Orientações sobre aleitamento materno prestadas no pré-natal de hospitais do SUS e sua associação com a satisfação das gestantes quanto ao apoio recebido para amamentar

• Autor(a) principal: Nascimento, Vivianne Cavalcanti do
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal Fluminense (RIUFF)
• Texto Completo: https://app.uff.br/riuff/handle/1/19888
• topic: Aleitamento materno; Hospital; Satisfação do usuário; Estudos transversais; MEDICINA; Satisfação do paciente; Breastfeeding; Hospital; Patient satisfaction; Cross-sectional studies; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

Introduction: The Baby-Friendly Hospital Initiative (BFHI) recommends "Ten Steps to Successful Breastfeeding." According to Step 3, the hospital must "inform all pregnant women about the benefits and management of breastfeeding." Objectives: analyzing the impact of socioeconomic factors, reproductive factors, prenatal care and breastfeeding guidance received at the hospital on pregnant women s satisfaction with prenatal support to breastfeeding. Methods: a cross-sectional study was conducted in 2009 in the city of Rio de Janeiro with a representative sample of 461 pregnant women assisted by 15 hospitals with more than 1000 deliveries/year from the Brazilian Unified Health System (SUS) among which seven accredited and 8 non accredited by BFHI. Professionals trained at BFHI interviewed pregnant women with at least 28 weeks of pregnancy and 2 prenatal visits. Prevalence ratios (PR) of satisfaction with the support received by the hospital for breastfeeding, considered as the outcome, adjusted for socio-demographic and reproductive characteristics of women, prenatal care, and guidance received on breastfeeding were obtained by Poisson regression with robust variance, according to a hierarchical conceptual model. Results: 62.0% of pregnant women were satisfied with the support received on breastfeeding. Approximately 90.0% of pregnant women lived with a partner, 21.9% were teenagers, 46.9% were primiparous and 70.1% declared to have a non-white color. 39.5% of the pregnant women had a low education level, and only 42.7% earned more than 1 minimum wage. 73.1% of the pregnant women had attended at least 6 antenatal consultations. In multivariate analysis, the variables associated with the outcome were: having received guidance on how to breastfeed (PR = 1.77, 95% CI 1.38-2.28), having received guidance on free demand (PR = 1, 52, 95% CI 1.22-1.88), having received guidance not to use bottles, pacifiers or other milks (PR = 1.35, 95% CI 1.15-1.58) and the quality of assistance (PR = 1,22, 95% CI 1.08-1.38). Conclusions: pregnant women's satisfaction with the support received for breastfeeding did not vary according to socioeconomic status of the women, but was associated to guidance on breastfeeding provided during prenatal care, highlighting the importance of quality care