Moimaz Suzely Adas Saliba, Rós Denise de Toledo, Saliba Tania Adas, Saliba Nemre Adas
Departamento de Odontologia Preventiva e Social, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho, Araçatuba, SP, Brazil,
Cien Saude Colet. 2020 Sep;25(9):3657-3668. doi: 10.1590/1413-81232020259.30002018. Epub 2020 Aug 28.
The scope of this research was to assess the breastfeeding intention among high-risk pregnant women and related factors. It is a cross-sectional, qualitative and quantitative study, with 1,118 high-risk pregnant women who attended the prenatal care unit at a specialized center of the Unified Health System. The dependent variables were exclusive breastfeeding intention, intended duration and conditions that might interfere with breastfeeding. The Epi Info 7.4.1, Bioestat 5.3 and IRAMUTEQ 0.7.2.0 programs were used for data processing. The results showed that 8.76% of the pregnant women had conditions that could affect lactation. Among the women, 93.83% affirmed having exclusive breastfeeding intention, of which 69.86% intended to breastfeed until the child was six months old, revealing an association with sociodemographic variables (p<0.05). The intended breastfeeding duration was related to the age (p=0.0041), marital status (p=0.0053) and level of education (p=0.0116). The main reasons reported for not providing exclusive breastfeeding were the following: HIV, use of medications, work and lack of information. This research concluded that a small cohort of high-risk pregnant women presented conditions that could interfere with breastfeeding. Most of them intended to breastfeed exclusively for six months.
本研究的范围是评估高危孕妇的母乳喂养意愿及相关因素。这是一项横断面的定性和定量研究，研究对象为1118名在统一卫生系统的一个专业中心的产前护理单位就诊的高危孕妇。因变量为纯母乳喂养意愿、预期持续时间以及可能干扰母乳喂养的情况。使用Epi Info 7.4.1、Bioestat 5.3和IRAMUTEQ 0.7.2.0程序进行数据处理。结果显示，8.76%的孕妇存在可能影响泌乳的情况。在这些女性中，93.83%的人确认有纯母乳喂养意愿，其中69.86%的人打算母乳喂养至孩子六个月大，这显示出与社会人口统计学变量存在关联（p<0.05）。预期的母乳喂养持续时间与年龄（p=0.0041）、婚姻状况（p=0.0053）和教育程度（p=0.0116）有关。报告的不进行纯母乳喂养的主要原因如下：感染艾滋病毒、使用药物、工作和缺乏信息。本研究得出结论，一小部分高危孕妇存在可能干扰母乳喂养的情况。她们中的大多数人打算纯母乳喂养六个月。
