Perceptions of Breastfeeding in Mothers of Babies Born Preterm in Comparison to Mothers of Full-Term Babies

By Padovani, Flávia Helena Pereira; Duarte, Geraldo et al. | The Spanish Journal of Psychology, July 1, 2011 | Go to article overview

Perceptions of Breastfeeding in Mothers of Babies Born Preterm in Comparison to Mothers of Full-Term Babies


Padovani, Flávia Helena Pereira, Duarte, Geraldo, Martinez, Francisco Eulógio, Linhares, Maria Beatriz Martins, The Spanish Journal of Psychology


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.

Keywords: breastfeeding, anxiety, depression, preterm infant.

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.

Palabras clave: amamantamiento, ansiedad, depresión, bebés prematuros.

Breast milk is composed of a unique nutritional combination and provides unquestionable benefits with regard to immunological, psychological and economic aspects (Nascimento & Issler, 2004). Since the 1980s, the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have invested in a series of programmatic activities for the implementation of breastfeeding (Lamounier, 1996; Rea, 1998). Between 1996 and 1997, the American Academy of Pediatrics instituted a work group on breast feeding to assess the scientific evidence on the subject (Rea, 1998). The final report from this task force was based on scientific evidence, which highlighted the advantages of breast feeding and human mother's milk for the health, growth, and development of the child, as well as the benefits of breast feeding for the mother's health. From this report, the American Academy of Pediatrics began recommending that pediatricians and other health professionals support and promote conditions for breast feeding.

In the early 1990's in a meeting organized by WHO and UNICEF, a strategy called the "Baby-Friendly Hospital Initiative" (BFHI) was conceived, which was subsequently implemented in several countries with the goal of supporting, encouraging, and protecting the practice of breastfeeding (Lamounier, 1996). …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Perceptions of Breastfeeding in Mothers of Babies Born Preterm in Comparison to Mothers of Full-Term Babies
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.