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Aleitamento Materno Análise da Situação num Meio Semi-urbano
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Advisor(s)
Abstract(s)
RESUMO
Introdução: O leite materno é o melhor
alimento que uma mãe pode oferecer
ao seu filho. Não existe outro leite que tenha
as suas qualidades.
Objectivos: Conhecer a prevalência
do aleitamento materno, os factores
de abandono e o período em que ocorre,
num meio semi-urbano específico.
Material e Métodos: Estudo descritivo,
retrospectivo efectuado na Unidade
de Saúde Famílias em Lourosa, através
de questionário aplicado às mães com
filhos entre os 6 e os 18 meses de idade
inclusivé, de 1 Julho a 30 Setembro de
2007. O inquérito incluía dados demográficos como a idade da mãe e o nível
sócio-económico, e variáveis como o número
de fi lhos, hábitos tabágicos, tipo de
parto, fontes de informação, intenção de
amamentar e duração da mesma, motivos
evocados para o seu abandono.
Resultados: Efectuados 42 inquéritos,
correspondentes a 45,6% das
crianças que se enquadravam no estudo.
Verificou-se que todas as mães tinham
a intenção de amamentar, destas 88,1%
iniciaram a amamentação e 30,9% amamentaram
durante pelo menos 6 meses.
O maior declínio na prevalência deu-se
entre o primeiro e segundo mês de vida.
As mães possuíam bons conhecimentos
sobre a amamentação (90,5%) contudo,
persistiam alguns mitos de impacto desfavorável
(35,7%). Os técnicos de saúde
foram a principal fonte de informação
seguindo-se a literatura e a família. Os
principais motivos evocados para o abandono
do leite materno são subjectivos nomeadamente
a não satisfação do bebé, a
noção de pouca quantidade e qualidade
de leite. Iniciar leite adaptado foi aconselhado
pelo médico assistente em 80,5%.
Conclusões: A taxa de início da
amamentação é aceitável mas ocorre declíneo
acentuado durante o segundo mês
de vida. A insegurança materna quanto
à quantidade e qualidade do seu leite é
o principal motivo de abandono de leite
materno. Nesta unidade de cuidados de
saúde primários é necessário reforçar estratégias
para promoção do início e principalmente
manutenção da amamentação.
ABSTRACT Introduction: Breast milk is the best food that a mother can give to her child. There is no other milk that has its qualities. Objectives: To determine the prevalence of breast-feeding, the reason for abandonment and the period in which it occurs, in a semi-urban environment. Material and Methods: Descriptive retrospective study conducted at the Health Unit in Lourosa, through a questionnaire applied to mothers with children between 6 and 18 months of age inclusive, from July 1 to September 30, 2007. The survey included demographic data such as age of mother, socio-economic status, the number of children, smoking habits, type of delivery, sources of information, intention and duration of breastfeeding and the reasons given for its abandonment. Results: We obtained 42 questionnaires, representing 45.6% of children who were in the study. All mothers had the intention to breastfeed, 88,1% started breastfeeding and 30,9% breastfed for at least 6 months. The largest decline in prevalence was between the first and original article second months of life. Mothers have good knowledge about breastfeeding (90.5%) however, there are still some unfavorable myths (35.7%). The health staff was the main source of information as also relevant literature and family. The main reasons given for the abandonment of breastfeeding are subjective including the unsatisfaction of the baby, the notion of low quantity and quality of the milk. The invitation of infant formula had the agreement of the attending physician in 80.5%. Conclusions: The rate of initiation of breastfeeding is acceptable but it declined severely during the second month of life. Maternal insecurity as to the quantity and quality of their milk were the main reason for the abandonment of breastfeeding. In this unit of primary health care it is necessary to strengthen strategies to promote the initiation and maintenance of breastfeeding.
ABSTRACT Introduction: Breast milk is the best food that a mother can give to her child. There is no other milk that has its qualities. Objectives: To determine the prevalence of breast-feeding, the reason for abandonment and the period in which it occurs, in a semi-urban environment. Material and Methods: Descriptive retrospective study conducted at the Health Unit in Lourosa, through a questionnaire applied to mothers with children between 6 and 18 months of age inclusive, from July 1 to September 30, 2007. The survey included demographic data such as age of mother, socio-economic status, the number of children, smoking habits, type of delivery, sources of information, intention and duration of breastfeeding and the reasons given for its abandonment. Results: We obtained 42 questionnaires, representing 45.6% of children who were in the study. All mothers had the intention to breastfeed, 88,1% started breastfeeding and 30,9% breastfed for at least 6 months. The largest decline in prevalence was between the first and original article second months of life. Mothers have good knowledge about breastfeeding (90.5%) however, there are still some unfavorable myths (35.7%). The health staff was the main source of information as also relevant literature and family. The main reasons given for the abandonment of breastfeeding are subjective including the unsatisfaction of the baby, the notion of low quantity and quality of the milk. The invitation of infant formula had the agreement of the attending physician in 80.5%. Conclusions: The rate of initiation of breastfeeding is acceptable but it declined severely during the second month of life. Maternal insecurity as to the quantity and quality of their milk were the main reason for the abandonment of breastfeeding. In this unit of primary health care it is necessary to strengthen strategies to promote the initiation and maintenance of breastfeeding.
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Keywords
Abandono precoce amamentação prevalência Early weaning breastfeeding prevalence
Citation
Nascer e Crescer 2010; 19(2):68-73