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    Aleitamento materno na primeira hora de vida e sua relação com a autoeficácia materna para amamentar
    (Universidade Federal de São Paulo (UNIFESP), 2019-11-28) Lucca, Marina Moraes Di [UNIFESP]; Abrao, Ana Cristina Freitas De Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To identify the prevalence of breastfeeding in the first hour of life, the levels of breastfeeding self-efficacy and the possible associations between the practice of breastfeeding in the first hour of life, breastfeeding self-efficacy levels and the variables analyzed. Method: Cross-sectional study conducted at the Amparo Maternal Joint Accommodation Unit between June 2017 and June 2018 with 360 puerperal women. To investigate maternal breastfeeding self-efficacy, we opted for the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF). To record the other variables, we used a form designed specifically for this purpose. All participants completed the Informed Consent Form. Results: The prevalence of breastfeeding in the first hour of life was 70.7% and the average breastfeeding self-efficacy score was 54.6 points, with a median of 54 points. The variable breastfeeding self-efficacy was classified into two levels: higher levels of self-efficacy (≥ 54 points) and lower levels of self-efficacy (<54 points). The variables independently associated with breastfeeding in the first hour of life were: women's perception of the amount of colostrum / milk in production (OR = 3.36; 95% CI: 1.26-9.54; p = 0.016) and previous experience in breastfeeding in the first hour of life (OR = 2.78; 95% CI: 1.32-5.88; p = 0.007). The variables independently associated with higher levels of breastfeeding self-efficacy were: guidance on breastfeeding in the first hour of life during prenatal care (OR = 2.10; 95% CI: 1.16-3.81; p = 0.014) and breastfeeding in the first hour of life (OR = 1.71; 95% CI: 1.07-2.74; p = 0.026). Conclusion: Based on the multivariate and adjusted analysis, it was concluded that breastfeeding in the first hour of life collaborated to the normal perception of women regarding the amount of colostrum / milk, as well as having previous experience in breastfeeding in the first hour of life increased the chances of this practice occurring again. It was also found that not receiving guidance on breastfeeding in the first hour of life during prenatal care, as well as not breastfeeding in the first hour of life of the newborn, contributed to higher levels of breastfeeding self-efficacy.