Conhecimentos compartilhados no acompanhamento pré-natal e repercussões da adesão às recomendações no período pós-parto

Abstract

This study aims to analyze the knowledge of pregnant women in prenatal care about the practice and importance of breastfeeding and to analyze adherence to the professional's recommendations in the postpartum period. Descriptive, prospective, quantitative and qualitative approach conducted in two stages with 16 pregnant women. The study was carried out in a public hospital between August and December 2020. Four scales were used for data collection, including the LATCH scale for breastfeeding assessment and Self-efficacy scale for breastfeeding. All pregnant women received guidance on breastfeeding during prenatal care. It was found that the average age was 26.1 years. The predominant schooling was high school (75%). All of them had carried through prenatal consultations (more than six consultations), 75.0% had caesarean birth and 62.5% of newborns breastfed in the first hour of life. The practices about breastfeeding considered more difficult to follow were the correct latch-on and correct positioning. Regarding breastfeeding assessment, the average score was 6 points. There were similar results in relation to the medium and high efficacy on the breastfeeding self-efficacy scale. There was a low adherence to recommendations in prenatal care, given the rates of assessment of breastfeeding and effectiveness when breastfeeding. Most women surveyed have a desire to breastfeed, but have several doubts about the breastfeeding technique. Further studies are needed to assess prenatal orientation throughout pregnancy, in order to assess the repercussions in the puerperium.