had short length of feeding, 8 (66.6%) with improper positioning, and 13 (61.9%) had high efficacy in breastfeeding. Conclusion: The mothers showed high efficacy in breastfeeding their premature children. Considering the breastfeeding technique, however, this one was ineffective. doi: 10.5020/18061230.2015.p32
Highlights
Objetivo: Analisar a amamentação em prematuros relacionando as características do binômio mãe-filho e a autoeficácia materna
Of the mothers, (47.6%) were teenagers, (52.4%) single, 10 (47.6%) with low education level, 10 (47.6%) with low income, 12 (57%) had no employment bond, 15 (71.4%) resided in the countryside of the state, 13 (61.9%) had a caesarean section, (52.4%) had a previous pregnancy, (57.1%) were multiparous, (52.4%) had experience in breastfeeding, (57.1%) planned the pregnancy, 16 (72.5%) had prenatal care with less than six visits, without any diagnosis of diseases, and 13 (81.3%) did not receive guidance about breastfeeding
Resultados: (47,6%) eran adolescentes, (52,4%) solteras, 10 (47,6%) con bajo nivel de escolaridad, 10 (47,6%) con baja renta, 12 (57%) no tenían vínculo laboral, 15 (71,4%) vivían en los pueblos del estado, 13 (61,9%) tuvieron cesáreas, (52,4%) eran multigestas, eran (57,1%) multíparas, (52,4%) tuvieron la experiencia de amamantar, (57,1%) habían planeado el embarazo, 16 (72,5%) realizaron el prenatal con menos de seis consultas sin diagnóstico de enfermedades y 13 (81,3%) no recibieron las orientaciones del amamantamiento materno
Summary
Objetivo: Analisar a amamentação em prematuros relacionando as características do binômio mãe-filho e a autoeficácia materna. Os dados foram coletados por pesquisador treinado, que aplicou os seguintes instrumentos: 1) questionário para a caracterização materna relacionado a aspectos socioeconômicos, obstétricos e dos prematuros (situação civil, ocupação, nível de escolaridade, números de pessoas no domicílio, renda aproximada e procedência, número de gestações anteriores, tipo de parto atual e ocorrência ou não de aborto, bem como a caracterização dos prematuros quanto à idade, sexo, medidas antropométricas, Apgar ao nascer, alimentação atual e tratamento utilizado); 2) checklist de observação sistemática para avaliar a técnica de amamentação[8] e a escala Breastfeeding Self-Efficacy Scale – Short Form (BSES-F) para avaliar a autoeficácia materna mediante os escores encontrados.
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