A influência da qualidade de vida de puérperas na amamentação
Data
2022
Autores
Peres, Ana Beatriz Trinca 
Orientadores
Bommarito, Silvana
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: As mães que estão no período de 40 a 45 dias pós-parto, são chamadas puérperas. Neste intervalo, é de suma importância a amamentação exclusiva para o recém-nascido devido a relação da amamentação com as funções do sistema estomatognático e assim o estabelecimento de uma boa qualidade de vida (QV). Objetivo: Verificar a influência dos domínios de qualidade de vida quanto ao tipo de parto, primariedade e segurança da puérpera para amamentar como dificultadores do aleitamento materno. Metodologia: Foram selecionadas 96 puérperas da maternidade Amparo Maternal de São Paulo. Todas responderam uma anamnese e a pergunta: “sente-se segura e capaz de amamentar?”, juntamente com a aplicação do Protocolo de qualidade de vida (SF-36), que engloba aspectos multidimensionais da qualidade de vida,quanto a : capacidade funcional, aspectos físicos, de dor, de estado geral de saúde, de vitalidade, sociais, emocionais e de saúde mental. Para análise dos dados foram realizadas análises de forma descritiva e inferencial, considerado um nível de significância de 5% para as análises inferenciais. Resultados: A média de idade das 96 puérperas selecionadas foram de 26 anos e 2 meses de idade; A paridade variou entre 1 e 4 partos, com mediana de dois partos; ao analisarmos as variáveis tipo de parto e “se sente segura e capaz de amamentar” nas puérperas verificamos que foram mais frequentes as puérperas que tiveram tipo de parto vaginal (n=68; 70,83%) e que se sentem seguras e capazes de amamentar (n=85; 88,54%); Quanto a análise inferencial de comparação das variáveis fatores de qualidade de vida em função da variável tipo de parto em puérperas verificamos que puérperas que tiveram parto do tipo vaginal apresentaram maiores escores de capacidade funcional (p=0,002) e saúde mental (p=0,003), que as puérperas que tiveram parto cesárea; quanto a qualidade de vida, os domínios de vitalidade e limitação por aspectos físicos e emocionais apresentaram escores mais baixos e com relação a correlação entre as variáveis fatores de qualidade de vida e paridade em puérperas, houve correlação negativa entre estado geral de saúde e paridade em puérperas. Conclusão: O tipo de parto cesária foi fator significante como dificultador do aleitamento materno; a maioria das puérperas que apresentavam insegurança para amamentar, apresentaram escores abaixo nos domínios de aspectos sociais e quanto maior a quantidade de filhos, menor o escore de domínio de estado geral de saúde das puérperas.
Introduction: Mothers who are 40 to 45 days postpartum are called puerperal women. In this interval, exclusive breastfeeding for the newborn is extremely important due to the relationship between breastfeeding and the functions of the stomatognathic system and thus the establishment of a good quality of life (QoL). Objective: To verify the influence of the quality of life domains regarding the type of delivery, firstness and safety of the puerperal woman to breastfeed as obstacles to breastfeeding. Methodology: 96 postpartum women from the Amparo Maternal maternity hospital in São Paulo were selected. All answered an anamnesis and the question: “do you feel safe and able to breastfeed?”, together with the application of the Quality of Life Protocol (SF-36), which encompasses multidimensional aspects of quality of life, regarding: functional capacity , physical, pain, general health, vitality, social, emotional and mental health aspects. For data analysis, descriptive and inferential analyzes were performed, considering a significance level of 5% for inferential analyses. Results: The mean age of the 96 selected puerperal women was 26 years and 2 months of age; Parity varied between 1 and 4 deliveries, with a median of two deliveries; when analyzing the variables type of delivery and “feels safe and able to breastfeed” in puerperal women, we found that puerperal women who had a vaginal delivery were more frequent (n=68; 70.83%) and who felt safe and able to give birth. breastfeed (n=85; 88.54%); As for the inferential analysis comparing the variables of quality of life as a function of the variable type of delivery in postpartum women, we found that postpartum women who had vaginal delivery had higher scores for functional capacity (p=0.002) and mental health (p=0.003) , that puerperal women who had cesarean delivery; as for quality of life, the domains of vitality and limitation due to physical and emotional aspects had lower scores and regarding the correlation between the variables of quality of life and parity in puerperal women, there was a negative correlation between general health status and parity in women. puerperal women. Conclusion: The type of cesarean delivery was a significant factor in hindering breastfeeding; most postpartum women who were insecure to breastfeed had lower scores in the social aspects domains and the greater the number of children, the lower the general health status domain score of postpartum women.
Introduction: Mothers who are 40 to 45 days postpartum are called puerperal women. In this interval, exclusive breastfeeding for the newborn is extremely important due to the relationship between breastfeeding and the functions of the stomatognathic system and thus the establishment of a good quality of life (QoL). Objective: To verify the influence of the quality of life domains regarding the type of delivery, firstness and safety of the puerperal woman to breastfeed as obstacles to breastfeeding. Methodology: 96 postpartum women from the Amparo Maternal maternity hospital in São Paulo were selected. All answered an anamnesis and the question: “do you feel safe and able to breastfeed?”, together with the application of the Quality of Life Protocol (SF-36), which encompasses multidimensional aspects of quality of life, regarding: functional capacity , physical, pain, general health, vitality, social, emotional and mental health aspects. For data analysis, descriptive and inferential analyzes were performed, considering a significance level of 5% for inferential analyses. Results: The mean age of the 96 selected puerperal women was 26 years and 2 months of age; Parity varied between 1 and 4 deliveries, with a median of two deliveries; when analyzing the variables type of delivery and “feels safe and able to breastfeed” in puerperal women, we found that puerperal women who had a vaginal delivery were more frequent (n=68; 70.83%) and who felt safe and able to give birth. breastfeed (n=85; 88.54%); As for the inferential analysis comparing the variables of quality of life as a function of the variable type of delivery in postpartum women, we found that postpartum women who had vaginal delivery had higher scores for functional capacity (p=0.002) and mental health (p=0.003) , that puerperal women who had cesarean delivery; as for quality of life, the domains of vitality and limitation due to physical and emotional aspects had lower scores and regarding the correlation between the variables of quality of life and parity in puerperal women, there was a negative correlation between general health status and parity in women. puerperal women. Conclusion: The type of cesarean delivery was a significant factor in hindering breastfeeding; most postpartum women who were insecure to breastfeed had lower scores in the social aspects domains and the greater the number of children, the lower the general health status domain score of postpartum women.