Abstract
ABSTRACTObjective: To investigate the prevalence of difficulties in adopting initial breastfeeding techniques and their association with breast disorders in postpartum women.Methods: The cross-sectional study was carried out with 276 randomly selected mother-baby pairs in rooming-in in 3 hospitals in a city of Minas Gerais State (southeast Brazil). An assessment protocol was established to evaluate the breastfeeding technique used. The association between the variables studied and breast disorders was determined by the chi-square test followed by logistic regression, with significance level set at 0.05.Results: The main factors indicating difficulties to initiate the breastfeeding techniques were inadequate attachment of the baby to the breast (25%), baby response to the contact with the breast (26.1%) and breast disorders (28.3%). Variables associated with postparturm breast disorders were: adolescent mothers (OR 3.35; 95%CI 1.51-7.44; p=0.003); maternal schooling ≤8 years (OR 2.07; 95%CI 1.01-4.23; p=0.048); and supplement provision to the newborn at the hospital (OR 2.36; 95%CI 1.40-4.92; p=0.003). Mothers working outside the household (OR 0.31; 95%CI 0.16-0.61; p=0.001) served as as protective factor on the multivariate model.Conclusions: The main difficulties in initial breastfeeding were associated with breast disorders, and the factors associated with this problem included demographic and social, variables, as well as others related to the care routine adopted by maternity hospitals.
Highlights
The World Health Organization (WHO) recommends exclu‐ sive breastfeeding (EBF) for six months, and complemented until the age of 2 or more, considering the benefits proved in practice for both mother and child.[1]
This study aimed at identifying the prevalence of conditions indicating initial difficulties with breastfeeding, based on the use of a sucking evaluation file, and the factors associated with the presence of breast problems among mothers in the puerpe‐ rium, in maternity wards of Hospitais Amigos da Criança, in the North of Minas Gerais
The results obtained in the study show high prevalence of conditions indicating initial difficulties with the breastfeed‐ ing technique
Summary
The World Health Organization (WHO) recommends exclu‐ sive breastfeeding (EBF) for six months, and complemented until the age of 2 or more, considering the benefits proved in practice for both mother and child.[1]. WHO, together with the United Nation’s Children Fund (Unicef ), recommend the use of a “sucking evaluation file” as a strategy to monitor and identify these initial difficulties involving the breastfeeding technique.[12] Despite being little used, this instrument allows assessing behaviors that are favor‐ able or not in relation to breastfeeding, including the mother and the newborn’s posture, the responses of the pair at the beginning of sucking, the establishment of affectional bonds, the characteristics of suction, the anatomical conditions of the breast, duration and conclusion of the sucking.[12,13,14] This study aimed at identifying the prevalence of conditions indicating initial difficulties with breastfeeding, based on the use of a sucking evaluation file, and the factors associated with the presence of breast problems among mothers in the puerpe‐ rium, in maternity wards of Hospitais Amigos da Criança, in the North of Minas Gerais
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