Primiparae perception on guidance in prenatal care regarding breastfeeding

Abstract

The objective was to analyze the perceptions of primiparae on the guidance received in prenatal care regarding breastfeeding. Qualitative descriptive study, whose data collection happened, the period March-May 2010, through semi-structured interviews with 10 primiparae admitted to the rooming unit of a hospital in Fortaleza-CE, Brazil. For data analysis we used the content analysis, emerging the following categories: Guidelines on pre-natal care; Importance of breastfeeding; and Breast care and problems. We identified that prenatal consultation is a way to monitor the mother during pregnancy, as well as being a time to educate them about the several changes and consequences that occur during pregnancy. We concluded that mothers have a satisfactory awareness of the importance of prenatal care; however we observed a superficial knowledge apprehended in prenatal care regarding breastfeeding.

The Prenatal Primary Nursing Care Experience of Pregnant Women in Contexts of Vulnerability

“…The studies were conducted in the United States (n = 5), Canada (n = 4), Brazil (n = 3), Ghana (n = 1), and South Africa (n = 1). They addressed a variety of contexts of vulnerability, namely, physical/biological/behavioral (ie, transmitted diseases, deaf condition, pregnancy complications) (n = 6), [29][30][31][32][33][34] social (ie, low income) (n = 6), 29,[33][34][35][36][37] cultural and linguistic barriers (n = 5), 33,35,[38][39][40] sexual and gender orientation minority (n = 1), 41 low level of education or health literacy (n = 2), 28,40 weak social networks (n = 4), [31][32][33]39 and environmental contexts (ie, living in a rural area) (n = 3). 28,40,41 Sample size ranged from 4 to 27 participants.…”

“…According to women, information should be sufficient,29,30,34,39 unbiased, and consistent32 and should cover prenatal care, pregnancy, delivery, postpartum, parenthood, and breastfeeding. Yet, many women expressed that the information they received was insufficient,29,30,34–40 redundant,36 inconsistent,34,35 or unclear 31. With respect to support, women appreciated when nurses provided information or facilitated navigation through the health care system 32–34,36,39…”

“…pregnancy, delivery, postpartum, parenthood, and breastfeeding. Yet, many women expressed that the information they received was insufficient, 29,30,[34][35][36][37][38][39][40] redundant, 36 inconsistent, 34,35 or unclear. 31 With respect to support, women appreciated when nurses provided information or facilitated navigation through the health care system.…”

“…The SRQR criteria regarding research paradigm (n = 9), ways to enhance trustworthiness (n = 8), conflicts of interest (n = 11), and researcher characteristics (n = 8) were frequently missing in the included studies. In one study, 37 several criteria were either insufficiently described or not described at all. This study brought only one theme (Table 4) to the synthesis.…”