Factores determinantes asociados a la intención de lactancia materna en un grupo de gestantes de Bogotá y Cundinamarca
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Chacón de Alba, Karen Margarita | 2019
National and international health organizations recommend exclusive breastfeeding (LME) during the first six months of life, as there is evidence that this natural practice protects children from malnutrition, reduces the risk of the appearance of infectious diseases and favors the bond between mother and child; however, the evidence also shows that increasingly there are barriers to strengthening this practice, which in the end influence the mother's decision regarding the exclusivity of breastfeeding (LM). In this context, the objective of this study was to identify the factors that favor or impede the intention of breastfeeding in a group of pregnant women who attended the antenatal clinic in two health institutions, one in Bogotá and the other in Cundinamarca. Materials and Methods: an exploratory, descriptive investigation with a mixed approach was carried out; the study population included pregnant women between 16 and 37 years of age, who attended antenatal consultation and who participated freely after signing the informed consent; a survey instrument generated by the University of Kentucky, USA and assigned to this research was applied, which is composed of 94 items organized into 7 components that explore demographic information, LM acceptability, depression or Edinburgh scale, ARI or relationship with the couple, Infant Feeding Intention Scale (IFI), Autonomy and Kinship Scale (ARI) and KNOW for knowledge about LM; where it was investigated by relationship with the couple, knowledge and beliefs of breastfeeding, support networks, among others. Subsequently, we analyzed the data obtained statistically by frequency analysis and contingency tables, using tools from Office Excel 2010 and SPSS vs 22., obtaining as results that the main sociodemographic, psychological and reproductive factors that influence the intention of breastfeeding maternal are: the level of education, the economic level, the coexistence with the couple and the quality of the relationship with the same. Likewise, the Edinburgh scale allowed us to show that the risk of major depression is the intention to breastfeed. Regarding the opinion of pregnant women regarding breastfeeding, it was found that most identify benefits primarily for the mother and the future child; and finally, in the knowledge and beliefs in breastfeeding of pregnant women, it was found that knowledge is adequate with regard to nutritional properties and, therefore, negative beliefs against breastfeeding are denied; This allowed us to conclude that the support network, socioeconomic status and psychological factors can determine the intention to breastfeed. These factors become directly proportional to the knowledge and mythification of breastfeeding in the group of pregnant women in Bogotá and Cundinamarca.
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