Abstract
Abstract Objectives: to verify the prevalence and factors associated with maternal insecurity in breastfeeding with lactating women treated at a milk bank. Methods: cross-sectional study with secondary record data from January 2017 to December 2018 at the Human Milk Bank of the University Hospital of the Federal University of Maranhão. Results: a total of 891 lactating women were analyzed, of which 23.4% had maternal insecurity, being the second most prevalent complication. Most were young adults, married (68%), with complete higher education (64.9%) and family income above five minimum wages (32.5%). Regarding the obstetric history, the highest frequency was ofprimigravida (63.7%o), primiparous (70%), who had had seven or more prenatal appointments (91 %) in private health services (76.5%) where most births also occurred (78.6%), with cesarean section being the most prevalent mode of delivery (86.5%), 47.2% reported never having received guidance on breastfeeding and 80.7% were breastfeeding for the first time. There was a statistically significant relationship (p-value < 0.05) of maternal insecurity with the place where the prenatal care was performed and the place and mode of delivery. Conclusion: maternal insecurity was the second most prevalent breast complication among lactating women in the service. It stands out the need for adequate guidance and counseling on the subject, especially during prenatal care, contributing to avoid early weaning
Highlights
The breastfeeding process is influenced by several factors, including the maternal aspects, especially with regard to the behavior of each woman in this context, aspects related to the child and the periods of birth and postpartum and external conditions, which involve the environment and family routine.[1]The components of the social network of the nurse, including health professionals, are capable of interfering in the decision to breastfeed, and it is relevant to pay attention to the way in which the approach to women and their families is made, because their afflictions are not always spontaneously exposed
The objective of this study is to verify the prevalence and factors associated with maternal insecurity in breastfeeding in breastfeeding women served in a human milk bank
This is a transversal and analytical study with a quantitative approach based on the retrospective data from the records of care that occurred between January 2017 and December 2018 at the Human Milk Bank (HMB) of the University Hospital of the Federal University of Maranhão - Maternal Infant Unit (HUUFMA-UMI – Portuguese acronym)
Summary
The components of the social network of the nurse, including health professionals, are capable of interfering in the decision to breastfeed, and it is relevant to pay attention to the way in which the approach to women and their families is made, because their afflictions are not always spontaneously exposed. It is recommended by WHO and the United Nations Children's Fund (UNICEF) that this approach is done in an effective way, being necessary the use of counseling skills such as qualified listening, understanding and offering help, in order to promote self-confidence and self-esteem, preparing them to deal with adverse situations and to make decisions.[2]. Maternal insecurity is generally related to a woman's perception of her ability to feed her child, being an influential factor in the decision and maintenance of breastfeeding, being pointed out as one of the main reasons for the introduction of nutritional complementation before the baby's fourth month of life.[5]
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