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Metas de Enfermería

Metas de Enfermería

FEBRERO 2018 N° 1 Volumen 21

The knowledge and attitudes towards breastfeeding of mothers at a BFHI hospital

Section: Originals

How to quote

García García N, Fernández Gutiérrez P. Conocimientos y actitudes de las madres ante la lactancia materna en un hospital IHAN. Metas Enferm feb 2018; 21(1):50-8.

Authors

Nuria García García1, Patricia Fernández Gutiérrez2

Position

1Enfermera residente de Pediatría. Servicio de Pediatría. Hospital Universitario Puerta de Hierro-Majadahonda (Madrid)2Enfermera Especialista de Pediatría. Tutora EIR Pediatría. Unidad de Neonatología. Hospital Universitario Puerta de Hierro-Majadahonda (Madrid)

Contact address

Nuria García García. C/ Consejo, 2, 3º C. 28223 Pozuelo de Alarcón (Madrid).

Contact email: nuriagarg4@gmail.com

Abstract

Objective: to establish the knowledge, attitude and practice towards breastfeeding (BH) among mothers before being discharged from a hospital with BFHI accreditation.
Method: an analytical transversal study was conducted at a university hospital, on March and April, 2017. The women recruited were hospitalized at the Obstetrics Unit and Pediatric Unit, after delivery or caesarean birth. A booklet was designed for data collection, including the following data; sociodemographical, obstetric, of the newborn and family, as well as an evaluation of the knowledge, attitude and practice towards BF. A descriptive analysis was conducted with the SPSS v. 15 statistical program.
Results: there was 96% participation: 96 mothers, 54% of them first-time mothers. The proportion of exclusive breastfeeding at discharge was of 87.5%; 90.5% of women reported having family support, 70.8% of women were aware that exclusive breastfeeding is recommended until the child is 6-month-old; 41.4% of mothers believed that the frequency of feeding with mother milk for a < 6-month-old baby should be on demand, and 36.8% every 3 hours. Overall, 91.7% of women considered that mother milk was the ideal food for babies. There was a predominantly neutral attitude towards BF (55%) followed by a positive attitude towards BF (45%).
Conclusions: the women in the study demonstrated having knowledge about BF, even though there were gaps in some points of interest. They had a positive or neutral attitude towards BF, based on the questionnaire used. In the practice setting, almost 90% of women were discharged with exclusive BF. As this was a BFHI hospital, results were favourable, but there was room for improvement in the three dimensions.

Keywords:

breastfeeding; BFHI hospital; breast milk; artificial milk; breast milk banks

Versión en Español

Título:

Conocimientos y actitudes de las madres ante la lactancia materna en un hospital IHAN

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Organización Mundial de la Salud (OMS). Lactancia materna exclusiva [internet]. [citado 21 dic 2017]. Disponible en: http://www.who.int/nutrition/topics/exclusive_breastfeeding/es/
  2. Navarro Estrella M, Duque López MX, Trejo y Pérez JA. Factores que influyen en el abandono temprano de la lactancia materna por mujeres trabajadoras. Salud Pública Mex. 2003; 45:276-84.
  3. Instituto Nacional de Estadística [web]. Determinantes de Salud (sobrepeso, consumo de fruta y verdura, tipo de lactancia, actividad física, cuidados en el entorno familiar). [citado 21 dic 2017]. Disponible en: http://www.ine.es/ss/Satellite?L=es_ES&c=INESeccion_C&cid=1259926457058&p=1254735110672&pagename=ProductosYServicios%2FPYSLayout
  4. Olivares Grohnert M, Buñuel Álvarez JC. La lactancia materna reduce el riesgo de ingreso hospitalario por gastroenteritis e infección respiratoria de vías bajas en países desarrollados. Evid Pediatr. 2007; 3:68.
  5. Gregory KE, Samuel BS, Houghteling P, Shan G, Ausubel FM, Sadreyev RI, Walker WA. Influence of maternal breast milk ingestion on acquisition of the intestinal microbiome in preterm infants. Microbiome. 2016; 4(68).
  6. Hair AB, Peluso, AM, Hawthorne KM, Perez J, Smith DP, Khan JY, et al. Beyond Necrotizing Enterocolitis Prevention: Improving Outcomes with an Exclusive Human Milk-Based Diet. Breastfeeding Medicine. 2016; 11(2):70-4.
  7. Bachrach VR, Schwarz E, Bachrach LR. Breastfeeding and the risk of hospitalization for respiratory disease in infancy: a metaanalysis. Arch Pediatr Adolesc Med. 2003; 157:237-43.
  8. De Kroon ML, Renders C, Buskermolen MP, Van Woume JP, Van BuurenS, Hirasing RA. The Terneuzen Birth Cohort. Longer exclusive breastfeeding duration is associated with leaner body mass and a healthier diet in young adulthood. BMC Pediatrics. 2011; 11(33).
  9. Wallby T, Lagerberg D, Magnusson M. Relationship Between Breastfeeding and Early Childhood Obesity: Results of a Prospective Longitudinal Study from
    Birth to 4 Years. Breastfeed Med. 2017; 22(1):48-53.
  10. Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of Breastfeeding and Risk of Overweight: A Meta-Analysis. American Journal of Epidemiology. 2005; 162(5).
  11. Roqers SL, Blissett J. Breastfeeding duration and its relation to weight gain, eating behaviours and positive maternal feeding practices in infancy. Appetite. 2017; 108:399-406.
  12. Scoccianti C, Key TJ, Anderson AS, Armaroli P, Berrino F, Cecchini M, et al. European Code against Cancer 4th edition: Breastfeeding and cancer. Cancer Epidemiology. 2015; 39:101-6.
  13. Gigante D, Victora CG, Barros FC. Breast-feeding has a limited long-time effect on anthropometry and body composition of Brazilian mothers. J Nutr. 2001; 131:78-84.
  14. Yang L, Jacobsen KH. A systematic review of the association between breastfeeding and breast cancer. J Women Health. 2008; 17:1635-45.
  15. Aguilar Cordero MJ, González Jiménez E, Álvarez Ferre J, Padilla López CA, Mur Villar N, García López PA, et al. Lactancia materna: un método eficaz en la prevención del cáncer de mama. Nutr Hosp. 2010; 25(6):954-8.
  16. Gwinn ML, Lee NC, Rhodes PH, Layde PM, Rubin GL. Pregnancy, breast feeding, and oral contraceptives and the risk of epithelial ovarian cancer. J Clin Epidemiol. 1990; 43(6):559-68.
  17. Ness RB, Grisso JA, Cottreau C, Klapper J, Vergona R, Wheeler JE, et al. Factors related to inflammation of the ovarian epithelium and risk of ovarian cancer. Epidemiology. 2000; 11:111-7.
  18. Whittemore AS, Harris R, Itnyre J. Collaborative Ovarian Cancer Group. Characteristics relating to ovarian cancer risk: Collaborative analysis of 12 US case-control studies. Am J Epidemiol. 1992; 136:1184-203.
  19. Hostalot Abás AM, Sorní Hubrecht A, Jovaní Roda L, Rosal Roig J, Mercé Gratacòs J, Iglesias Niubò J, et al. Lactancia materna en el sur de Cataluña. Estudio de los factores socioculturales y sanitarios que influyen en su elección y mantenimiento. An Esp Pediatr. 2001; 54(3):297-302.
  20. Estrada Rodríguez J, Amargós Ramírez J, Reyes Domínguez B, Guevara Basulto A. Intervención educativa sobre lactancia materna. AMC [internet]. 2010. [citado 21 dic 2017]; 14(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552010000200009&lng=es
  21. Escalona M, Varón M, Evies A, Sanmiguel F, Vargas Y, Guerra A. Efectos de un programa educativo en los conocimientos, creencias y práctica sobre la lactancia materna. Salus [internet]. 2012 [citado 21 dic 2017]; 16(1):23-32. Disponible en: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S1316-71382012000100005&lng=es
  22. Organización Mundial de la Salud (OMS). Lactancia materna [internet]. [citado 21 dic 2017]. Disponible en: http://www.who.int/topics/breastfeeding/es/
  23. Borre YM, Cortina C, González G. Lactancia materna exclusiva: ¿la conocen las madres realmente? Rev Cuid. [internet] 2014 [citado 21 dic 2017]; 5(2):723-30. Disponible en: http://dx.doi.org/10.15649/cuidarte.v5i2.84
  24. Aznar FE, Salazar E, Delgado X, Cani T, Cluet de Rodríguez I. Evaluación del conocimiento de las madres sobre lactancia materna. Estudio multicéntrico en las áreas metropolitanas de Caracas y Maracaibo. Arch Venez Pueric Pediatr. 2009; 72(4):118-22.
  25. Medina López R, Doncel Molinero D, Reyes Alvarado S, Álvarez Aldeán J, Morales Asensio JM. Prevalencia de la lactancia materna y factores asociados a la adherencia prolongada. Metas Enferm 2011; 14(8):16-22.
  26. Gorrita Pérez RR, Brito Linares D, Ravelo Rodríguez Y, Ruiz Hernández E. Conocimientos de futuras madres sobre la lactancia materna y sus ventajas. Rev Ciencias Médicas 2014; 20(1):77-88.
  27. Fautsch-Macías Y, Glasauer P (eds.). Guidelines for assessing nutrition-related Knowledge, Attitudes and Practices [internet]. Roma: Food and Agriculture Organization of the United Nations; 2014 [cited 22 dic 2017]. Available from: http://www.fao.org/docrep/019/i3545e/i3545e.pdf
  28. De la Mora A, Rusell DW. The Iowa Infant Feeding Attitude. Scale: Analysis of reliability and validity. J Appl Soc Psychol.1999; 29(11):2362-80.
  29. Tomás Almarcha R, Oliver Roig A, Richart Martínez M. Reliability, validity and reduced Spanish version of the Iowa Infant Feeding Attitude Scale (IIFAS). J Obstet Gynecol Neonatal Nurs. 2016; 45(5):e26-e40.
  30. Delgado Noguera M, Orellana JJ. Conocimientos maternos sobre conductas óptimas de lactancia. Rev Colomb Obstet Ginecol. 2004; 55(1):9-17.
  31. Carvajal R, Mateus SJC, Cabrera AG. Conocimientos acerca de la lactancia materna en el Valle del Cauca, Colombia. Rev Fac Nac Salud Pública. 2003; 21(1):27-41.
  32. Grupo de trabajo de la Guía de Práctica Clínica sobre lactancia materna. Guía de Práctica Clínica sobre lactancia materna. País Vasco: Ministerio de Sanidad, Servicios Sociales e Igualdad. Agencia de Evaluación de Tecnologías Sanitarias del País Vasco-OSTEBA; 2017.
  33. Aguilar Navarro HJ, Coronado Castilleja A, Gómez Hernández OJ, Cobos Aguilar H. Adaptación de la Iowa Infant Feeding Attitude Scale en población mexicana. Acta Pediatr Mex. 2016; 37(3):149-58.
  34. Jácome A, Jiménez R. Validación de la Iowa Infant Feeding Attitude Scale. Pediatr. 2014; 47(4):77-82.