FACTORS ASSOCIATED WITH BREASTFEEDING SELF-EFFICACY IN THE IMMEDIATE PUERPERIUM IN A PUBLIC MATERNITY HOSPITAL

Objective: to verify the association between sociodemographic variables, obstetric history, current pregnancy, and puerperium with breastfeeding self-efficacy.Method: cross-sectional study conducted in southwestern Maranhão, Brazil, between October 2020 and July 2021 with the participation of 240 postpartum women, using the Breastfeeding Self-Efficacy Scale - Short Form.  Descriptive analysis, possible associations, simple and multiple logistic regression models were performed.Results: 83.3% had high breastfeeding self-efficacy, 46.7% were between 26 and 35 years old, 81.2% were married or in a stable union, 94.2% breastfed in the first hour of life, 37.9% received orientation on breastfeeding in the Primary Health Care Unit, and 84.2% offered only breast milk to the newborn in the maternity hospital. These factors were associated with high breastfeeding self-efficacy (p<0.05).Conclusion: The research contributed to guide health professionals to provide superior quality care to pregnant and postpartum women and lactating mothers, aiming to increase breastfeeding self-efficacy, identifying, among these women, those who need more support

FACTORES ASOCIADOS A LA AUTOEFICACIA DE LA LACTANCIA MATERNA EN EL PUERPERIO INMEDIATO EN UNA MATERNIDAD PÚBLICA

Objetivo: verificar la asociación entre las variables sociodemográficas, los antecedentes obstétricos, la gestación actual y el puerperio con la autoeficacia en amamantar.Método: estudio transversal, realizado en el sudoeste maranhense de Brasil, entre los meses de octubre de 2020 a julio de 2021 con la participación de 240 puérperas, utilizando el Breastfeeding Self-Efficacy Scale – Short Form.  Se realizaron análisis descriptivos, posibles asociaciones y modelos de regresión logística simple y múltiple.Resultados: El 83,3% mostró una alta autoeficacia para la lactancia materna, el 46,7% tenía entre 26 y 35 años, el 81,2% estaba casada o en unión estable, el 94,2% dio el pecho en la primera hora de vida, el 37,9% recibió orientación sobre la lactancia materna en la Unidad de Atención Primaria y el 84,2% ofreció sólo leche materna al recién nacido en la maternidad, asociándose estos factores con una alta autoeficacia para la lactancia materna (p<0,05).Conclusión: la investigación contribuyó a orientar a los profesionales de la salud a prestar asistencia de calidad superior a gestantes, puérperas y lactantes, con el objetivo de aumentar la autoeficacia en el amamantamiento, identificando, entre estas mujeres, a las que necesitan un mayor apoyo

Congenital malformations in neonates: analysis of morbidity and associated factors

Objective: To evaluate the neonatal morbidity due to congenital malformations in the city of Petrolina-PE, from 2008 to 2013. Methods: A descriptive study with data from the Information System on Live Births (Sinasc). The analyzes were carried out through frequency distribution and measures of central tendency and dispersion. The associations were tested by the Pearson and Kruskal Wallis chi-square tests. Significance was set at 5% and 95% confidence. Results: 436 cases of congenital malformations were recorded in the study period, with 2011 being the highest occurrence year. The mothers of the newborns were young (25.2 years old), single, upper level of education and household. In general multiparous, with single gestation, vaginal delivery and performed up to six prenatal visits. The newborns were males, at 39 weeks or more of gestation and with normal weight (&gt; = 2500g). The malformations of the musculoskeletal system were the most frequent followed by the genitourinary system. Congenital malformations were especially associated with neonatal characteristics such as gender and weight. In all causes the mean weight was greater than 2500g (p &lt;0.05). The causes of malformation of greater occurrence in both sexes were osteomuscular (p &lt;0.05). The aspects of the mother did not present significant differences in the present study (p&gt; 0.05). Conclusion: The present study evidenced relevant aspects in the occurrence of morbidities due to congenital malformations, directing to a greater attention the occurrence of these diseases especially in relation to the newborn

Os impactos da tecnologia de mulching utilizada no cultivo do melão na região de Mossoró

The mulching technology is a tool that enables cost reduction for producers regarding the use of agrochemicals, irrigation water and the use of labor force, promoting improvement in the produced fruit quality and increasing production. The present study aimed to evaluate the impacts caused by the use of mulch in the environmental, social and economic environment of a rural community of Mossoró / RN. Observation, semi-structured interview and structured questionnaire were used in the study, and the questionnaire was applied to 12.5% of participants from a total of 32. The results show that this technology is used by all producers, in order to improve the production of melon in quantity and quality. However, the use of polyethylene mulch utilized therein causes concern as to their post-use disposal, with the use of archaic practices, such as burning, that gradually affect workers' health and biological properties of the soil.A tecnologia de mulching é uma ferramenta que possibilita a redução de gastos para os produtores no tocante a utilização de agroquímicos, água de irrigação e a utilização de mão-de-obra, além de promover melhoria na qualidade da fruta produzida e o aumento da produção. O presente trabalho objetivou avaliar os impactos provocados pelo uso do mulch no meio ambiental, social e econômico de uma comunidade rural de Mossoró/RN. Fez-se o uso de observações, entrevista semiestruturada e questionário estruturado, o qual foi aplicado a 12,5% dos participantes de um total de 32. Os resultados mostram que essa tecnologia é utilizada por todos os produtores, com o intuito de melhorar a produção do melão em quantidade e qualidade. Contudo, o uso do mulch de polietileno, utilizado nessa técnica, acarreta preocupações quanto ao seu descarte pós-uso, com a utilização de práticas arcaicas como as queimadas que afetam de forma gradual a saúde do trabalhador e as propriedades biológicas do solo