Perceptions of breastfeeding in mothers of babies born preterm in comparison to mothers of full-term babies

• Flávia Helena Pereira Padovani ^[1] ; Geraldo Duarte ^[1] ; Francisco Eulogio Martinez ^[1] ; Maria Beatriz Martins Linhares ^[1]
  1. [1] Universidade de São Paulo

     Universidade de São Paulo

     Brasil

     
• Localización: The Spanish Journal of Psychology, ISSN 1138-7416, Vol. 14, Nº. 2, 2011, págs. 884-898
• Idioma: inglés
• DOI: 10.5209/rev_sjop.2011.v14.n2.35
• Enlaces
  • Texto completo
• Resumen
  • español

    La presente investigación pretende: (a) ahondar en el tema de las verbalizaciones sobre amamantamiento en madres de niños prematuros y no prematuros; (b) evaluar la relación entre amamantamiento e indicadores de ansiedad y depresión en las madres, así como características socio-demográficas y neonatales de los niños. En el estudio participaron 50 madres de niños prematuros y 25 madres de niños llegados a término. Como herramientas de evaluación se utilizaron el Inventario Ansiedad-Rasgo y el Inventario de depresión de Beck; asimismo, se entrevistó a las madres siguiendo una guía específica para el tema del amamantamiento. Los resultados sugieren que las madres con más síntomas de ansiedad fueron las del grupo de bebés prematuros. Quienes, además, mostraron mayor inseguridad, preocupación y esperaban encontrar más obstculos para desarrollar con éxito el amamantamiento que las madres de niños llegados a término. Estos informes se relacionaron con riesgo neonatal en los niños. Por otra parte, factores como bajo peso al nacer, alto riesgo clínico al nacer, y estancias más largas en la UCI neonatal, se relacionaron con un mayor número de madres preocupadas y que preveían más obstáculos para el amamantamiento. En conclusión, las estrategias para aumentar la tasa de amamantamiento en madres de niños prematuros deben considerar el estado psicológico de las madres, sus ideas sobre el mismo, y ofrecer más información sobre las ventajas del amamantamiento en el desarrollo infantil.

  • English

    The purpose of the present study was: a) to describe the theme of verbalizations about breastfeeding in mothers' pre-term (M-PT) and full-term (M-FT) infants; b) to examine the association between these themes and mother's anxiety and depression indicators and socio-demographic characteristics and, neonatal characteristics of the infants. The sample consisted of 50 M-PT and 25 M-FT. The mothers were assessed through State-Trait Anxiety Inventory and Beck Depression Inventory and were interviewed using a Guide focusing breastfeeding issues. The M-PT group had significantly more mothers with clinical symptom of anxiety than the M-FT group. The M-PT reported more uncertainties and worries about breastfeeding and figured out more obstacles for the successful breastfeeding than the M-FT. These reports were associated positively with the infants' risk neonatal status; lower birth-weight, higher neonatal clinical risk, and more length time stay in NICU were associated with more mothers' worries and seeing obstacles for breastfeeding. In conclusion, the strategies to enhance the breastfeeding rate in the preterm population have to take into account the mothers' psychological status and their ideas in addition to offering information about the advantages of breastfeeding for child development.

• Referencias bibliográficas
  • Alfaya, C, & Schermann, L. (2005). Sensibilidade e aleitamento materno em diades com recem-nascidos de risco [Breastfeeding and maternal...
  • Anderson, J. W., Johnstone, B. M., & Remley, D. T. (1999). Breastfeeding and cognitive development: a meta-analysis. The American Journal...
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry,...
  • Biaggio, A. M. B., & Natalício, L. (1979). Inventário de ansiedade trac̃o-estado - IDATE [State-Trait Anxiety Inventory - STAI]. Rio de...
  • Biasoli-Alves, Z. M. M. (1998). A pesquisa em Psicologia - analise de métodos e estratégias na construção de urn conhecimento que se pretende...
  • Boo, N. Y., & Goh, E. S. (1999). Predictors of breastfeeding in very low birthweight infants at the time of discharge from hospital. Journal...
  • Caldeira, A. P., & Goncalves, E. (2007). Assessment of the impact of implementing the Baby-Friendly Hospital Initiative. Jornal de Pediatria,...
  • Camelo Jr, J. S., & Martinez, F. E. (2005) Dilemas nutricionais no pré-termo extremo e repercussões na infancia, adolescência e vida adulta...
  • Carvalho, A. E. V. (2005). Indicadores emocionais maternos e intervenção psicológica durante hospitalização do bebê pré-termo em UTI Neonatal....
  • Chaves, R. G, Lamounier, J. A., & César, C. C. (2007). Factors associated with duration of breastfeeding. Jornal de Pediatria, 83, 241-246....
  • Cockburn, F., Cooke, R. W. I., Gamsu, H. R., Greenough, A., Hopkins, A., Mcintosh, N., Wilkinson, A. R. (1993). The CRIB (Clinical Risk Index...
  • Cunha, J. A. (2001). Manual for the Portuguese version of the Beck Scales. São Paulo, Brazil: Casa do Psicologo.
  • Espy, K. A., & Senn, T. E. (2003). Incidence and correlates of breast milk feeding in hospitalized preterm infants. Social Science &...
  • Faleiros, F. T. V., Trezza, E. M. C, & Carandina, L. (2006). Factors influencing breastfeeding decision and duration. Revista de Nutriçã...
  • Feldman, R., & Eidelman, A. I. (2003). Direct and indirect effects of breast milk on the neurobehavioral and cognitive development of...
  • Fuente, S. N. L., Klava, R., Ribeiro, L. C, & Taddei, J. A. A. C. (2006). Caracterização da prãica do aleitamento materno em criancas...
  • Furman, L., Minich, N. M., & Hack, M. (1998). Breastfeeding of very low birth weights infants. Journal of Human Lactation, 14, 29-34....
  • Giugliani, E. R. J., Issler, R. M. S., Justo, E. B., Seffrin, C. F., Hartman, R. M., & Carvalho, N. M. (1992). Risk factors for early...
  • Gorenstein, C, & Andrade, L. (2000). Inventário de Depressão de Beck - Propriedades psicométricas da versão em Português [Beck Depression...
  • Kavanaugh, K., Mead, L., Meier, P., & Mangurten, H. H. (1995). Getting enough: mothers' concerns about breastfeeding a preterm infant...
  • Kavanaugh, K., Meier, P., Zimmermann, B., & Mead (1997). The rewards outweigh the efforts: breastfeeding outcomes for mothers of preterm...
  • Lamounier, J. A. (1996). Promocao e incentivo ao aleitamento materno: Iniciativa Hospital Amigo da Crianca [Promotion and enhancing the breastfeeding:...
  • Leff, E. W., Gagne, M. P., & Jefferis, S. C. (1994). Maternal perceptions of successful breastfeeding. Journal of Human Lactation, 10,...
  • Lucas, A., Morley, R., & Cole, T. J. (1998). Randomised trial of early diet in preterm babies and later intelligence quotient. British...
  • Lucas, A., Morley, R., Cole, T. J., Lister, G, & Leeson-Payne, C. (1992). Breast milk and subsequent intelligence quotient in children...
  • Miracle, D. J., Meier, P. P., & Bennett, P. A. (2004). Mothers' decisions to change from formula to mothers' milk for very-low-birth-weight...
  • Nascimento, M. B. R., & Issler, H. (2004). Breastfeeding in premature infants: in-hospital clinical management. Jornal de Pediatria, 80,...
  • Padovani, F. H. P., Linhares, M. B. M., Carvalho, A. E. V., Duarte, G, & Martinez, F. E. (2004). Anxiety and depression symptoms assessment...
  • Pinelli, J., Saigal, S., & Atkinson, S. (2003). Effect of breastmilk consumption on neurodevelopmental outcomes at 6 and 12 months of...
  • Porter, L. S., & Sobong, L. (1990). Differences in maternal perception of the newborn among adolescents. Pediatric Nursing, 16, 101-104.
  • Procianoy, R. S., Fernandes Filho, P. H., Lazaro, L., & Sartori, N. (1982). Influence of neonatal factors on breastfeeding. Jornal de...
  • Rea, M. F. (1998). Breastfeeding and the use of human milk: what recommends the American Academy of Pediatrics. Jornal de Pediatria, 74, 171-172.
  • Rocha, N. M. N., Martinez, F. E., & Jorge, S. M. (2002). Cup or bottle for preterm infants: effects on oxygen saturation, weight gain,...
  • Santoro Junior, W., & Martinez, F. E. (2007). Effect of intervention on the rates of breastfeeding of very low birth weight newborns....
  • Schanler, R. J., Hurst, N. M., & Lau, C. (1999). The use of human milk and breastfeeding in premature infants. Clinics in Perinatology,...
  • Serra, S. O. A., & Scochi, C. G S. (2004). Mother's difficulties in breastfeeding premature babies in the neonatal ICU. Revista Latino-Americana...
  • Sisk, P. M., Lovelady, C. A., Dillard, R. G, & Gruber, K. J. (2006). Lactation counseling for mothers of very low birth weight infants:...
  • Soares, N. E., & Fernandes, L. M. (1989). A medida do nivel socio-economico-cultural [The socio-economic-cultural level measurement]....
  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the Strait-Trait Anxiety Inventory. Palo Alto, CA: Consulting...
  • Spitzer, R. L., Williams, J. R., Gibbon, M., & First, M. B. (1989). Instruction manual for the structured clinical interview for DSM III...
  • Thome, M., Alder, E. M., & Ramel, A. (2006). A population-based study of exclusive breastfeeding in Iceland women: is there a relationship...
  • Vohr, B. R., Poindexter, B. B., Dusick, A. M., McKinley, L. T., Wright, L. L., Langer, J. C, & Poole, W. K. (2006). Beneficial effects...
  • Xavier, C. C, Jorge, S. M., & Goncalves, A. L. (1991). Prevalence of breast feeding of low birthweight infants. Revista de Saude Publico,...
  • Zanardo, V, & Freato, F. (2001). Home oxygen therapy in infants with bronchopulmonary dysplasia: assessment of parental anxiety. Early...