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1.
Braz. j. oral sci ; 21: e227095, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1393297

ABSTRACT

Aim: To verify the validity of maternal reports on the number of deciduous teeth erupted in their children. Methods: This cross-sectional study was performed with children enrolled in a Birth Cohort at the age of 12 months in the first stage and 24 months in the second stage. At both stages, children were clinically examined, and mothers reported the number of teeth of their children. Comparison between groups was performed using the Mann-Whitney non-paired Wilcoxon test. Level of agreement between two methods were estimated by the Observed Agreement, Weighted Kappa and Intraclass Correlation coefficients. Results: A total of 125 children were examined in the first stage, with mean number of reported teeth of 6.2. In the second stage, 149 children were examined, with mean number of reported teeth of 15.9. High level of agreement, kappa values and intraclass correlation coefficients were observed for both arches in both periods (p<0.001). Conclusions: Maternal report on the number of teeth erupted in children was reliable and valid. Thus, it seems to be a useful instrument for collecting data in population-based epidemiological studies targeting young children


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Tooth, Deciduous , Tooth Eruption , Child Development , Pediatric Dentistry , Mothers
3.
Arch. argent. pediatr ; 120(4): 232-239, Agosto 2022. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1371519

ABSTRACT

Introducción. La hipoglucemia neonatal es una complicación de la diabetes mellitus gestacional Son pocos los estudios que avalan la pesquisa sistemática en este grupo poblacional durante las primeras horas de vida. Objetivos. Evaluar la asociación entre tratamiento materno recibido (dieta versus insulina) y el desarrollo de hipoglucemia, e identificar los factores de riesgo asociados. Población y métodos. Estudio observacional, analítico y retrospectivo realizado en en las sedes de Buenos AIres y San Justo de un hospital general de tercer nivel entre el 1 de enero de 2017 y el 31 de diciembre de 2018. Se estimó la incidencia de hipoglucemia (≤47 mg/dl) en recién nacidos según el manejo de la diabetes materna y se realizó un análisis multivariable para evaluar factores asociados. Resultados. Se incluyeron 195 pacientes. No se encontró diferencia estadística en la incidencia de hipoglucemia según el tratamiento materno recibido (45,3 % versus 39,7 %; p = 0,45) ni se identificaron factores de riesgo asociados. Modificando el valor de corte a ≤40 mg/dl, tampoco se encontraron diferencias en la incidencia (23,4 % versus 19 %, p = 0,48); no obstante, los pacientes hipoglucémicos presentaron un hematocrito significativamente mayor y una menor prevalencia de lactancia exclusiva al egreso. El análisis multivariable mostró una asociación independiente entre alto peso al nacer con hipoglucemia que requiere corrección. Conclusiones. La incidencia de hipoglucemia neonatal en la población estudiada no presentó diferencia según el tratamiento materno recibido. El estudio realizado fundamenta el control de la glucemia en estos niños en la práctica diaria.


Introduction. Neonatal hypoglycemia is a complication of gestational diabetes mellitus. Few studies have been conducted to support a systematic screening in the first hours of life of this population group. Objectives. To assess the association between the treatment administered to the mother (diet vs. insulin) and the development of hypoglycemia, and to identify associated risk factors. Population and methods. Observational, analytical, and retrospective study carried out at the Buenos Aires and San Justo maternal centers of a general, tertiary care hospital between 01-01-2017 and 12-31-2018. The incidence of neonatal hypoglycemia (≤ 47 mg/dL) based on the management of maternal diabetes was estimated and a multivariate analysis was done to assess related factors. Results. A total of 195 patients were included. No statistical difference was found in the incidence of hypoglycemia based on the treatment administered to the mother (45.3% vs. 39.7%; p = 0.45) and no associated risk factors were identified. Once the cutoff point was changed to ≤ 40 mg/dL, no differences were found in the incidence either (23.4% versus 19%, p = 0.48); however, patients with hypoglycemia had a significantly higher hematocrit level and a lower prevalence of exclusive breastfeeding upon discharge. Multivariate analysis showed an independent association between a high birth weight and hypoglycemia, requiring correction. Conclusions. The incidence of neonatal hypoglycemia in the studied population did not vary based on the treatment received by the mother. This study supports the control of glycemia in these infants in daily practice.


Subject(s)
Humans , Pregnancy , Infant, Newborn , Diabetes, Gestational/epidemiology , Fetal Diseases , Hypoglycemia/etiology , Hypoglycemia/epidemiology , Infant, Newborn, Diseases/etiology , Infant, Newborn, Diseases/epidemiology , Incidence , Retrospective Studies , Mothers
4.
Rev. latinoam. cienc. soc. niñez juv ; 20(2): 467-487, mayo-ago. 2022. tab
Article in Spanish | LILACS | ID: biblio-1409613

ABSTRACT

Resumen (analítico) La pandemia derivada del covid-19 significó para madres y padres estudiantes universitarios de Manizales (Colombia) experimentar dinámicas cotidianas de simultaneidad del cuidado y de la formación académica. A partir del análisis narrativo, se presenta la configuración de un escenario que trajo consigo el entrecruzamiento de tiempos individuales, escolares y familiares, generando un entorno dual como sujetos de rendimiento. Para las universitarias la oportunidad de estar cerca de sus hijas/hijos, conocer sus actividades de aprendizaje, «verles crecer¼, configurando una maternidad no delegada, contrastada con una triple exigencia de cumplir con todo: estudio, cuidado y trabajo. Para los universitarios que no conviven con sus hijos/hijas, este escenario derivó en un debilitamiento de los vínculos por el distanciamiento social y el surgimiento de la coordinación como alternativa para el cuidado parental.


Abstract (analytical) The pandemic derived from COVID-19 implied for mothers and fathers who were university students in Manizales Colombia, experience daily dynamics of simultaneous care and academic training. The narrative analysis reveals the configuration of a scenario that brought with it the intertwining of individual, school, and family time, generating a dual environment as subjects of performance; for university students the opportunity to be close to their daughters/son, to know their learning activities, to «see them grow¼ configuring non-delegated maternity, contrasted with a triple demand to comply with everything: study, care, and work. For university students, the opportunity to be close to their daughters/sons, to know their learning activities, to "see them grow" configuring non-delegated maternity, contrasted with a triple demand to comply with everything: study, care, and work. For university students who do not live with their sons/daughters, this scenario resulted in a weakening of ties due to social distancing and the emergence of coordination as an alternative for parental care.


Resumo (analítico) A pandemia derivada do Covid-19 significou para mães e pais estudantes universitários de Manizales, Colômbia, vivenciar diariamente dinâmicas de simultaneidade de cuidado e formação acadêmica. A partir de um análise de narrativa, se revelou a configuração de um cenário que trouxe consigo a intersecção dos tempos individuais, escolar e familiar, gerando um ambiente de dualidade como sujeitos de desempenho; para as universitárias a oportunidade de estar perto de seus filhos/filhas, conhecer suas atividades de aprendizagem, «ver como crescem¼ configurando uma maternidade não delegada, em contraste com uma tripla exigência de cumprir com tudo: estudo, cuidado e trabalho; Para os universitários que não moram com os filhos/filhas, esse cenário levou ao enfraquecimento dos vínculos devido ao distanciamento social e ao surgimento da coordenação como alternativa para o cuidado parental.


Subject(s)
Parents , Teaching , Family , Parenting , Pandemics , COVID-19 , Mothers , Time , Work , Nuclear Family
5.
Rev. latinoam. cienc. soc. niñez juv ; 20(2): 295-324, mayo-ago. 2022. graf
Article in Spanish | LILACS | ID: biblio-1409606

ABSTRACT

Resumen (analítico) Las ideas parentales sobre el desarrollo infantil pueden guiarse por falsas creencias e influir en las interacciones tempranas. En este trabajo se estudian las ideas e interacciones en la relación mamá adolescente-bebé. La maternidad adolescente implica riesgos vinculares, llegando incluso hasta el maltrato. Se clasificó a las madres en modernas (activas) o tradicionales (pasivas), según la estimulación y acompañamiento del niño/a. Se evaluaron 145 díadas en los primeros dos años de vida. Los resultados indican peores interacciones en las madres tradicionales, siendo significativos en los contactos cara a cara, las interacciones táctiles y la función de sostén materna. El patrón de apego también se presenta más inseguro. Estos resultados permiten organizar programas de capacitación parental apuntando a la deconstrucción de ideas erróneas sobre el desarrollo y orientando interacciones saludables.


Abstract (analytical) Parental ideas about child development can be guided by false beliefs and influence early interactions. Adolescent mother and baby bonding ideas and interactions are related in this study. Adolescent motherhood implies additional risks, which even include abuse. Mothers are classified as modern -active- or traditional -passive-, based on the stimulation and accompaniment they provide to their child. 145 dyads are evaluated in the first two years of life. The results indicate worse interactions among traditional mothers, based on face-to-face contact, tactile interactions and the maternal support function. The attachment pattern is also more insecure. These results make it possible to organize parental training programs aimed at the deconstruction of erroneous ideas about development and guiding healthy interactions.


Resumo (analítico) As ideias dos pais sobre o desenvolvimento infantil podem ser guiadas por falsas crenças e influenciar as interações iniciais. As idéias e interações do vínculo mãe-bebê adolescente estão relacionados aqui. A maternidade na adolescência implica riscos relacionados, chegando mesmo ao abuso. As mães são classificadas em modernas -ativas- ou tradicionais -passivas-, de acordo com o estímulo e o acompanhamento do filho. 145 díades são avaliadas nos primeiros dois anos de vida. Os resultados indicam piores interações nas mães tradicionais, sendo significativos nos contatos face a face, nas interações táteis e na função de apoio materno. O padrão de apego também é mais inseguro. Esses resultados possibilitam a organização de programas de treinamento parental com o objetivo de desconstruir ideias errôneas sobre o desenvolvimento e orientar interações saudáveis.


Subject(s)
Child Development , Adolescent Mothers , Mothers , Culture
6.
Rev. SPAGESP ; 23(1): 71-86, jan.-jun. 2022.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1356771

ABSTRACT

RESUMO Este estudo teve como objetivo investigar a representação familiar de uma criança que vivenciou o processo de adoção, a partir do olhar da própria criança, assim como conhecer seu amadurecimento emocional. Participou do estudo um menino de nove anos e sua mãe por adoção. Para a coleta de dados realizou-se uma Entrevista Semiestruturada com a mãe e, com a criança, houve uma Sessão Lúdica, aplicação do Procedimento de Desenhos de Família com Estórias (DF-E) e uma sessão para intervenção sobre os desenhos realizados com a criança. Os dados obtidos foram interpretados segundo método da livre inspeção do material a partir do processo compreensivo, sustentados no referencial winnicottiano. Os resultados evidenciaram a importância de a criança conhecer e possuir abertura para conversar sobre sua história pregressa com seus responsáveis; sendo que, quando há um ambiente acolhedor e o oferecimento de um espaço terapêutico para a criança, que pode ser obtido na família por adoção, isso favorece o amadurecimento emocional. Ademais, destaca-se a necessidade de cuidados da criança que sofreu de-privação e as consequências negativas em se apagar a história do que foi vivido antes da adoção. O estudo remete à importância de as crianças encontrarem na família por adoção um ambiente seguro e acolhedor, que sobreviva aos seus ataques e forneça um espaço em que sua história de vida seja respeitada.


ABSTRACT This study aimed to investigate the family representation of a child who experienced the adoption process from the child's gaze and evaluate their emotional maturation. A nine-year-old boy and his mother took part in the study by adoption. For the data collection, it was performed a semi-structured interview with the mother and a Play Session. The Family Drawings Procedure with Stories (DF-E) and a session for intervention on the drawings were made with the child. The data obtained was interpreted according to the method of free inspection of the material from the comprehensive process, based on the Winnicottian reference. The results showed the importance of the child knowing and having an openness to talk about his/her history with those responsible. In addition, when there is a welcoming environment and the offer of a therapeutic space for the child, available to the family, this allows the emotional maturation of the child. Furthermore, there is a need to care for the child who suffered deprivation, and the negative consequences of erasing the history experienced before the adoption are highlighted. The study points to the children finding in the family by adopting a safe and welcoming environment, surviving their attacks, and providing a space in which their life history is respected.


RESUMEN Este estudio tuvo como objetivo investigar la representación familiar de un niño que vivenció el proceso de adopción, a partir de la mirada del propio niño, y también evaluar su maduración emocional. Participó del estudio un niño de nueve años y su madre por adopción. Para la recolección de datos fue realizada una Entrevista Semiestructurada con la madre y se utilizó una sesión Lúdica, el Procedimiento de Dibujos de Familia con Estorias (DF-E) y de una sesión para intervención sobre los dibujos realizados con el niño. Los datos obtenidos fueron interpretados según el método de la libre inspección del material a partir del proceso comprensivo, sostenidos en el referencial winnicottiano. Los resultados mostraron la importancia de que el niño conozca y tenga apertura para hablar sobre su historia con sus responsables; que, cuando hay un ambiente acogedor y el ofrecimiento de un espacio terapéutico para el niño, que puede obtenerse en la familia por adopción, esto posibilita la maduración emocional. Además, se destaca la necesidad de cuidar al niño que sufrió privación o desprivación y las consecuencias negativas de borrar la historia de lo vivido antes de la adopción. El estudio remite a la importancia de los niños para encontrar en la familia por adopción un ambiente seguro y acogedor que sobreviva a sus ataques y proporcione un espacio en que su historia de vida sea respetada.


Subject(s)
Humans , Male , Child , Adoption , Foster Home Care , Child, Adopted , Mother-Child Relations , Mothers
7.
Med. infant ; 29(2): 132-138, Junio 2022. Tab
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1381872

ABSTRACT

El programa de Diagnóstico y Tratamiento Fetal (PDTF) coordina y optimiza el cuidado prenatal y perinatal de pacientes que consultan por alguna anomalía congénita severa (ACS). El servicio de Salud Mental forma parte del equipo interdisciplinario. Objetivo:Evaluar mediante indicadores específicos (estrés en torno a la internación neonatal, depresión, ansiedad, afrontamiento y apoyo social percibido) el impacto psicológico del PDTF en madres de recién nacidos (RN) con ACS internados en Neonatología, comparándolas con un grupo de pacientes con las mismas ACS ingresados por derivación posnatal habitual (DP). Diseño: transversal, comparativo. Población: madres de niños y niñas con ACS internados en neonatología, que cumplan con los criterios de admisión, con consentimiento. Instrumentos de medición: Cuestionario de MOS de Apoyo Social Percibido, Inventario de Depresión de Beck (BDI), Inventario de ansiedad estado/rasgo (STAI), Escala de estrés parental: Unidad de cuidados intensivos (PSS: NICU), Inventario de respuestas de afrontamiento de MOOS (CRI-A). Los datos se analizaron con REDCap y stata 12.0. Resultados: muestra constituida por 83 madres. El 61% tuvo seguimiento en PDTF. No se encontraron diferencias significativas en la edad (M:24a), nivel educativo(55% estudios secundarios o superiores), situación de pobreza (25%), situación conyugal(89% en pareja estable), presencia de red de apoyo(95%). En cuanto a su procedencia el 62% de las madres del PDTF y el 81% de DP provenían de CABA y el Conurbano. Tenían diagnóstico prenatal solo el 31% de las DP. Los diagnósticos más prevalentes de los niños del PDTF fueron gastroquisis (37%) y hernia diafragmática (30%), en los niños con DP cardiopatía (22%) y gastroquisis (19%). Las madres del PDTF presentaron menores niveles de depresión que las de DP. Estas últimas fueron quienes aumentaron en mayor medida su estado de ansiedad con respecto a su rasgo habitual. El apoyo social percibido fue alto en ambos grupos al igual que el afrontamiento por aproximación. Conclusiones: Las intervenciones del programa tuvieron un efecto positivo sobre la ansiedad y la depresión en las madres durante la internación neonatal. (AU)


The Fetal Diagnosis and Treatment Program ( FDTP) coordinates and optimizes prenatal and perinatal care of patients who consult for severe congenital anomalies (SCA). The Mental Health Department is part of the interdisciplinary team. Objective: To evaluate by means of specific indicators (stress around Neonatal Intensive Care Unit (NICU) admission, depression, anxiety, coping, and perceived social support) the psychological impact of the FDTP on mothers of newborns (NB) with SCA admitted to the NICU compared to a group of patients with the same SCA admitted through regular postnatal referral (PR). Design: cross-sectional, comparative study. Population: mothers of children with SCA admitted to the NICU who met the admission criteria and who signed informed consent. Measurement instruments: MOS Social Support Survey, Beck Depression Inventory (BDI), StateTrait Anxiety Inventory (STAI), Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU), Moos Coping Responses Inventory (CRI-A). Data were analyzed using REDCap and Stata 12.0. Results: the sample consisted of 83 mothers. Sixty-one percent were followed up by the FDTP. No significant differences were found in age (M:24y), educational level (55% secondary or higher education), poverty status (25%), marital status (89% in stable relationship), or presence of support network (95%). Regarding their origin, 62% of the FDTP mothers and 81% of the PR mothers came from the city of Buenos Aires and Greater Buenos Aires. Only 31% of the PR children had a prenatal diagnosis. The most prevalent diagnoses in the FDTP children were gastroschisis (37%) and diaphragmatic hernia (30%), and in the PR children, cardiopathy (22%) and gastroschisis (19%). FDTP mothers presented with lower levels of depression than PR mothers. The latter were those who increased their state of anxiety to a greater extent compared to their usual trait. Perceived social support was high in both groups, as was coping by proxy. Conclusions: Program interventions had a positive effect on anxiety and depression in mothers during NICU admission (AU)


Subject(s)
Humans , Pregnancy , Infant, Newborn , Prenatal Diagnosis/psychology , Congenital Abnormalities/diagnosis , Congenital Abnormalities/psychology , Adaptation, Psychological , Intensive Care Units, Neonatal , Mothers/psychology , Anxiety/psychology , Stress, Psychological/psychology , Cross-Sectional Studies , Surveys and Questionnaires , Depression/psychology
8.
Más Vita ; 4(2): 340-352, jun. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1392370

ABSTRACT

Diferentes características socio demográficas describen una disminución en el proceso de vacunación en niños originando rebrotes de enfermedades que se suponían controladas. Objetivos, comprobar la confiabilidad del instrumento de investigación para medir los factores que intervienen en el cumplimiento del calendario de vacunación en las madres con niños menores de 5 años. Materiales y métodos: esta investigación se empleo la metodología mixta, de corte transversal, exploratoria, descriptiva, en la cualitativa se usó la técnica fenomenológica con instrumentos diseñados por los investigadores y validado por juicio de expertos, Resultados. El instrumento de recolección de datos es validado con un puntaje promedio de pertinencia 89, validez de 90 y coherencia 89. Equivalente a 89.33 de confiabilidad, alfa de Cronbach de 0,07, Conclusiones. El instrumento al ser confiable está en condiciones de ser utilizado en investigaciones subsiguientes, teniendo en cuenta que la población a la que se aplicó reúne condiciones específicas de una área rural, dentro de los factores que modifican el cumplimiento del proceso de vacunación se recalcó las creencias de las madres del sector, quienes manifiestan un estado de inseguridad e incertidumbre al oponerse a la aplicación de vacunas a sus hijos, se detalla el estado emocional con tendencia a la depresión con rasgos de ansiedad de las madres como resultado de la actitud de su cultura de desconfianza(AU)


Different sociodemographic characteristics describe a decrease in the vaccination process in children, causing outbreaks of diseases that were supposed to be controlled. Objectives, to verify the reliability of the research instrument to measure the factors that intervene in the fulfillment of the vaccination schedule in mothers with children under 5 years of age. Materials and methods: this research used the mixed, cross-sectional, exploratory, descriptive methodology, in the qualitative one the phenomenological technique was used with instruments designed by the researchers and validated by expert judgment, Results. The data collection instrument is validated with an average relevance score of 89, validity of 90 and coherence of 89. Equivalent to 89.33 reliability, Cronbach's alpha of 0.07, Conclusions. The instrument, being reliable, is able to be used in subsequent investigations, taking into account that the population to which it was applied meets specific conditions of a rural area, within the factors that modify compliance with the vaccination process, beliefs of the mothers of the sector, who manifest a state of insecurity and uncertainty when opposing the application of vaccines to their children, the emotional state with a tendency to depression with anxiety traits of the mothers as a result of the attitude of their culture is detailed. of mistrust(AU)


Subject(s)
Vaccines , Immunization Schedule , Mothers , Socioeconomic Factors , Child Health , Disease Outbreaks
9.
Rev. chil. ter. ocup ; 23(1): 91-104, jun. 2022. tab
Article in Spanish | LILACS | ID: biblio-1398814

ABSTRACT

El equilibrio ocupacional de la población en general está relacionado con la buena salud, sin embargo, la población infantil fue uno de los grupos más afectados por el confinamiento y las medidas de distanciamiento social durante la pandemia de COVID-19. Esta investigación tuvo como objetivo conocer el impacto ocupacional que experimentaron niñas y niños a causa del confinamiento por COVID-19 según la percepción de sus madres y padres en la ciudad de Punta Arenas, Chile. A través de un enfoque cualitativo y alcance exploratorio descriptivo se entrevistó a 25 madres y 1 padre de niñas y niños entre 6 a 12 años, estudiantes de un establecimiento educacional subvencionado que se encontraban en confinamiento en la ciudad de Punta Arenas. Según su percepción, se establece que el confinamiento ocasionó algunos cambios positivos en las actividades de la vida diaria instrumentales y negativos en las ocupaciones de juego, participación social, educación, actividades de la vida diaria de alimentación, descanso y sueño de sus hijas e hijos. Madres y padres se enfrentaron a realizar diversas adaptaciones y modificaciones como organización del tiempo, entorno e implementación de materiales, para favorecer el desempeño ocupacional. Se concluye que debido a la incertidumbre e inestabilidad emocional con relación al ambiente y sus cambios, desde la mirada de la Terapia Ocupacional, resulta relevante el apoyo de las madres y padres para reestructurar las rutinas y adaptarlas al encierro prolongado dentro del hogar, respetando y organizando horarios. El añadir actividades recreativas y fomentar el juego en el ocio y tiempo libre favoreció el equilibrio ocupacional y la sensación de satisfacción de niñas y niños junto a sus familias.


The occupational balance of the general population is related to good health; however, the child population was one of the groups most affected by confinement and social distancing measures during the COVID-19 pandemic. The objective of this research was to determine the occupational impact experienced by children as a result of COVID-19 confinement as perceived by their mothers and fathers in the city of Punta Arenas, Chile. Through a qualitative approach and descriptive exploratory scope, 25 mothers and 1 father of children between 6 and 12 years old, students of a subsidized educational establishment who were in confinement in the city of Punta Arenas, Chile, were interviewed. According to their perception, it was established that confinement caused some positive changes in instrumental daily life activities and negative changes in their children's activities of play, social participation, education, daily life activities of eating, resting and sleeping. Mothers and fathers were faced with making various adaptations and modifications such as organization of time, environment and implementation of materials, in order to favor occupational performance. It is concluded that due to the uncertainty and emotional instability in relation to the environment and its changes, from the point of view of occupational therapy, the support of mothers and fathers is relevant to restructure routines and adapt them to the prolonged confinement at home, respecting and organizing schedules. Adding recreational activities and encouraging play in leisure and free time favored occupational balance and the feeling of satisfaction of children and their families.


Subject(s)
Humans , Male , Female , Child , Parents , Students , Quarantine , Occupational Therapy , COVID-19 , Mothers , Chile , Qualitative Research
10.
Ludovica pediátr ; 25(1): 51-56, jul.2022.
Article in Spanish | LILACS, Redbvs, BINACIS, BDNPAR | ID: biblio-1390834

ABSTRACT

El cuidado de niños y adolescentes con trastornos del neurodesarrollo implica altas demandas físicas, financieras y emocionales y puede asociarse con el surgimiento de sobrecarga parental. Como consecuencia, aumenta la frecuencia de empeoramiento conductual del menor y de trastornos depresivos y de ansiedad en el adulto responsable. Se describen los casos de tres madres de pacientes con trastornos del desarrollo que presentaron sobrecarga parental para aumentar la visibilización de esta problemática en ámbitos pediátricos. Todos los hijos estaban recibiendo plan psicofarmacológico por la presencia de alteraciones conductuales y solo uno tenía acompañante terapéutico. La detección temprana y derivación de los padres con sobrecarga es imprescindible para mejorar la calidad de vida de los niños y los adolescentes con trastornos del neurodesarrollo y sus familias


Introduction: The care of children and adolescents with neurodevelopmental disorders involves high physical, financial and emotional demands, and it may be associated with the emergence of parenting stress. As a result, there is an increase in the frequency of minor behavioral worsening and depressive and anxiety disorders in the responsible adult. The cases of three mothers of patients with developmental disorders are described in order the visibility of this problem in pediatric settings. All the children were receiving psychotropics for the presence of behavioral alterations and only one had a therapeutic companion. Conclusion: Early detection and referral of parenting stress is essential to improve the quality of life of children and adolescents with neurodevelopmental disorders and their families. Objectives: to describe the initial clinical findings of patients with CVID diagnosed at Hospital de Niños Sor Maria Ludovica, between 1981 and 2019. 19 patients were included, 14 were male (74%). All Patients Had a history of recurrent infections, most frequently pneumonia (74%) and acute otitis media (42%). 9 patients suffered from chronic diarrhea (47%), with associated malabsorption in 6 of them. Thirty-two presented with severe malnutrition and 1 patient with gastric metaplasia. One Patient Had Splenomegaly and 1 had Evans´ syndrome. Bronchiectasis were found in 42% of patients at the time of diagnosis. Early suspicion of CVID from pediatricians is essential in order to arrive at a proper diagnosis


Subject(s)
Adolescent , Neurodevelopmental Disorders , Mothers , Anxiety , Depression
11.
Rev. enferm. vanguard. (En línea) ; 10(1): 3-12, ene.-jun. 2022. gráf
Article in Spanish | LILACS, LIPECS | ID: biblio-1397760

ABSTRACT

La adopción de rol materno es un método activo y de acrecentamiento que se ejecuta en el tiempo en donde la madre establece un fuerte lazo con su hijo. Objetivo: Reconocer la adopción del rol maternal relacionado al nivel cognitivo sobre cuidados del recién nacido en madres primíparas las cuales acuden al Hospital Regional de Ica ­2020. Material y métodos: Investigación descriptivo, cuantitativo, transversal y relacional. La muestra estuvo integrada por 30 madres primíparas. Muestreo probabilístico por conveniencia. Como instrumento se utilizó un cuestionario validado a nivel regional. Para confiabilidad del instrumento se aplicó una prueba piloto al 10% de la muestra no incluyéndose las madres objeto de estudio. Resultados: El 43,33% de madres mantienen un rol maternal desfavorable, el 40% medianamente favorable y el 16,67% favorable. En cuanto al discernimiento sobre cuidados del recién nacido el 53,34% de madres tenían un nivel malo, el 43,33% tenían un nivel regular y el 3,33% nivel bueno. Conclusiones: Con un 95% de confianza las cifras dan certeza que si hay una relación entre adopción de rol maternal y el nivel cognitivo en las madres primíparas que acuden al Hospital Regional de Ica ­2020. (AU)


The adoption of the maternal role is an active and enhancement method that is executed in the time where the mother establishes a strong bond with her child. Objective: Recognize the adoption of the maternal role related to the cognitive level on newborn care in primiparous mothers who attend the Regional Hospital of Ica -2020. Material and methods: Descriptive, quantitative, cross-sectional and relational research. The sample consisted of 30 primiparous mothers. probability sampling for convenience. As an instrument, a questionnaire validated at the regional level was obtained. For the reliability test of the instrument, a pilot test was applied to 10% of the sample, not including the mothers under study. Results:43.33% of mothers maintain an unfavorable maternal role, 40% moderately favorable and 16.67% favorable. Regarding discernment about newborn care, 53.34% of mothers have a bad level, 43.33% have a regular level and 3.33% have a good level. Conclusions:With 95% confidence, the figures give certainty that there is a relationship between the adoption of the maternal role and the cognitive level in first-time mothers who attend the Regional Hospital of Ica -2020. (AU)


Subject(s)
Humans , Female , Adult , Parity , Role , Infant, Newborn , Child Care , Mothers , Cross-Sectional Studies , Evaluation Studies as Topic
12.
San Salvador; MINSAL; jun.05, 2022. 38 p. ilus.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1402146

ABSTRACT

Proporcionar las disposiciones técnicas para la instalación y funcionamiento de salas de lactancia materna en centros de trabajo, con la finalidad de acompañar, apoyar e informar a las madres para mantener el proceso de lactancia exclusiva y complementaria, contribuyendo así al crecimiento optimo y desarrollo saludable de la niñez salvadoreña


Provide the technical provisions for the installation and operation of breastfeeding rooms in workplaces, in order to accompany, support and inform mothers to maintain the exclusive and complementary breastfeeding process, thus contributing to the optimal growth and healthy development of Salvadoran childhood


Subject(s)
Breast Feeding , Workplace , Guidelines as Topic , El Salvador , Growth , Methods , Mothers
13.
J. oral res. (Impresa) ; 11(1): 1-14, may. 11, 2022. ilus, tab
Article in English | LILACS | ID: biblio-1399600

ABSTRACT

Aim: To assess parental oral health knowledge, attitude, practice (KAP), perceptions of their children's oral health status, and explore the barriers to dental care utilization among Libyan parents living in Malaysia. Material and Methods: A cross-sectional study was conducted among Libyan parents of children aged 1- 7 years old who lived in Malaysia. A 63-items questionnaire was constructed, validated, and pretested. Six hundred self-administered questionnaires were distributed Data were analyzed using IBM SPSS version 22.0. A generalized Linear Model was used to test the possible relationships between KAP scores and different sociodemographic factors. A significant level for all the statistical tests was predetermined at p≤0.05. Results: A total of 381 questionnaires were included, of which fathers' responses constituted 189 (49.6%), and mothers' responses constituted 192 (50.4%). Most of the parents exhibited good oral health knowledge (77.2%), positive attitudes (86.4%), and were adherent to good oral health practice (78.7%) with mean values of 10.6 (SD=1.8), 9.5 (SD=1.5), and 7.9 (SD=1.4) respectively. Gender, age, and income had statistically significant relationships (p<0.05) with KAP scores. The majority (81.1%) of parents rated their child's oral health as good. More than one-third of parents (35.7%) perceived no need for dental care, and 18.6% perceived no need to treat the primary teeth as they will be replaced. Conclusion: Good Knowledge and positive attitudes towards oral health are not necessarily translated into favorable practices. The lack of perceived need and low value attributed to primary teeth created barriers to seek dental care services among the majority of surveyed parents. Attention must be directed to behavior change strategies rather than providing oral health education alone to improve the children's oral health outcomes.


Objetivo: Evaluar el conocimiento, la actitud y la práctica de la salud bucal de los padres (CAP), las percepciones del estado de salud bucal de sus hijos y explorar las barreras para la utilización de la atención dental entre los padres libios que viven en Malasia. Material y Métodos: Se realizó un estudio transversal entre padres libios de niños de 1 a 7 años que vivían en Malasia. Se construyó, validó y probó previamente un cuestionario de 63 ítems. Se distribuyeron 600 cuestionarios autoadministrados. Los datos se analizaron con IBM SPSS versión 22.0. Se utilizó un modelo lineal generalizado para probar las posibles relaciones entre las puntuaciones KAP y diferentes factores sociodemográficos. Se predeterminó un nivel de significancia para todas las pruebas estadísticas en p? 0,05. Resultados: Se incluyeron un total de 381 cuestionarios, de los cuales las respuestas de los padres constituyeron 189 (49,6%) y las respuestas de las madres 192 (50,4%). La mayoría de los padres exhibieron buenos conocimientos sobre salud bucal (77,2 %), actitudes positivas (86,4 %) y se adhirieron a buenas prácticas de salud bucal (78,7 %) con valores medios de 10,6 (DE=1,8), 9,5 (DE=1,5) , y 7,9 (DE=1,4) respectivamente. El género, la edad y los ingresos tuvieron relaciones estadísticamente significativas (p<0,05) con las puntuaciones KAP. La mayoría (81,1%) de los padres calificaron la salud bucal de sus hijos como buena. Más de un tercio de los padres (35,7%) no percibieron la necesidad de atención dental y el 18,6% no percibieron la necesidad de tratar los dientes primarios, ya que serán reemplazados. Conclusión: El buen conocimiento y las actitudes positivas hacia la salud bucal no necesariamente se traducen en prácticas favorables. La falta de necesidad percibida y el bajo valor atribuido a los dientes primarios crearon barreras para buscar servicios de atención dental entre la mayoría de los padres encuestados. La atención se debe dirigir a las estrategias de cambio de comportamiento en lugar de brindar educación sobre salud bucal únicamente para mejorar los resultados de salud bucal de los niños.


Subject(s)
Humans , Male , Adult , Middle Aged , Young Adult , Health Knowledge, Attitudes, Practice , Oral Health , Parents , Perception , Cross-Sectional Studies , Surveys and Questionnaires , Dental Care , Sociodemographic Factors , Malaysia , Mothers
14.
Rev. cuba. enferm ; 38(1)mar. 2022.
Article in Spanish | LILACS-Express | LILACS, BDENF, CUMED | ID: biblio-1408326

ABSTRACT

Introducción: Los profesionales de la salud se encuentran preparados principalmente para recibir vida, por lo cual, brindar cuidados a las mujeres con pérdidas durante la gestación o al inicio de la vida se torna una tarea difícil, cargada de sentimientos y emociones. La muerte perinatal es una situación compleja que tiene un fuerte impacto en las mujeres-madres y en sus familias. Objetivo: Analizar la literatura existente referente a estudios sobre las experiencias del personal de enfermería ante una muerte perinatal. Métodos: Revisión sistemática de la literatura, se realizó una búsqueda en las bases de datos PubMed, EBSCO, CINAHL, Scopus, SciELO y Dianet de febrero a abril del 2020. Los términos de búsqueda utilizados fueron "mortinato", "muerte perinatal", "enfermería" y "experiencias". Se incluyeron artículos en idioma inglés y español, publicados de 2005 a 2020. Como estrategia de búsqueda se utilizó el diagrama de flujo Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), como resultado inicial se obtuvieron 476 artículos, de los cuales, 14 fueron seleccionados por cumplir los criterios de selección. Conclusiones: Las experiencias de los profesionales de enfermería que documentan los estudios recopilados y analizados enfatizan la necesidad de mejorar la formación profesional para acompañar el duelo, así como las estrategias de comunicación y acompañamiento. Las investigaciones reportan experiencias contradictorias, que van desde considerar las pérdidas perinatales como situaciones difíciles de tratar, hasta percepciones positivas que describen como un privilegio u honor el acompañamiento en esos momentos difíciles para las mujeres-madres y sus seres queridos(AU)


Introduction: Health professionals are primarily trained to receive life; therefore, providing care for women with offspring or newborn loss becomes a difficult task, fraught with feelings and emotions. Perinatal death is a complex situation with a strong impact on women-mothers and their families. Objective: To analyze the existing literature regarding studies on the experiences of the nursing personnel in the face of perinatal death. Methods: To carry out the systematic review of the literature, a search was made in the PubMed, EBSCO, CINAHL, Scopus, SciELO and Dianet databases, from February to April 2020. The search terms used were mortinato [stillbirth], muerte perinatal [perinatal death], enfermería [nursing] and experiencias [experiences]. Articles in English and Spanish, published from 2005 to 2020, were included. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) flowchart was used as search strategy. As an initial result, 476 articles were obtained, fourteen of which were selected because they met the selection criteria. Conclusions: The experiences of nursing professionals documented in the collected and analyzed studies emphasize the necessity to improve professional training to accompany bereavement, as well as communication and accompaniment strategies. The analyzed researches report contradictory experiences, ranging from considering perinatal losses as difficult situations to deal with, to positive perceptions that describe, as a privilege or honor, accompaniment in these difficult moments for women-mothers and their loved ones(AU)


Subject(s)
Humans , Female , Stillbirth , Perinatal Death , Mothers , Nursing Staff , Review Literature as Topic , Databases, Bibliographic , Health Personnel , Research Report
15.
J. pediatr. (Rio J.) ; 98(1): 39-45, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1360555

ABSTRACT

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question "Would you be willing to try to breastfeed exclusively for the first 6 months?", in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4-19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35-1.98) and in those who intended to smoke 4-7 days/week after delivery (PR, 1.42; 1.11-1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19-0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38-0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Breast Feeding , Intention , Prevalence , Cross-Sectional Studies , Mothers
16.
Online braz. j. nurs. (Online) ; 21(supl.2): e20226549, 21 janeiro 2022.
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1391589

ABSTRACT

OBJETIVO: analisar como ocorria o contato pele a pele em maternidade municipal, na região metropolitana II do estado do Rio de Janeiro, Brasil, durante o início da pandemia da COVID-19, a partir da visão de enfermeiras obstétricas. MÉTODO: estudo qualitativo, descritivo-exploratório, realizado com sete enfermeiras obstétricas. As informações foram coletadas via Google Formulários® e tratadas pela análise temática proposta por Bardin. RESULTADOS: emergiram duas categorias: "manutenção do contato pele a pele e influência da decisão médica" e "avaliação de síndromes gripais e COVID-19, no início da pandemia, que interferiram no processo do contato pele a pele". CONCLUSÃO: a manutenção do contato pele a pele ocorria atrelada às recomendações de protocolos oficiais. O poder da medicina influenciava o trabalho em equipe, direcionado pelo uso de procedimentos, durante o parto e nascimento que, de certa forma, limitava a respectiva prática, em casos suspeitos para COVID-19.


OBJECTIVE: to analyze how skin-to-skin contact occurred in a municipal maternity hospital in Metropolitan Region II of the state of Rio de Janeiro, Brazil, at the beginning of the COVID-19 pandemic, from the perspective of obstetric nurses. METHOD: a qualitative, descriptive, and exploratory study with seven obstetric nurses. The information was collected via Google Forms® and subjected to the thematic analysis proposed by Bardin. RESULTS: two categories emerged: "maintenance of skin-toskin contact and medical decision influence" and "evaluation of flu syndromes and COVID-19 at the beginning of the pandemic, interfering in the process of skin-to-skin contact". CONCLUSION: the maintenance of skin-to-skin contact was linked to the recommendations of official protocols. The power of medicine influenced teamwork, directed by the use of procedures, during labor and birth, which, in a way, limited the respective practice in suspected cases for COVID-19.


OBJETIVO: analizar cómo se produce el contacto piel a piel en maternidad municipal, en la región metropolitana II del Estado de Río de Janeiro, Brasil, durante el inicio de la pandemia de COVID-19, a partir de la visión de enfermeras obstétricas. MÉTODO: estudio cualitativo, descriptivo-exploratorio, realizado con siete enfermeras obstétricas. Las informaciones se recabaron con Google Formularios® y analizadas por el análisis temático propuesto por Bardin. RESULTADOS: emergieron dos categorías: "mantenimiento del contacto piel a piel e influencia de la decisión médica" y "evaluación de síndromes gripales y COVID-19, en el inicio de la pandemia, que interfirieron en el proceso de contacto piel a piel". CONCLUSIÓN: el mantenimiento del contacto piel a piel se verificaba relacionado a las recomendaciones de los protocolos oficiales. El poder de la medicina influía el trabajo en equipo, dirigido por el empleo de procedimientos, durante el parto y nacimiento que, de cierta forma, limitaba la respectiva práctica, en casos de sospecha de COVID-19.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , COVID-19 , Hospitals, Maternity , Mother-Child Relations , Mothers , Obstetric Nursing , Breast Feeding , Qualitative Research , Hospitals, Public
17.
Online braz. j. nurs. (Online) ; 21(supl.2): e20226555, 21 janeiro 2022. tab
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1377969

ABSTRACT

OBJETIVO: descrever o conhecimento materno acerca da puericultura durante a pandemia da Covid-19. MÉTODO: trata-se de uma pesquisa de campo, de caráter descritivo com abordagem qualitativa, realizada com 30 mães de crianças com faixa etária entre zero a 24 meses de idade. O recrutamento das participantes foi no domicílio, devido a pandemia do Covid-19. Os dados foram examinados e interpretados através da análise de conteúdo. RESULTADOS: foram criadas quatro categorias: O conhecimento das mães acerca da puericultura; Realização das consultas de puericultura em tempos de pandemia da Covid-19; Vigilância do desenvolvimento infantil na perspectiva das mães; Conhecimento das mães sobre a avaliação dos marcos do desenvolvimento infantil. CONCLUSÃO: foram reveladas fragilidades de comunicação dos profissionais com as mães, limitação de conhecimento das mães em relação ao desenvolvimento infantil e devido a pandemia, as mães estão receosas em levar as crianças para realizar o acompanhamento do desenvolvimento infantil.


OBJECTIVE: to describe maternal knowledge about childcare during the COVID-19 pandemic. METHOD: descriptive field research with a qualitative approach, carried out with 30 mothers of young children aged between zero and 24 months. Participants were selected at home, due to the COVID-19 pandemic. Data were analyzed and interpreted through content analysis. RESULTS: 4 categories were created: Mothers' knowledge about childcare; Childcare appointments in times of the COVID-19 pandemic; Surveillance of child development from the perspective of mothers; Mothers' knowledge about the assessment of infant developmental milestones. CONCLUSION: poor communication between health providers and mothers, limited knowledge of mothers in relation to child development and because of the pandemic were revealed, and mothers are afraid to take children for child developmental follow-up.


OBJETIVO: describir el conocimiento materno sobre puericultura durante la pandemia de COVID-19. MÉTODO: se trata de una investigación de campo descriptiva con enfoque cualitativo, realizada con 30 madres de niños con edades comprendidas entre cero y 24 meses de edad. El abordaje de las participantes fue en el domicilio, debido a la pandemia de COVID-19. Los datos fueron analizados e interpretados mediante el análisis de contenido. RESULTADOS: se crearon 4 categorías: Conocimiento de las madres sobre puericultura; Realización de consultas de puericultura en tiempos de la pandemia de COVID-19; Vigilancia del desarrollo infantil desde la perspectiva de las madres; Conocimiento de las madres sobre la evaluación de los hitos del desarrollo infantil. CONCLUSIÓN: se detectaron problemas en la comunicación de los profesionales con las madres, conocimiento limitado de las madres sobre el desarrollo infantil y debido a la pandemia, las madres temen llevar a los niños para realizar el seguimiento del desarrollo infantil.


Subject(s)
Humans , Infant, Newborn , Infant , Child Care , Child Development , COVID-19 , Mothers , Primary Health Care , Health Centers , Office Nursing
18.
Online braz. j. nurs. (Online) ; 21(supl.2): e20226560, 21 janeiro 2022. ilus
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1380378

ABSTRACT

OBJETIVO: Conhecer as percepções das mães de recém-nascidos prematuros internados na Unidade Neonatal diante da pandemia do COVID-19. MÉTODO: Pesquisa qualitativa realizada entre junho e julho de 2020, envolvendo 12 mães de recém-nascidos prematuros internados nas unidades neonatais de uma maternidade no estado do Ceará durante a pandemia do Coronavírus. As mães foram contactadas via aplicativo WhatsApp. Para a análise textual foi utilizada a classificação hierárquica descendente realizada pelo software IRAMUTEQ. RESULTADOS: A percepção das mães estava centrada nas dificuldades enfrentadas neste período de pandemia. A palavra "não" foi fortemente apresentada no corpus do texto, evidenciando o impacto do impedimento da visita, da permanência das mães nas unidades e o fato de não poder amamentar. CONCLUSÃO: A prestação de uma assistência humanizada nas unidades neonatais não deve se limitar ao recém-nascido, sendo fundamental o apoio emocional às mães por parte da equipe de saúde.


OBJECTIVE: To know the perceptions of mothers of premature newborns hospitalized in the Neonatal Unit in the face of the COVID-19 pandemic. METHOD: Qualitative research carried out in June and July 2020, involving 12 mothers of premature newborns hospitalized in the neonatal units of a maternity hospital in the state of Ceará during the Coronavirus pandemic. Mothers were contacted via WhatsApp application. For the textual analysis, the descending hierarchical classification performed by the IRAMUTEQ software was used. RESULTS: The mothers' perception was centered on the difficulties faced in this pandemic period. The word "no" was strongly presented in the corpus of the text, evidencing the impact of the impediment of the visit, of the mothers' permanence in the units and the fact of not being able to breastfeed. CONCLUSION: The provision of humanized care in neonatal units should not be limited to the newborn, and emotional support for mothers by the health team is essential.


OBJETIVO: Conocer las percepciones de las madres de recién nacidos prematuros internados en unidades neonatales ante la pandemia del COVID-19. MÉTODO: Investigación cualitativa realizada en junio y julio de 2020 con la participación de 12 madres de recién nacidos prematuros internados en las unidades neonatales de una maternidad del estado de Ceará durante la pandemia del Coronavirus. Se contactó a las madres por medio de la aplicación WhatsApp. Para el análisis textual se utilizó la Clasificación Jerárquica Descendente realizada en el programa de software IRAMUTEQ. RESULTADOS: La percepción de las madres se enfocó en las dificultadas que debieron enfrentar en este período de la pandemia. La palabra "no" se hizo presente en gran medida en el corpus del texto, evidenciando así el efecto de la imposibilidad de las visitas y de la permanencia de las madres en las unidades, además del hecho de no poder amamantar. CONCLUSIÓN: La prestación de atención humanizada en las unidades neonatales no debe limitarse al recién nacido, siendo fundamental el apoyo emocional a las madres por parte del equipo de salud.


Subject(s)
Humans , Infant, Newborn , Infant, Premature , COVID-19 , Mothers , Intensive Care Units, Neonatal , Child, Hospitalized , Qualitative Research
19.
Rev. méd. Chile ; 150(1): 62-69, ene. 2022. ilus, tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1389619

ABSTRACT

BACKGROUND: Menopause connects a biological event with social representations related to aging AIM: To assess the meaning of menopause in a group of Chilean women attending primary health care. MATERIALS AND METHODS: Secondary analysis of a descriptive qualitative study of in-depth interviews to explore the meaning of menopause in fifteen women aged 55 to 71 years who experienced menopause between 2 and 29 years before. Data were collected using the method proposed by the Grounded Theory. Guba's criteria of scientific rigor were used. RESULTS: Relational analysis shows that menopause divides the life cycle of women into two stages related with the possibility of having children, which is heavily influenced by the cultural significance of menopause. CONCLUSIONS: Women perceive that menopause is a natural stage and that it is the end of a period focused on tasks related to reproduction and motherhood. However, that "normality" includes a suffering process, loaded with negative cultural beliefs about menopause passed down for generations.


Subject(s)
Humans , Female , Aged , Primary Health Care , Aging/psychology , Menopause/psychology , Pregnancy/psychology , Chile , Qualitative Research , Life Change Events , Mothers/psychology
20.
Ibom Medical Journal ; 15(2): 132-140, 2022. tables
Article in English | AIM | ID: biblio-1379812

ABSTRACT

Background: Early initiation of breast feeding and feeding exclusively for six months have great implication for the survival, well-being and growth of new borne. Factors such as maternal age, occupation, religion, spouse age, spouse occupation, parity, antenatal care (ANC) attendance, mode of delivery (MOD) and birth order are significantly associated with exclusive breast feeding (EBF) Methodology: The study is a descriptive cross-sectional study conducted among nursing mothers attending child health clinic in General Hospital Bonny, in Bonny Island, Rivers State, Nigeria. All eligible nursing mother who presented at the clinic were enlisted for the study. Enlistment of eligible participants was done on every child welfare clinic day. Data was collected using a pretested, interviewer administered, structured questionnaire which was adapted and prepared in English Language. Categorical data was analyzed using multinomial logistic regression model with statistical significance set at 0.05. Result: Results from this study identified significant association between EBF and some maternal variables such as age, occupation and religion. Spouse age and occupation were significantly associated with EBF. ANC attendance, gestational age, MOD, parity and birth order were also significant variables associated with EBF. Conclusion: Maternal variables such as age, occupation, religion, parity, MOD, ANC attendance including spouse age and occupation significantly influence EBF of new borne.


Subject(s)
Breast Feeding , Occupations , Parity , Infant, Small for Gestational Age , Child Health , Breastfeeding and Complementary Feeding , Mothers
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