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Resumo A amamentação é uma prática diretamente relacionada com a saúde da mãe e, principalmente, do bebê. Apesar de ser um processo natural, muitas mães relatam dificuldades. Este estudo objetivou buscar evidências científicas sobre a questão: “Mãe com mais confiança consegue amamentar exclusivamente por 6 meses?”. Foi realizada uma revisão sistemática com busca em 5 bancos de dados eletrônicos, que resultou na inclusão de 4 estudos de coorte para avaliação. Realizou-se uma análise qualitativa dos resultados, porém não foi possível fazer a meta-análise. Autoconfiança em amamentar foi avaliada pela escala “Breastfeeding Self-Efficacy Scale”. Os estudos analisados mostraram que há associação estatística significante entre aleitamento materno exclusivo e autoconfiança em amamentar. A utilização da escala parece ser uma ferramenta confiável para identificar mães em risco para desmame precoce, facilitando o planejamento de ações pelos profissionais em saúde. As evidências obtidas mostraram a associação entre mães com maior confiança em amamentar e a amamentação exclusiva por 6 meses, porém estes resultados não podem ser generalizados devido à heterogeneidade das populações. Abstract Breastfeeding is a practice directly related to the health of the mother and especially the baby. Despite being a natural process, many mothers report difficulties with breastfeeding. This study aimed to seek scientific evidence on the issue: “Can a mother with more confidence in breastfeeding exclusively breastfeed her baby for 06 months?”. We conducted a systematic review with a search in five electronic databases, and included four cohort studies for evaluation. We conducted a qualitative analysis of the results, considering the methodological differences and lack of data, and were unable to perform meta-analysis. Confidence in breastfeeding was evaluated by using the Breastfeeding Self-Efficacy Scale. The studies analyzed showed statistically significant association between the practice of breastfeed and confidence in breastfeeding. The application of a scale to evaluate trust and identify mothers at risk for early weaning appeared to be a reliable measurement tool, capable of facilitating action planning by health professionals. The evidence showed association between mothers with higher levels of confidence in breastfeeding and exclusive breastfeeding for 6 months, but these results could not be generalized because of the heterogeneity of the population.

This study aimed to evaluate the impact of the intervention: motivation and follow-up by health professionals in the duration and exclusivity of breastfeeding, by means of a randomized clinical trial. In the pregnancy, women they were interviewed (n = 154) and followed up until the six month after delivery. In the pregnancy, all received pamphlets and watched a video on breastfeeding promotion in the first interview, being randomly divided into groups: intervention (n = 51) and control (n = 103). The group Intervention was receive home care for up to 5 days and a telephone call back 2 and 14 weeks after delivery by health professionals. After 6 months, 124 mothers (Intervention = 50 and Control = 74) were interviewed. The mothers' mean age was 26.5 (± 6.1) years, and the majority were non-white skin color (58.9%), lived with a partner (79%), with up to 8 years of schooling (70.2%); multiparous (64.5%); did not work (54.8%), and earned up to 2 Minimum Wages (81.4%). Most babies were male (52.4%) and born by cesarean section (61.3%). Exclusive breastfeeding rates in intervention were 84%, 82%, 54% and 34% for 5 days, 2 weeks, 14 weeks and 6 months, respectively and in control was 17.6% for 6 months. The group intervention had higher rates of exclusive breastfeeding (p = 0.03, RR 1.25) and breastfeeding (p = 0.02, RR 2.03) compared to control. The studied intervention (motivation and follow-up) promoted positive changes in the duration and exclusivity of breast feeding at 6 months of age, compared to traditional health education, and can be used in the promotion of breastfeeding practice by health services.

Made available in DSpace on 2018-12-11T16:45:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-04-01 Background Knowing the intention of mothers is important to plan actions to improve exclusive breastfeeding rates. Aim The objective of this retrospective study was to verify the intention to breastfeed and the intended breastfeeding duration of a group of women participating in a public prenatal dental care program in the city of Araçatuba, Brazil. Methods The records of 933 childbearing women were analyzed and their intention to breastfeed and intended breastfeeding duration were associated to women's age, ethnicity, marital status, education, employment, number of gestations, previous breastfeeding experience, previous breastfeeding guidance, presence of complications during pregnancy, and systemic diseases. Data were inserted into Epi Info 2000 and analyzed with Biostat, at a 5% level of significance, and confidence interval of 95%. Findings Participants mean age was 26.1 ± 5.9 years. The majority of women (96.5%) declared their intention to breastfeed their babies. The main variables to affect the intention to breastfeed were the number of gestations (p = 0.001), previous breastfeeding experience (p = 0.03), and previous breastfeeding guidance (p = 0.01). Intended breastfeeding duration was significantly affected by women's age (p = 0.04), employment (0.02), the number of gestations (p = 0.001), and previous breastfeeding experience (p = 0.04). Conclusions Previous positive breastfeeding experience and guidance during prenatal examinations positively affected women's intention to breastfeed; while older, unemployed women in their second or more gestation and previous breastfeeding experience intended to breastfeed their children for longer periods of time. Preventive and Social Dentistry Department School of Dentistry São Paulo State University (UNESP) Public Health Graduate Program School of Dentistry São Paulo State University (UNESP) Preventive and Social Dentistry Department School of Dentistry São Paulo State University (UNESP) Public Health Graduate Program School of Dentistry São Paulo State University (UNESP)

Made available in DSpace on 2016-01-28T16:54:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2013. Added 1 bitstream(s) on 2016-01-28T17:01:52Z : No. of bitstreams: 1 ISSN1519-0501-2013-13-04-337-342.pdf: 698678 bytes, checksum: 44774505b0a6ba7a6900f4b11762d5b2 (MD5) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Objetivo: Verificar, por meio de acompanhamento, a prática do aleitamento materno e identificar variáveis relacionadas ao desmame precoce. Método: Foi realizado um estudo longitudinal, prospectivo, com 87 pares de mãe-bebê, desde a gestação até seis meses de vida da criança. As gestantes foram entrevistadas e os bebês tiveram variáveis monitoradas mensalmente: padrão de aleitamento, presença de hábitos de sucção não nutritivos e causas de desmame. A análise da duração do aleitamento materno exclusivo e complementado foi realizada utilizando-se procedimentos de análise de sobrevivência e o efeito das covariáveis sobre o tempo de aleitamento foi avaliado empregando-se o modelo de regressão de Cox, no programa Bioestat 5.3. Resultados: Quase a totalidade (82) das mães começou amamentar no primeiro mês, entretanto apenas 52,4% amamentavam exclusivamente. Ao final do sexto mês nenhuma mãe amamentava exclusivamente e 48,8% das crianças já tinham sido desmamadas. A análise multivariada mostrou associação (p < 0,05) entre o menor tempo de aleitamento materno exclusivo e variáveis: ingestão de bebida alcoólica (0,0056), falta de orientações sobre aleitamento materno durante a gestação (0,0487) e dificuldades na amamentação (0,0366). O menor tempo de aleitamento materno foi associado (p < 0,05) com ingestão de bebida alcoólica (0,0104), dificuldades na amamentação (0,0004), falta de apoio familiar (0,0004) e uso de chupeta (0,0463). Conclusão: A prevalência de aleitamento materno exclusivo foi baixa e o desmame foi alto, sendo as principais variáveis relacionadas negativamente ao tempo de aleitamento materno, à falta de orientações e ao uso de chupeta. É de extrema importância a participação do cirurgião-dentista na orientação às mães e o acompanhamento por uma equipe de saúde para a prática de aleitamento materno e a não introdução de bicos artificiais durante este período. Objective: Using a follow-up approach, the aims were to assess breastfeeding practice and to identify variables related to early weaning. Method: This research was a longitudinal prospective study involving 87 mother-baby pairs, from pregnancy up to the child’s six months of age. The pregnant women were interviewed and the children were monitored monthly for the following variables: breastfeeding pattern, non-nutritional sucking habits and causes for weaning. Exclusive and supplemented breastfeeding duration was assessed by means of survival analysis procedures and the effect of co-variables on breastfeeding duration was assessed by the Cox regression model, using the Bioestat 5.3 software. Results: Almost all mothers (n=82) started breastfeeding in the first month of the child’s life, but exclusive breasting was reported by only 52.4% of them. At the end of the sixth month no mother practiced exclusive breastfeeding and 48.8% of the children had been already weaned. Multivariate analysis showed association (p

Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:29:58Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:37:48Z : No. of bitstreams: 1 2-s2.0-84880051335.pdf: 577941 bytes, checksum: f645dae6722fc7bd2b759c51d854a90a (MD5) Made available in DSpace on 2014-05-27T11:29:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-07-17 Objective: To assess the knowledge of women and the instructions received on breastfeeding during pregnancy and after childbirth, and their influence on breastfeeding practice. Method: This study was a longitudinal investigation following 84 pairs of mothers and babies from pregnancy through the sixth month of baby's life. In the first phase of the research, interviews were made with the pregnant women at home and at Basic Health Units to collect information about their intentions and knowledge of breastfeeding. In the second phase of the research, mothers and babies were followed up from the first to sixth month of baby's life to record the difficulties of breastfeeding and reasons for weaning. Results: In the first month, 94.3% (82) of the babies were breastfed, but only 49.4% (43) were breastfed exclusively. At the end of the sixth month of life, 43.7% (38) of the babies had already been weaned. No mother breastfed exclusively her baby within the sixth month. During pregnancy, 60.7% (51) of the mothers had no instructions about breastfeeding and 83.4% (70) of the mothers received instructions on breastfeeding after childbirth. Most mothers (76.2%) knew about the ideal breastfeeding period. Seventy-three (86.9%) mothers believed that breastfeeding was beneficial for the baby, but only 41 (48.8%) of them really breastfed. Only 11 (13.1%) mothers were followed up by the public health system team during lactation. Conclusion: Although most women had been instructed during pregnancy or after childbirth and had knowledge of breastfeeding, early weaning occurred. Advising is important, but the support and follow up of the mothers are of utmost importance for a successful breastfeeding practice. Departamento de Odontologia Preventiva e Social Araçatuba da Universidade Estadual Paulista (UNESP), Araçatuba/SP Araçatuba da Universidade Estadual Paulista (UNESP), Araçatuba/SP Departamento de Odontologia Preventiva e Social Araçatuba da Universidade Estadual Paulista (UNESP), Araçatuba/SP Araçatuba da Universidade Estadual Paulista (UNESP), Araçatuba/SP

Submitted by Guilherme Lemeszenski (guilherme@nead.unesp.br) on 2013-08-22T19:03:56Z No. of bitstreams: 1 S1413-81232011000500017.pdf: 185997 bytes, checksum: c8a3e7369b8730ff11c1e3ab41570d26 (MD5) Made available in DSpace on 2013-08-22T19:03:57Z (GMT). No. of bitstreams: 1 S1413-81232011000500017.pdf: 185997 bytes, checksum: c8a3e7369b8730ff11c1e3ab41570d26 (MD5) Previous issue date: 2011-05-01 Made available in DSpace on 2013-09-30T20:06:25Z (GMT). No. of bitstreams: 2 S1413-81232011000500017.pdf: 185997 bytes, checksum: c8a3e7369b8730ff11c1e3ab41570d26 (MD5) S1413-81232011000500017.pdf.txt: 26758 bytes, checksum: da3b53b7b540ea5d5029c0dfa8db3ce9 (MD5) Previous issue date: 2011-05-01 Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-20T13:44:01Z No. of bitstreams: 2 S1413-81232011000500017.pdf: 185997 bytes, checksum: c8a3e7369b8730ff11c1e3ab41570d26 (MD5) S1413-81232011000500017.pdf.txt: 26758 bytes, checksum: da3b53b7b540ea5d5029c0dfa8db3ce9 (MD5) Made available in DSpace on 2014-05-20T13:44:01Z (GMT). No. of bitstreams: 2 S1413-81232011000500017.pdf: 185997 bytes, checksum: c8a3e7369b8730ff11c1e3ab41570d26 (MD5) S1413-81232011000500017.pdf.txt: 26758 bytes, checksum: da3b53b7b540ea5d5029c0dfa8db3ce9 (MD5) Previous issue date: 2011-05-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Este estudo objetivou identificar o tipo e o período de tempo de aleitamento recebido por crianças e verificar a associação com hábitos de sucção não nutritivos. Trata-se de um estudo transversal, retrospectivo, no qual foi aplicado um questionário em 330 mães ou responsáveis por crianças de 3 a 6 anos matriculadas em pré-escolas de Araçatuba (SP), após consentimento livre e esclarecido. Observou-se que 86,4% das mães amamentaram seus filhos. Quanto ao período de tempo, apenas 33,4% delas amamentaram exclusivamente no peito após seis meses de vida. O tempo médio de amamentação materna exclusiva recebida foi 3,84 meses e o de aleitamento complementar foi de 11,68 meses. do total, 53,3% relataram que os filhos apresentavam hábitos de sucção não nutritivos, e destes 70,45% não foram amamentados exclusivamente no peito durante os seis primeiros meses de vida, existindo associação significativa entre os dois (p

Submitted by Guilherme Lemeszenski (guilherme@nead.unesp.br) on 2013-08-22T18:59:07Z No. of bitstreams: 1 S0103-73312010000400012.pdf: 668957 bytes, checksum: 65c4094fb75d1f2b9f5e3be106e70405 (MD5) Made available in DSpace on 2013-08-22T18:59:07Z (GMT). No. of bitstreams: 1 S0103-73312010000400012.pdf: 668957 bytes, checksum: 65c4094fb75d1f2b9f5e3be106e70405 (MD5) Previous issue date: 2010-12-01 Made available in DSpace on 2013-09-30T19:55:36Z (GMT). No. of bitstreams: 2 S0103-73312010000400012.pdf: 668957 bytes, checksum: 65c4094fb75d1f2b9f5e3be106e70405 (MD5) S0103-73312010000400012.pdf.txt: 29990 bytes, checksum: 37f382e9fd462570ae226524d338c84c (MD5) Previous issue date: 2010-12-01 Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-20T13:44:02Z No. of bitstreams: 2 S0103-73312010000400012.pdf: 668957 bytes, checksum: 65c4094fb75d1f2b9f5e3be106e70405 (MD5) S0103-73312010000400012.pdf.txt: 29990 bytes, checksum: 37f382e9fd462570ae226524d338c84c (MD5) Made available in DSpace on 2014-05-20T13:44:02Z (GMT). No. of bitstreams: 2 S0103-73312010000400012.pdf: 668957 bytes, checksum: 65c4094fb75d1f2b9f5e3be106e70405 (MD5) S0103-73312010000400012.pdf.txt: 29990 bytes, checksum: 37f382e9fd462570ae226524d338c84c (MD5) Previous issue date: 2010-12-01 O objetivo do estudo foi analisar, de forma qualitativa, o conhecimento e percepção de um grupo de mulheres, bem como analisar os determinantes que influenciam a prática do aleitamento materno. Foi adotada a metodologia da pesquisa qualitativa, utilizando como referencial a teoria de representações sociais. Foram entrevistadas 27 gestantes, por um único entrevistador, durante o pré-natal e acompanhadas até o sexto mês do bebê, quando já estavam completamente desmamados. A análise compreensiva das falas permitiu verificar os fatores que levam a mãe a amamentar seus filhos, como proteção do bebê e amor materno. Também foram verificados os motivos que levaram as mães a desmamarem seus filhos, sendo citados a falta de leite/leite secou e o trabalho. Verificou-se, a partir das representações das mães, que mesmo que elas demonstrassem conhecimento sobre as propriedades do leite, não foi garantido o sucesso da prática de amamentação natural. This study aimed to perform a qualitative analysis of the knowledge and perception of a group of women, and to assess the determinants that influence breastfeeding. It adopted the qualitative research method, based on the theory of social representations. Twenty-seven pregnant women were interviewed by only one interviewer during prenatal period and the babies were accompanied until the sixth month after birth or until they were completely weaned. The comprehensive speech analysis allowed verifying factors that made mothers breastfeed their babies, like: baby protection and mother's love. We also observed the reasons that made mothers wean their babies: lack of milk / the milk dried and job. Through the mother's representations we could notice that even if they showed knowledge about properties and advantages of milk, it did not guarantee the successful natural breastfeeding practice. UNESP Faculdade de Odontologia de Araçatuba UNESP Faculdade de Odontologia de Araçatuba

Made available in DSpace on 2016-01-28T16:54:45Z (GMT). No. of bitstreams: 0 Previous issue date: 2012. Added 1 bitstream(s) on 2016-01-28T17:01:39Z : No. of bitstreams: 1 ISSN2175-3946-2012-14-04-29-35.pdf: 384383 bytes, checksum: a53566ef4fa81bdf187ed401b1373a2c (MD5) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Introdução: O papel preventivo do aleitamento materno tem sido muito investigado. Objetivo: Neste estudo, objetivou-se verificar a associação entre a prática do aleitamento materno, aquisição de hábitos de sucção não nutritivos e oclusopatias. Métodos: Trata-se de um estudo seccional na qual foram realizadas entrevistas com 330 mães de crianças de três a seis anos de idade de Araçatuba/SP, após consentimento esclarecido, utilizando-se formulário semiestruturado, testado em estudo piloto. Exames clínicos foram realizados nas crianças (n=306) para verificação de oclusopatias. Dois pesquisadores foram calibrados (Kappa= 0,91) para realização das entrevistas e exames. Os testes QuiQuadrado (χ2 ) e Exato de Fischer foram utilizados para verificar associações, em nível de significância de 5% (p≤0,05). Os dados foram processados no programa EpiInfo e GraphPad®. Resultados: A maioria das mães (86,4%) amamentou seus filhos, entretanto, apenas 33,4% delas amamentaram exclusivamente no peito até seis meses de vida. As oclusopatias estiveram presentes em 44% das crianças, e 83% não foram amamentadas no peito até seis meses de idade. Os hábitos de sucção não nutritivos estiveram presentes em 53,3% (176) das crianças, sendo o uso de chupeta (31,2%) o mais prevalente. Houve associação significante direta entre a falta de aleitamento materno e a presença de oclusopatias (p=0,0028), especificamente mordida aberta (p=0,0004). A falta de aleitamento materno exclusivo esteve associada à mordida cruzada anterior (p=0,0431). Conclusão: O aleitamento materno, além de inúmeras vantagens, exerce papel preventivo na aquisição de hábitos de sucção não nutritivos e na prevalência de oclusopatias. Introduction: The preventive function of breastfeeding has been most investigate. Objective: This study aimed to investigate the relationship between breastfeeding with non-nutritive sucking habits and malocclusion. Methods: The current cross-sectional and retrospective study was performed based on interviews of 330 mothers of children aging from 3 to 6 years old at Araçatuba-SP, after informed consent, using a semi-structured questionnaire that was tested in a pilot study. Clinical examinations were conducted in children (n= 306) in order to evaluated the presence of malocclusion. Two researchers were previously calibrated (Kappa score of 0.91) for interviews and exams assays. Chi-square (χ2 ) and Fischer’s exact test were used to evaluate this relationship at a significant level of 5% (p ≤ .05). Data were processed into the EpiInfo and GraphPad® softwares. Results: Most of the mothers (86.4%) breastfed their children; nevertheless, only 33.4% of children were exclusively breastfed up to six months of age. A total of 44% of children had malocclusion, in which 83% of them were not breastfed during the first six months of age. Non-nutritive sucking habits were observed in 53.3% (176) of children, and the baby pacifier was the most prevalent one (31.2%). A significant association between lack of breastfeeding and presence of malocclusion was noted (p=.0028), especially open bite (p = .0004). The exclusive lack of breastfeeding was associated with anterior crossbite (p = .0431). Conclusion: In addition to several advantages, the breastfeeding has an important role in the prevention of non-nutritive habits and prevalence of malocclusion. Universidade Estadual Paulista, Departamento de Odontologia Infantil e Social, Faculdade de Odontologia de Araçatuba FAPESP: 04/12725-0