Universidade Estadual do Oeste do Paraná, Programa de Pós-Graduação em Biociências e Saúde, Cascavel, PR, Brazil.
Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brazil.
Rev Esc Enferm USP. 2021 May 10;55:e03702. doi: 10.1590/S1980-220X2019038303702. eCollection 2021.
To verify the association of nursing mothers' self-efficacy for breastfeeding in the immediate postpartum period and six months after birth and obstetric and sociodemographic variables with the duration of exclusive breastfeeding.
Observational, longitudinal, prospective study which followed nursing mothers from the immediate postpartum period to the sixth month postpartum in a municipality in Southern Brazil. For data collection, a questionnaire with sociodemographic and obstetric variables and the scale Breastfeeding Self-Efficacy Scale - short form - were employed in the maternity ward and six months after birth. Inferential and descriptive statistics were employed.
A total of 158 nursing mothers have participated. The prevalence of exclusive breastfeeding in the sixth month was 36.70%, out of which 77.34% have presented a high self-efficacy score. Sociodemographic factors had a negative impact on exclusive breastfeeding.
High levels of self-efficacy favor exclusive breastfeeding; however, such factor, in isolation, is not decisive for exclusive breastfeeding. Self-efficacy should be identified during the pre-natal period through mothers' employment and marital status data to promote preventive actions against early weaning.
验证哺乳期母亲产后即刻和产后 6 个月的母乳喂养自我效能感与产科和社会人口学变量与纯母乳喂养持续时间的关系。
这是一项在巴西南部一个城市进行的观察性、纵向、前瞻性研究，随访哺乳期母亲从产后即刻到产后 6 个月。在产科病房和产后 6 个月使用问卷调查社会人口学和产科变量以及母乳喂养自我效能量表-短表。采用推断和描述性统计。
共有 158 名哺乳期母亲参与了研究。在产后 6 个月时，纯母乳喂养的流行率为 36.70%，其中 77.34%的母亲自我效能评分较高。社会人口学因素对纯母乳喂养有负面影响。
高水平的自我效能感有利于纯母乳喂养；然而，这种因素单独来看，对纯母乳喂养并不具有决定性。应通过母亲的就业和婚姻状况数据在产前阶段识别自我效能感，以促进预防早期断奶的措施。
