Percepção materna sobre os fatores que interferem na amamentação de prematuros
Maternal perception of factors that interfere with breastfeeding of premature babies
Bárbara Helem da Fonseca Patrocínio Werneck; Juliana Cordeiro de Oliveira; Cláudia Gonçalves de Oliveira; Andréa Rodrigues Motta; Amélia Augusta de Lima Friche; Renata Maria Moreira Moraes Furlan
Resumo
Palavras-chave
Abstract
Purpose to verify the association between the perception of mothers of premature infants regarding the features that may interfere with breastfeeding and the mother's socioeconomic data, pregnancy and the baby's clinical data.
Methods observational, descriptive and analytical quali-quantitative cross-sectional study. One hundred and fourteen mothers of premature infants were included and data were collected through questionnaires, applied at hospital discharge, and analysis of medical records. Maternal responses about the interference observed in the breastfeeding process were categorized by content analysis and associated with socioeconomic, pregnancy and baby data.
Results the mothers' perceptions regarding the factors that interfere with the baby's feeding at the mother's breast were divided into four semantic categories: clinical and/or physical conditions of the baby; clinical, physical and/or psycho-emotional conditions of the mother; support network; and strategies for initiating and/or maintaining breastfeeding. Education, paternal presence, having other children and having breastfed them were associated with the maternal perception that their clinical, physical and/or psycho-emotional conditions interfere with breastfeeding. In addition, the support network was associated with exclusive breastfeeding at discharge.
Conclusion education, paternal presence, multiparity and having breastfed previous children influenced the maternal perception that their clinical, physical and/or psycho-emotional conditions interfere with breastfeeding. In addition, mention of the support network was associated with exclusive breastfeeding at discharge.
Keywords
Referencias
1 Serra SO, Scochi CG. Mother’s difficulties in breastfeeding premature babies in the neonatal ICU. Rev Lat Am Enfermagem. 2004;12(4):597-605. PMid:15651643.
2 WHO: World Health Organization. Preterm birth [Internet]. Geneva: WHO; 2018 [citado em 2022 Mar 7]. Disponível em:
3 Fernandes MMSM, Santos AG, Santiago AKC. Prognosis of newborns in neonatal intensive care units: an integrative review. Rev Fund Care Online. 2019;11(3):748-55.
4 Denucci MA, Williams EM, Badoca ME, de Souza CH. Speech-language pathology action in breastfeeding: aspects about prematurity. Braz J Dev. 2021;7(8):82122-36.
5 Boff AD, Paniagua LM, Scherer S, Goulart BN. Mother’s social/economic aspects and level of knowledge about breastfeeding. Audiol Commun Res. 2015;20:141-5.
6 Souza JA, Paula GR, Topanotti J, Cassol K. Maternal perception on premature breastfeeding: literature review. Rev Thêma et Scientia. 2021;11(2):168-83.
7 Lima AP, Castral TC, Leal LP, Javorski M, Sette GC, Scochi CG, et al. Exclusive breastfeeding of premature infants and reasons for discontinuation in the first month after hospital discharge. Rev Gaúcha Enferm. 2019;40:e20180406.
8 Azevedo MD, Cunha ML. Factors associated with exclusive breastfeeding in premature babies in the first month after hospital discharge. Rev HCPA. 2013;33(1):40-9.
9 Faleiros FT, Trezza EM, Carandina L. Factors influencing breastfeeding decision and duration. Rev Nutr. 2006;19:623-30.
10 Balaminut T, Sousa MI, Gomes ALM, Christoffel MM, Leite AM, Scochi CGS. Aleitamento materno em prematuros egressos de hospitais amigos da criança do sudeste brasileiro. Rev Eletr Enferm. 2018;20:v20a22.
11 Monteiro JRS, Dutra TA, Tenório MCSS, Silva DAV, Mello CS, Oliveira ACM. Associated factors with early interruption of exclusive breastfeeding in preterm infants. Arq. Catarin Med. 2020;49(1):50-65.
12 Arns-Neumann C, Ferreira TK, Cat MNL, Martins M. Breastfeeding preterm infants: prevalence and associated factors with early termination. J Paran Pediatri. 2014;21(1):18-24.
13 Maastrup R, Hansen BM, Kronborg H, Bojesen SN, Hallum K, Frandsen A, et al. Breastfeeding progression in preterm infants is influenced by factors in infants, mothers and clinical practice: the results of a national cohort study with high breastfeeding initiation rates. PLoS One. 2014;9(9):e108208.
14 Niela-Vilén H, Melender HL, Axelin A, Löyttyniemi E, Salanterä S. Predictors of breastfeeding initiation and frequency for preterm infants in the NICU. J Obstet Gynecol Neonatal Nurs. 2016;45(3):346-58.
15 Bardin L. Análise de conteúdo. 70. ed. São Paulo: Almedina; 2011.
16 Nazareth IV, dos Santos IMM, da Silva LR, Moraes SRL, Silva ÍR. Gestational risks and premature birth: coping for motherhood. Rev Enferm UFPE. 2019;13(4):1030-9.
17 Brito JG, Barbosa MJ, Araújo KG, Silva DS, Cavalcante NB. The parental presence in exclusive breastfeeding Id on Line. Rev Mult Psic. 2020;14(52):799-812.
18 Gianni ML, Bezze EN, Sannino P, Baro M, Roggero P, Muscolo S, et al. Maternal views on facilitators of and barriers to breastfeeding preterm infants. BMC Pediatr. 2018;18(1):283.
19 Amando AR, Tavares SK, Oliveira AKP, Fernandes FECV, Sena CRS, Melo RA. Perception of mothers on the process of breastfeeding premature newborns in the neonatal unit. Rev Baiana Enferm. 2016;4(30):1-11.
20 Azevedo DS, Reis ACS, Freitas LV, Costa PB, Pinheiro PNC, Damasceno AKC. Knowledge of primiparous about the benefits of breastfeeding. Rev Rene Fortaleza. 2010;11(2):53-62.
21 Medeiros FB, Piccinini CA. Transition to fatherhood in the context of prematurity: from pregnancy to the third month after discharge. Temas Psicol. 2019;27(4):1021-37.
22 Silva PPS, Silveira RB, Mascarenhas MLW, Silva MB, Kaufmann CC, Albernaz EP. The maternal perception on paternal support: influence on the duration of breastfeeding. Rev Paul Pediatr. 2012;30(3):306-13.
23 Vieira GO, Martins CD, Vieira TD, Oliveira NF, Silva LR. Factors predicting early discontinuation of exclusive breastfeeding in the first month of life. J Pediatr. 2010;86(5):441-4.
24 Alves YR, Couto LL, Barreto ACM, Quitete JB. Breastfeeding under the umbrella of support networks: a facilitative strategy. Esc Anna Nery. 2020;24(1):e20190017.
25 Silva RM, da Silva Menezes CC, Cardoso LL, França AF. Vivências de famílias de neonatos reformulados hospitalizados em unidade de terapia intensiva neonatal: revisão integrativa. Enferm Cent O Min. 2016;6(2):2258-70.
26 Tronco CS, Bonilha ALL, Schlemmer JT, Paula CC, Padoin SMM. Social support for breastfeeding: perception of mothers of late premature newborns. Rev Baiana Enferm. 2022;36:e46643.
27 Lima RI, Parente MA, Ferreira TI, Coelho AA, de Loureiro EV, Barbosa TM, et al. Functional health literacy in users of family health units from Altamira (state of Pará, Brazil). Rev Bras Med Fam Comunidade. 2022;17(44):2763.
Submitted date:
11/10/2023
Accepted date:
12/03/2024