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https://codas.org.br/article/doi/10.1590/2317-1782/20232022123en
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Artigo Original

Self-efficacy and breastfeeding outcomes in mothers of premature and term infants: a longitudinal study

Autoeficácia e desfechos da amamentação em mães de bebês prematuros e a termo: um estudo longitudinal

Débora Gabriela Fernandes Assunção; Maria Clara Lima da Cruz; Norrara Scarlytt de Oliveira Holanda; Ruth Batista Bezerra Fagundes; Ana Verônica Dantas de Carvalho; Ingrid Guerra Azevedo; Silvana Alves Pereira

http://dx.doi.org/10.1590/2317-1782/20232022123en CoDAS, vol.35, n5, e20220123, 2023
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Abstract

Purpose

To analyze the breastfeeding self-efficacy in mothers of premature and full-term newborns, in the period of 180 days, and to know the social and obstetric factors that influence the practice of maintaining the exclusive breastfeeding in the period of exclusive recommendation.

Methods

Cohort with 44 mothers admitted to a public maternity hospital between January and October 2018. The mothers were divided into two groups: Premature and Full-term Groups. The Breastfeeding Self-efficacy Scale was applied in the immediate postpartum period, in addition to a questionnaire elaborated by the authors to collect sociodemographic and obstetric variables. The follow-up was done on the 30th, 120th and 180th days of the newborn’s life, by telephone. For the statistical analysis between the groups, the Statistical Package for the Social Sciences (SPSS) was used.

Results

There was no difference in the self-efficacy score, nor in the obstetric and socioeconomic characteristics between the groups, except for family income (lower in the Premature Group - p = 0.031). The diet type was different on the 30th day after delivery (p = 0.023), with greater adherence to the exclusive breastfeeding in the Premature Group. No association was found between breastfeeding self-efficacy and exclusive breastfeeding practice in the 180-day period.

Conclusion

In this sample, the breastfeeding self-efficacy was not related to the exclusive breastfeeding practice in the period of 180 days, in both groups. The premature group showed lower family income and greater adherence to exclusive breastfeeding on the 30th day postpartum.

Keywords

Breast Feeding; Self Efficacy; Lactation; Premature; Newborn

Resumo

Objetivo

Analisar a autoeficácia da amamentação, no período de 180 dias, em mães de recém-nascidos prematuros e a termo, e conhecer os fatores que influenciam na prática do aleitamento materno exclusivo no período de recomendação exclusiva.

Método

Coorte realizado com 44 puérperas de uma maternidade pública, entre janeiro e outubro de 2018. As puérperas foram divididas em dois grupos: Grupo Prematuro e Grupo Termo. A Breastfeeding Self-efficacy Scale foi aplicada no pós-parto imediato, além de um questionário elaborado pelos autores para coleta de variáveis sociodemográficas e obstétricas. O monitoramento da continuidade do aleitamento materno foi feito no 30º, 120º e 180º dia de vida do neonato, via telefone. Para a análise estatística entre os grupos foi utilizado o Statistical Package for the Social Sciences (SPSS).

Resultados

Não houve diferença na pontuação da autoeficácia, nas características obstétricas e socioeconômicas entre os grupos, exceto para a variável renda familiar, (menor no Grupo Prematuro - p=0,031). O tipo de dieta foi diferente no 30º dia pós parto (p=0,023), com maior adesão ao aleitamento materno exclusivo no Grupo Prematuro. Não foi encontrada associação entre a autoeficácia da amamentação e a prática do aleitamento materno exclusivo no período de 180 dias.

Conclusão

Nesta amostra, a autoeficácia da amamentação não teve relação com a prática do aleitamento materno exclusivo no período de 180 dias em ambos os grupos. O grupo de prematuros apresentou menor renda familiar e maior adesão ao aleitamento materno exclusivo no 30º dia pós parto.

Palavras-chave

Aleitamento Materno; Autoeficácia; Lactação; Recém-nascido Prematuro; Recém-nascido

Referências

  1. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. II Pesquisa de prevalência de aleitamento materno nas capitais brasileiras e Distrito Federal. Brasília: Ministério da Saúde; 2009.
  2. Lira EL, Costa JR, Sousa PS, Faria MD. Factors responsible for the interruption of early breast feeding: an integrative review. Rev Interdiscip Estud em Saúde. 2017;6:83-93.
  3. Carvalho JL, Cirino IP, Lima LH, Sousa AF, Carvalho MF, Oliveira EA. Knowledge of mothers on exclusive breast feeding and complementary feeding. Saúde em Redes. 2016;2:383-92. http://dx.doi.org/10.18310/2446-4813.2016v2n4p383-392
  4. Rocha IS, Lolli LF, Fujimaki M, Gasparetto A, Rocha NB. Influence of maternal confidence on exclusive breastfeeding until six months of age: a systematic review. Cien Saude Colet. 2018;23(11):3609-19. http://dx.doi.org/10.1590/1413-812320182311.20132016 PMid:30427434.
  5. Tenório MC, Dutra TA, Lima A, Monteiro JR, Oliveira AC. Prevalência e fatores associados ao inicio tardio do aleitamento materno em recém-nascidos prematuros nascidos em maternidade de referência de Alto Risco de Maceió, Alagoas. GEP News. 2018;2:63-9.
  6. Rocha AF, Gomes KR, Rodrigues MT, Mascarenhas MD, Freire AL. Intention of getting pregnant and breastfeeding: an integrative review. Rev Bras em Promoção da Saúde. 2018;31:1-10.
  7. Javorski M, Rodrigues AJ, Dodt RC, Almeida PC, Leal LP, Ximenes LB. Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding. Rev Esc Enferm USP. 2018;52:1-8. PMid:29898169.
  8. Wang S, Liu J, Guo N, Jiang H. The relationship between birthing related factors and maternal breastfeeding confidence in China. Women Birth. 2020;26:e03329. PMid:32113872.
  9. Lopes BB, Lopes AF, Soares DG, Dodou HD, Castro RC, Oriá MO. Assessment of maternal self-efficacy in breastfeeding in the immediate puerperium. Rev Rene. 2018;18(6):818-24. http://dx.doi.org/10.15253/2175-6783.2017000600016
  10. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. http://dx.doi.org/10.1037/0033-295X.84.2.191 PMid:847061.
  11. Dennis C, Faux S. Development and psychometric testing of the Breastfeeding Self‐Efficacy Scale. Res Nurs Health. 1999;22(5):399-409. http://dx.doi.org/10.1002/(SICI)1098-240X(199910)22:5<399::AID-NUR6>3.0.CO;2-4 PMid:10520192.
  12. Oriá MO, Ximenes LB. Translation and cultural adaptation of the Breastfeeding Self-Efficacy Scale to Portuguese. Acta Paul Enferm. 2010;23:230-8. http://dx.doi.org/10.1590/S0103-21002010000200013
  13. Freitas BA, Lima LM, Carlos CF, Priore SE, Franceschini SC. Duration of breastfeeding in preterm infants followed at a secondary referral service. Rev Paul Pediatr. 2016;34(2):189-96. http://dx.doi.org/10.1016/j.rpped.2015.10.005 PMid:26614258.
  14. Michels KA, Ghassabian A, Mumford SL, Sundaram R, Bell EM, Bello SC, et al. Breastfeeding and motor development in term and preterm infants in a longitudinal US cohort. Am J Clin Nutr. 2017;106(6):1456-62. http://dx.doi.org/10.3945/ajcn.116.144279 PMid:29092884.
  15. Wang Y, Briere CE, Xu W, Cong X. Factors affecting breastfeeding outcomes at six months in preterm infants. J Hum Lact. 2019;35(1):80-9. http://dx.doi.org/10.1177/0890334418771307 PMid:29723482.
  16. Cruz MR, Sebastião LT. Breastfeeding in premature infants: mothers’ knowledge, feelings and experiences. Distúrb Comun. 2015;27:76-84.
  17. Crippa BL, Colombo L, Morniroli D, Consonni D, Bettinelli ME, Spreafico I, et al. Do a few weeks matter? Late preterm infants and breastfeeding issues. Nutrients. 2019;11(2):312. http://dx.doi.org/10.3390/nu11020312 PMid:30717261.
  18. Souza EF, Fernandes RÁ. Breastfeeding self-efficacy: a cohort study. Acta Paul Enferm. 2014;27(5):465-70. http://dx.doi.org/10.1590/1982-0194201400076
  19. Vieira ES, Caldeira NT, Eugênio DS, Lucca MM, Silva IA. Breastfeeding self-efficacy and postpartum depression: A cohort study. Rev Lat Am Enfermagem. 2018;26(0):e3035. http://dx.doi.org/10.1590/1518-8345.2110.3035 PMid:30208158.
  20. World Health Organization. Indicators for assessing breast-feeding practices: report of an informal meeting, 11-12 June 1991. Geneva: WHO; 1991.
  21. Sadovsky AD, Matijasevich A, Santos IS, Barros FC, Miranda AE, Silveira MF. Socioeconomic inequality in preterm birth in four Brazilian birth cohort studies. J Pediatr. 2018;94(1):15-22. http://dx.doi.org/10.1016/j.jped.2017.02.003 PMid:28572019.
  22. Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller AB, et al.; Born Too Soon Preterm Birth Action Group. Born too soon: the global epidemiology of 15 million preterm births. Reprod Health. 2013;10(Suppl. 1):S2. http://dx.doi.org/10.1186/1742-4755-10-S1-S2 PMid:24625129.
  23. Brandão S, Mendonça D, Dias CC, Pinto TM, Dennis CL, Figueiredo B. The breastfeeding selfefficacy scale-short form: psychometric characteristics in Portuguese pregnant women. Midwifery. 2018;66:49-55. http://dx.doi.org/10.1016/j.midw.2018.07.014 PMid:30121478.
  24. Lau C. Development of suck and swallow mechanisms in infants. Ann Nutr Metab. 2015;66(5, Suppl. 5):7-14. http://dx.doi.org/10.1159/000381361 PMid:26226992.
  25. Lee YH, Chang GL, Chang HY. Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding. Midwifery. 2019;75:5-11. http://dx.doi.org/10.1016/j.midw.2019.03.023 PMid:30974334.
  26. Gennaro LR, Barham EJ. Strategies to promote parental involvement in neuropediatric physiotherapy: an interdisciplinary approach. Estud Pesqui Psicol. 2014;14(1):10-28.
  27. Nascimento GB, Kessler TM, Souza APR, Costa I, de Moraes AB. Risk indicators for hearing loss and language acquisition and their relationship with socioeconomic, demographic and obstetric variables in preterm and term babies. CoDAS. 2020;32(1):e20180278. http://dx.doi.org/10.1590/2317-1782/20192018278 PMid:32049152.
  28. Figueredo SF, Mattar MJ, Abrão A. Baby-Friendly Hospital: prevalence of exclusive breastfeeding at 6 months and intervening factors. Rev Esc Enferm USP. 2013;47(6):1291-7. http://dx.doi.org/10.1590/S0080-623420130000600006 PMid:24626353.
  29. Cortelo FM, Marba S, Cortellazzi KL, Ambrosano G, Guerra LM, Almeida ACG, et al. Women’s sense of coherence and its association with early weaning. J Pediatr. 2018;94(6):624-9. http://dx.doi.org/10.1016/j.jped.2017.08.007 PMid:29097193.
  30. Silva CS, Lima MC, Sequeira-de-Andrade LA, Oliveira JS, Monteiro JS, Lima N, et al. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. J Pediatr. 2017;93(4):356-64. http://dx.doi.org/10.1016/j.jped.2016.08.005 PMid:28034730.
     
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