Impacto de las redes de apoyo a la lactancia materna en la Región de Murcia

Zusammenfassung

ABSTRACT Background: We hypothesized that the impact of support networks for breastfeeding women is satisfactory. Objectives: The general objective of this project is to determine, assess and identify the real impact of breastfeeding support networks through five specific means: 1. To assess the degree of satisfaction perceived by users of breastfeeding support services 2. Identify the different groups of professionals consulted by mothers from various support networks. 3. Identify the experiences before breastfeeding that can positively influence the decision to breastfeed. 4. Determine the main problems of breastfeeding that arise. 5. Determine the impact of having support affects the decision to breastfeed. Method: After searching unsuccessfully for a validated instrument that suited the objectives of our study and given the lack of Spanish questionnaires intended to assess the impact of different networks supporting breastfeeding for women, we decided to prepare a questionnaire and carry out further validation based on our findings. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 27 2014, to four health centres that were approved for our studies (Alcantarilla, Sangonera la Verde, San Andrés y El Palmar) studies. Upon completion of the survey and fieldwork, we collated the responses and used the program SPSS 20.0 to conduct a detailed analysis of the statistics. Conclusions: Mothers who clarify their doubts and discuss their problems with health professionals and/or breastfeeding support networks are more likely to breastfeed for a longer duration compared to those who do not. Furthermore, mothers who seek support in breastfeeding are more likely to breastfeed for more than 6 months. Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women's decision to breastfeed. 1. The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. 2. The most demanded professional during the prenatal period is a midwife and a paediatrician during the postnatal period. 3. It is evident that past experiences of a mother that favour greater duration and possibility of exclusive breastfeeding for 6 months of a baby's life are: practicing skin to skin contact, early initiation of breastfeeding after birth, the vaginal delivery, unique pregnancy, non-use of epidural analgesia, the denial of entry of newborn infants in the service and a positive prior breastfeeding experience. 4. The most common problems encountered are: cracked nipples, fatigue, doubts about whether the baby is hungry, in pain, on to a bad latch, the position or breastfeeding technique, uncertainty about milk quality and the ability to breastfeed. Problems occur mainly during the first three weeks after birth of the baby, but within that period, the first day after birth constitutes the higher percentage. 5. Both formal and informal support, positively influence the duration and possibility of breastfeeding while the lack of support contributes to insecurity in breastfeeding women. Therefore, the hypothesis at the beginning of our study is confirmed: "The impact of networks supporting breastfeeding for women who breastfeed, is satisfactory".