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Revista Brasileira de Saúde Materno Infantil

Print version ISSN 1519-3829

Abstract

NASCIMENTO, Vivianne Cavalcanti do; OLIVEIRA, Maria Inês Couto de; ALVES, Valdecyr Herdy  and  SILVA, Kátia Silveira da. Association between prenatal guidance on breastfeeding and satisfaction with breastfeeding support. Rev. Bras. Saude Mater. Infant. [online]. 2013, vol.13, n.2, pp.147-159. ISSN 1519-3829.  http://dx.doi.org/10.1590/S1519-38292013000200008.

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.

Keywords : Breast feeding; Hospital; Patient satisfaction; Cross-sectional studies; Prenatal care; Unified Health System.

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