Factors associated with the initiation of breastfeeding in a maternity hospital in Lima, Peru.

Autor:	Rech RS; Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil., Chávez BA; Instituto Nacional Materno Perinatal - Lima, Peru., Fernandez PB; Instituto Nacional Materno Perinatal - Lima, Peru., Fridman CG; Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil., Faustino-Silva DD; Programa de Pós-graduação em Avaliação e Produção de Tecnologias para o Sistema Único de Saúde, Grupo Hospitalar Conceição - GHC - Porto Alegre (RS), Brasil., Hilgert JB; Programa de Pós-graduação em Odontologia, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.; Programa de Pós-graduação em Epidemiologia, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil., Hugo FN; Programa de Pós-graduação em Odontologia, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Jazyk:	Portuguese; English
Zdroj:	CoDAS [Codas] 2021 Jun 28; Vol. 33 (6), pp. e20200173. Date of Electronic Publication: 2021 Jun 28 (Print Publication: 2021).
DOI:	10.1590/2317-1782/20202020173
Abstrakt:	Purpose: To verify the anatomophysiological, psychological, and sociocultural factors of the mother-newborn binomial, as well as their association with the initiation of breastfeeding. Methods: Cross-sectional study conducted in a maternity hospital in Lima, Peru. The sample consisted of 304 healthy neonates and their mothers. Breastfeeding performance was estimated by clinical assessment using the Clinical Evaluation of Breastfeeding Efficacy scale and maternal self-perception by the Breastfeeding Self-Efficacy Scale. Multivariate Prevalence Ratios (PR) were estimated by Poisson Regression with Robust Variance and 95% confidence intervals (CI). Results: The prevalence of clinical low breastfeeding performance was 27.6%. Primiparous women were associated with higher prevalence of low performance when they did not trust to succeed [PR:2.02(95%CI:1.18-3.44)] and lower prevalence in having a good latch [PR:0.52(95%CI:0.29-0.95)], as well as in coping successfully [PR:0.59(95%CI:0.37-0.91)]. Multiparous women showed higher prevalence when they were not confident in staying motivated [PR:3.47(95%CI:1.67-7.22)] and in calming the neonate [PR:4.07(95%CI:1.83-9.95)]. There was lower prevalence in keeping the neonate awake [PR:0.32(95%CI:0.14-0.75)] and when they did not feel confident in the presence of their family [PR:0.29(95%CI:0.13-0.64)]. Conclusion: It is important that health professionals be aware of emotional, social, and cultural issues to promote quality breastfeeding.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu