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1.
Midwifery ; 66: 49-55, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30121478

RESUMO

BACKGROUND: The Breastfeeding Self-Efficacy Scale-Short Form is a reliable instrument to measure mother's confidence in her ability to breastfeed. The Breastfeeding Self-Efficacy Scale-Short Form has traditionally been used postnatally, but evidence suggests that it can be used antenatally to identify mothers at-risk of requiring additional support to improve breastfeeding outcomes. OBJECTIVE: The aim of this study was to examine the psychometric characteristics of an antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form, among pregnant Portuguese women. DESIGN: Methodological prospective study to examine the psychometric characteristics of the antenatal Portuguese version of the Breastfeeding Self-Efficacy Scale-Short Form. SETTINGS: Two public hospital units in the Northern Portugal. PARTICIPANTS: The sample was comprised of 373 pregnant women recruited at 30-34 gestational weeks. METHODS: The original English version of the antenatal Breastfeeding Self-Efficacy Scale-Short Form was translated into Portuguese and the Portuguese antenatal version of the scale was tested in a sample of 373 pregnant women. To examine the psychometric characteristics of the Portuguese antenatal version of the scale, the maternal demographic variables and the depressive and anxiety symptomatology of the participants were examined. The predictive validity of the Portuguese antenatal version of the scale was studied according to infant feeding method at one, three, and six months postpartum. RESULTS: The Cronbach's alpha coefficient was 0.92. The antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form scores were found to be associated with women's parity, educational level, occupational status, time they intend to breastfeed, and previous breastfeeding experience. Also, the antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form scores significantly predicted exclusive breastfeeding at 1 month postpartum. CONCLUSIONS: Results provided evidence that the antenatal Portuguese version of the Breastfeeding Self-Efficacy Scale-Short Form is a valid and reliable measure to assess breastfeeding self-efficacy in pregnant women. The antenatal version of the Breastfeeding Self-Efficacy Scale-Short Form could be a useful tool to assist Portuguese health professionals during routine prenatal care appointments to screen women with lower antenatal breastfeeding self-efficacy and, consequently, those that could be at risk for not initiating or early breastfeeding cessation.


Assuntos
Aleitamento Materno/psicologia , Gestantes/psicologia , Psicometria/normas , Autoeficácia , Adolescente , Adulto , Feminino , Hospitais Públicos/organização & administração , Hospitais Públicos/estatística & dados numéricos , Humanos , Intenção , Estudos Longitudinais , Portugal , Gravidez , Estudos Prospectivos , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Tradução
2.
J. pediatr. (Rio J.) ; 89(4): 332-338, ju.-ago. 2013.
Artigo em Português | LILACS | ID: lil-684130

RESUMO

OBJETIVO: Revisar a literatura sobre a associação entre a amamentação e a depressão pós-parto. FONTES: Uma revisão da literatura encontrada na base de dados MEDLINE/Pub-Med. RESUMO DOS ACHADOS: A literatura mostra, de forma consistente, que a amamentação fornece uma ampla quantidade de benefícios tanto para a criança quanto para a mãe. Ainda são necessárias mais pesquisas sobre os benefícios psicológicos para a mãe. Alguns estudos apontam que a depressão na gravidez é um dos fatores que pode contribuir para a não amamentação. Outros estudos sugerem, também, uma associação entre amamentação e depressão pós-parto, não estando clara ainda a direção dessa associação. A amamentação pode promover processos hormonais que protegem as mães contra a depressão pós-parto por atenuar a resposta do cortisol ao estresse. E isso também pode reduzir o seu risco, por auxiliar na regulação dos padrões do sono e vigília da mãe e do filho, melhorando a autoeficácia e o envolvimento emocional da mãe com a criança, reduzindo as dificuldades de temperamento e promovendo uma melhor interação entre eles. CONCLUSÕES: A pesquisa aponta que a amamentação pode proteger as mães da depressão pós-parto e começa a esclarecer que processos biológicos e psicológicos podem explicar essa proteção. Contudo, ainda existem resultados ambíguos na literatura que poderão ser explicados pelas limitações metodológicas apresentadas por alguns estudos.


OBJECTIVE: To review the literature on the association between breastfeeding and postpartum depression. SOURCES: A review of literature found on MEDLINE/ PubMed database. SUMMARY OF FINDINGS: The literature consistently shows that breastfeeding provides a wide range of benefits for both the child and the mother. The psychological benefits for the mother are still in need of further research. Some studies point out that pregnancy depression is one of the factors that may contribute to breastfeeding failure. Others studies also suggest an association between breastfeeding and postpartum depression; the direction of this association is still unclear. Breastfeeding can promote hormonal processes that protect mothers against postpartum depression by attenuating cortisol response to stress. It can also reduce the risk of postpartum depression, by helping the regulation of sleep and wake patterns for mother and child, improving mother's selfefficacy and her emotional involvement with the child, reducing the child's temperamental difficulties, and promoting a better interaction between mother and child. CONCLUSIONS: Studies demonstrate that breastfeeding can protect mothers from postpartum depression, and are starting to clarify which biological and psychological processes may explain this protection. However, there are still equivocal results in the literature that may be explained by the methodological limitations presented by some studies.


Assuntos
Criança , Feminino , Humanos , Aleitamento Materno/psicologia , Depressão Pós-Parto/psicologia , Mães/psicologia , Depressão Pós-Parto/prevenção & controle , Relações Mãe-Filho/psicologia
3.
J Pediatr (Rio J) ; 89(4): 332-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23791236

RESUMO

OBJECTIVE: To review the literature on the association between breastfeeding and postpartum depression. SOURCES: A review of literature found on MEDLINE/PubMed database. SUMMARY OF FINDINGS: The literature consistently shows that breastfeeding provides a wide range of benefits for both the child and the mother. The psychological benefits for the mother are still in need of further research. Some studies point out that pregnancy depression is one of the factors that may contribute to breastfeeding failure. Others studies also suggest an association between breastfeeding and postpartum depression; the direction of this association is still unclear. Breastfeeding can promote hormonal processes that protect mothers against postpartum depression by attenuating cortisol response to stress. It can also reduce the risk of postpartum depression, by helping the regulation of sleep and wake patterns for mother and child, improving mother's self-efficacy and her emotional involvement with the child, reducing the child's temperamental difficulties, and promoting a better interaction between mother and child. CONCLUSIONS: Studies demonstrate that breastfeeding can protect mothers from postpartum depression, and are starting to clarify which biological and psychological processes may explain this protection. However, there are still equivocal results in the literature that may be explained by the methodological limitations presented by some studies.


Assuntos
Aleitamento Materno/psicologia , Depressão Pós-Parto/psicologia , Mães/psicologia , Criança , Depressão Pós-Parto/prevenção & controle , Feminino , Humanos , Relações Mãe-Filho/psicologia
4.
Int. j. odontostomatol. (Print) ; 6(2): 169-173, ago. 2012. ilus
Artigo em Inglês | LILACS | ID: lil-657686

RESUMO

The study objective was to evaluate the prevalence of referred dental pain (RDP) in a group of Brazilians subjects and identify possible partnerships with sex, age and the presence of periodontal or periapical lesions. A descriptive cross-sectional study was designed, 98 patients between 14 and 64 years old (59 women and 39 men), who consulted by dental pain were evaluated clinically and radiographically in order to determine the cause and partnership with periapical and periodontal lesions and its possible territories projection other than their origin. The prevalence of RDP was 31.6 percent, higher in women (67.74 percent) though without statistical significance. The RDP was presented at a 45.16 percent together with periapical lesion and a 25.8 percent along with periodontal lesion. There was no relationship between age and RDP presence. The high prevalence of RDP found reinforces the need for a diagnosis of orofacial pain.


El objetivo de este estudio fue analizar la prevalencia de dolor referido dental (DRD) en un grupo de sujetos brasileros y determinar las posibles asociaciones con sexo, edad y la presencia de lesión periapical o periodontal. Se diseñó un estudio descriptivo de corte transversal, con 98 pacientes, de entre 14 y 64 años (59 mujeres y 39 hombres), que consultaron por dolor dental, ellos fueron evaluados clínica y radiográficamente con el fin de determinar la causa y la asociación con lesión periapical y periodontal y su posible proyección a territorios distintos de su origen. La prevalencia del DRD fue de 31,6 por ciento, mayor en mujeres (67,74 por ciento) aunque sin significancia estadística. El DRD se presentó en un 45,16 por ciento junto con lesión periapical y un 25,8 por ciento junto a lesión periodontal. No se encontró asociación entre la edad y la presencia de DRD. La alta prevalencia de DRD encontrada refuerza la necesidad de un diagnóstico etiológico del dolor orofacial.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Doenças Periapicais/epidemiologia , Doenças Periodontais/epidemiologia , Odontalgia/epidemiologia , Odontalgia/etiologia , Brasil , Estudos Transversais , Dor Referida/epidemiologia , Doenças Periapicais/complicações , Doenças Periodontais/complicações , Prevalência , Nervo Trigêmeo
5.
J Adv Nurs ; 68(12): 2730-9, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22458831

RESUMO

AIMS: This paper is a report on a study analysing the effect of the umbilical cord cutting experience on fathers' emotional involvement with their infants. BACKGROUND: Participation in childbirth offers an opportunity for father and mother to share the childbirth experience, so it is vital that midwives improve the fathers' participation in this event. DESIGN: A quasi-experimental study with a quantitative methodology was implemented. METHODS: One hundred and five fathers were recruited as part of a convenience sample in a Maternity Public Hospital in a Metropolitan City in Portugal, between January and May of 2008. The Bonding Scale, the Portuguese version of the 'Mother-to-Infant Bonding Scale' was used to evaluate the fathers' emotional involvement with the neonate at different moments: before childbirth, first day after childbirth and first month after childbirth. After childbirth, the fathers were divided into three separate groups depending on their umbilical cord cutting experience. RESULTS: The results demonstrate that the emotional involvement between father and child tends to increase during the first days after childbirth and to decrease when evaluated 1 month after birth, for fathers who did not cut the umbilical cord. However, fathers who cut the umbilical cord demonstrate an improvement in emotional involvement 1 month later. CONCLUSION: Results suggest that the umbilical cord cutting experience benefits the father's emotional involvement with the neonate, supporting the benefits of his participation and empowerment in childbirth.


Assuntos
Relações Pai-Filho , Pai/psicologia , Trabalho de Parto/psicologia , Apego ao Objeto , Cordão Umbilical , Adolescente , Adulto , Feminino , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Tocologia , Parto/psicologia , Portugal , Gravidez , Visitas a Pacientes
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