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.
Highlights
Maternal breastfeeding is a practice to promote health recommended exclusively in the first six months of a child's life, with vast scientific evidence
No puerperal woman had a level classified as low (Table 1)
Comparing clinical aspects of puerperal women with the general breastfeeding self-efficacy score and its domains, we identified that mothers who breastfed exclusively when at the hospital, that is, with no other type of milk given to their babies, had higher scores in general self-efficacy (p=0.0380) and in technical domain (p=0.0461)
Summary
Maternal breastfeeding is a practice to promote health recommended exclusively in the first six months of a child's life, with vast scientific evidence It is a natural feeding process for mothers and brings many benefits.[1] Epidemiological and biological findings of the past decade have expanded the wellknown benefits of exclusive breastmilk in the first six months of life for both children and women.[2]. It estimates that the expansion of breastfeeding to an universal level could prevent about 823,000 annual deaths of children under five years old, which would represent a 15.5% reduction in annual deaths in this age group. Despite global efforts to implement programs and public policies to encourage breastfeeding, rates of early onset, duration and exclusivity have not yet reached desirable levels.[2,4]
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