Fatores associados ao estado emocional materno no período pós-parto e sua relação com a prática da amamentação

• Autor(a) principal: Martins, Mariana Campos
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: LOCUS Repositório Institucional da UFV
• Texto Completo: http://locus.ufv.br/handle/123456789/2774
• topic: Depressão pós-parto; Período pós-parto; Apoio social; EPDS; Aleitamento materno; Nutrição do lactente; Postpartum depression; Postpartum period; Social support; EPDS; Breastfeeding; Infant nutrition; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

The aim of the study were to determine the factors associated with maternal postpartum emotional state and to evaluate its relationship with breastfeeding, in Viçosa (MG), Brazil. It is cross-sectional study of 168 postpartum women from the Viçosa Polyclinic Municipal s sector immunization. We held 3 meetings, in the first, second and fourth month after delivery. In the first two meetings, we applied scales Edinburgh Post-Natal Depression Scale (EPDS), Self-Report Questionnaire (SRQ- 20) and Postpartum Bonding Questionnaire (PBQ). The cutoff was adopted for the EPDS ≥ 12. For data analysis, we performed Poisson multiple regression with robust adjustment of variance model by backward stepwise selection procedure. All women included in the study assessed by signing the Informed Consent Form (ICF). The study was approved by the Ethics Committee on Human Research of the Federal University of Viçosa. The prevalence of symptoms of postpartum depression (PPD) was 14.5% (n = 29) in the first month after birth and 9% (n = 18) in the second. The incidence was 2, 3% (n = 4). In the first month after birth, were associated with symptoms of PPD the age younger than 20 years (PR = 2.42, CI = 1.21 to 4.81), vaginal delivery (PR = 2.04, CI = 1 0.03 to 4, 04) traumatic delivery (PR = 2.31, CI = 1.21 to 4.78), negative reaction from fellow with the news of the pregnancy (PR = 2.51, CI = 1.23 to 5 , 12) and have not received emotional support after delivery (PR = 2.72, CI = 1.30 to 5.72). In the second month, the associated variables were mother's negative reaction to the news of the pregnancy (PR = 2.49, CI = 1.05 to 5.90), maternal perception of the child cries more than other babies of the same age (PR = 3.12, CI 1.32 to 7.35) and insufficient support from the partner during pregnancy (PR = 4.28, CI = 1.84 to 9.94). The prevalence of abandonment of Exclusive Breastfeeding (EBF) in the first, second and fourth month after delivery was 53.57% (n = 90), 47.62% (n = 80) and 69.64% (n = 117), respectively, and its incidence in the fourth month compared to the first was 48.7%. In the second month after birth, were associated with the abandonment of EBF variables PPD symptoms (PR = 1.61, CI = 1.19 to 2.19) and traumatic delivery (PR = 1.40, CI = 1 0.02 to 2, 91). In the fourth month, the variables associated with abandonment of EBF were low maternal education (PR = 2.15, CI = 1.36 to 3.38), no own property (PR = 1.23, CI = 1.02 to 1.48) , have returned to work (PR = 1.33, CI = 1.09 to 1.63), not having received guidance on breastfeeding postpartum (PR = 1.21, CI = 1.01 to 1.45), reaction negative mother with the news of the pregnancy (PR = 1.29, CI = 1.09 to 1.52) and no help from the fellow with the child (PR = 1.33, CI = 1.04 to 1.70). The results of this study showed that screening of DPP in the postpartum first weeks is extremely important to prevent the complications of depression on maternal health and promote longer duration of EBF, especially among adolescents and mothers who do not receive support from her partner. Women need a supportive environment that protects and promotes breastfeeding at home, in the workplace and in health services.