breastfeeding
Conditions
Interventions
Experimental group: 120 puerperal women will receive calls at 7, 30, 90 and 150 days postpartum. These connections will be performed by a nurse trained to implement an educational intervention centere
Behavioural
Other
I02.233.332
Sponsors
Departamento de Enfermagem da Universidade Federal do Ceará
Departamento de Enfermagem da Universidade Federal do Ceará
Eligibility
Sex/Gender
Female
Age
12 Years to 59 Years
Inclusion criteria
Inclusion criteria: Women in the immediate puerperal period, considered the period between the first and tenth day after childbirth; Puerperas with at least six hours postpartum, since before that moment it would be inopportune to perform data collection, judging that the first hours after childbirth are characterized by emotional stress for the mother, making it even more difficult due to the physiological changes that occur; Single term full term puerperal women (gestational age ? 37 weeks, <41 weeks), since the clinical conditions and the environment in which the preterm newborn is hospitalized are factors that may hinder breastfeeding, in addition to that in some situations it is necessary to initiate the use of milk formulas in the child's diet; Bereaved children 12 years of age or over, considering the Statute of the Child and Adolescent, Law No. 8,069 / 90; Puerperas with newborns hospitalized in joint housing; Puerperas that are practicing the AM; Puerperas who have at least one telephone contact.
Exclusion criteria
Exclusion criteria: Puerperas who declared their intention not to breastfeed; Puerperas with age or equal to 60 years; Puerperas that presented clinical intercurrences at the time of data collection (heart disease, nephropathy, diabetes, hypertension, among others); Women with obstetric complications in the puerperal period (anemia, transvaginal bleeding, post-rachidial headache, among others); Puerperas that presented some type of contraindication to breastfeeding (Acquired Immunodeficiency Syndrome, chemical dependency, among others); Puerperas with mental restrictions that precluded the understanding of the instrument; Puerperas who performed breast reduction or who had breast augmentation because, although these procedures do not contraindicate breastfeeding, in general, women who undergo breast reduction may decide not to breastfeed; Puerperas with children hospitalized in the intensive care unit, judging that the sector is home to newborns with critical clinical conditions that may make breastfeeding impossible; Puerperas whose children were born with disabilities that prevented or hindered breastfeeding (cleft palate, atresia of the esophagus, among others); Puerperas with hearing impaired.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected Outcomes: 1st Outcome: Increase in maternal self-efficacy for breastfeeding, verified through Breastfeeding Self efficacy scale, from the finding of an improvement in low to medium and medium to high self-efficacy 2nd Outcome: Increased duration of breastfeeding, verified through an instrument with the questions: are you breastfeeding? For how long did you breastfeed? 3rd Outcome: Increase in the rate of breastfeeding, verified through an instrument with the question: Do you practice breastfeeding? If not, for how long did you practice?;Effectively observed outcomes: 1st Outcome: increased self-efficacy from medium to high only at 60 days postpartum (p <0.001) 2nd Outcome: Increased duration of breastfeeding in the intervention group (p <0.001) 3rd Outcome: Increase in the rate of breastfeeding at 60, 120 and 180 days postpartum (60 days: p<0,001; 120 days: p=0,001; 180 days: p=0,012). | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome: Increased exclusive breastfeeding rate at 60, 120 and 180 days postpartum, verified through an instrument with the question: are you practicing exclusive breastfeeding;Effectively achieved outcome: Increase in the exclusive breastfeeding rate at 180 days postpartum (p=0,005). | — |
Countries
Brazil
Contacts
Public ContactHilana Dodou
Departamento de Enfermagem da Universidade Federal do Ceará
Outcome results
None listed