Avaliação da autoeficácia para amamentação e seus fatores associados em puérperas atendidas na rede pública

Abstract

Objective: to evaluate self-efficacy for breastfeeding and its associated factors in postpartum women in the public network health. Methods: this is a cross-sectional analytical study with a quantitative approach. This research was carried out through questionnaires (sociodemographic and Brazilian version of the Breastfeeding SelfEfficacy Scale - Short Form (BSES-SF) applied to the puerperal women in a postpartum follow-up clinic of two public maternity hospitals in Goiânia, Goiás, Brazil, in the period of August 2019 to October 2019. Participants in this study were mothers who were attending their first outpatient return visit after delivery. Results: 128 puerperal women were interviewed. The mean age of the patients was 26.7 (+ - 5.9) years, with a minimum age of 18 years and a maximum of 41 years. most of them studied until high school (65.6%), were married or in a stable relationship (80.5%), were not working at the time of the interview (64.8%) and were puerperal for the first time (44.5%). the levels of self-efficacy were high (95.3%), with significance linked to the variables: experience in breastfeeding (p = 0.0312), not having received information on breastfeeding during pregnancy (p = 0.0292), not having received other milk at the maternity hospital (p = 0.0380), not feeling pain while breastfeeding (p = 0.0242), being breastfeeding on demand (p = 0.0124), presence of breast engorgement (p = 0.0207), presenting protruding nipples (p = 0.0427). Conclusion: the BSES-SF proved to be adequate to assess breastfeeding self-efficacy in the study group, as well as showing risk factors for early weaning, providing information for training professionals and structuring of actions and interventions in the work processes of the services, aiming at the prevention of these risk factors