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    Autoeficácia para a amamentação em mulheres com mamoplastia de aumento e redutora
    (Universidade Federal de São Paulo (UNIFESP), 2019-08-29) Eugenio, Daniella Soares [UNIFESP]; Abrao, Ana Cristina Freitas De Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Women with breast augmentation and reduction mammoplasty have a lower prevalence of exclusive breastfeeding when compared to those without surgery. Considering self-efficacy for breastfeeding one of the modifiable factors in the prevention of early weaning, it is opportune to know the behavior of this variable in this population. Objectives: To analyze the self-efficacy for breastfeeding in relation to the group of women without breast surgery and with mammoplasty. Method: A cross-sectional study was carried out in a private maternity hospital in the city of São Paulo, with 252 women, 100 of the non-surgical group, 83 of the augmentation mammoplasty group and 69 of the reduction mammoplasty group. Data collection was performed between the 5th and 7th day after delivery through the Breastfeeding Self-Efficacy Scale Short Form Brazilian Version. Results: It was verified that the average of self-efficacy scores for breastfeeding was equal between the group of women without breast surgery and that of women with augmentation mammoplasty and greater in relation to the group of women with reduction mammoplasty and this difference was statistically significant ( p = 0.010). Regarding the mean score of the self-efficacy technique for breastfeeding, this was the same among the group of women without surgery and augmentation mammoplasty and was higher in relation to the group of women with reduction mammoplasty and this difference was statistically significant (p < 0.001). The relationship between self-efficacy and the type of breastfeeding, the volume of breast milk extracted and the associated factors are independent of mammoplasty. In this perspective, it was observed that the relationship between self-efficacy and the practice of AME was statistically significant and that for every 1 point increased in the BSES-SFVB global score there was a 16% increase in the chance of AME. It was also identified that women with reduction mammoplasty are 90% less likely to breastfeed exclusively when compared to women without surgery. The relationship between self-efficacy and volume of breast milk extracted was statistically significant and for each 1 point increased in the BSES-SFVB total score there was an increase of 1.36 ml in the volume of milk extracted. It was also found that women with reductive mammoplasty presented 37.2 ml less than the volume of milked milk when compared to those without surgery. Regarding the associated factors, it was identified that vaginal delivery and the perception of adequate milk production favor higher self-efficacy scores for breastfeeding. Conclusion: Self-efficacy for breastfeeding is affected by reductive mammoplasty.