Associação entre as orientações pré-natais em aleitamento materno e a satisfação com o apoio para amamentar

Abstract

OBJECTIVES: to analyze the association between prenatal guidance on breastfeeding and satisfaction of pregnant women with the breastfeeding support provided. Methods: a cross-sectional study was carried out in the city of Rio de Janeiro, Brazil, with a representative sample of 461 pregnant women accompanied at 15 hospitals with more than 1000 deliveries/year as part of the Brazilian National Health System. Seven of these hospitals were accredited by the Baby- Friendly Hospital Initiative and eight not. The prevalence rates for satisfaction were obtained using a Poisson regression model with robust variance and a hierarchized model. Results: 62.0% of pregnant women were satisfied with the support received for breastfeeding. The variables associated with the outcome on multiple analysis were having received guidance on breastfeeding (PR=1.77; CI95%: 1.38-2.28), having received guidance on free demand (PR=1.52; CI95%: 1.22-1.88), having received guidance on not using a feeding bottle and other kinds of milk (PR=1.35; CI95%: 1.15-1.58) and quality of prenatal care in the view of the pregnant woman (RP=1.22; CI95%: 1.08- 1.38). Conclusions: the satisfaction of the pregnant woman with the breastfeeding support received did not vary according to the socio-demographic characteristics of the woman, although it was associated with prenatal guidance on breastfeeding, underlining the importance of the quality of care.