Made available in DSpace on 2016-03-22T17:27:42Z (GMT). No. of bitstreams: 1 Valeria Neutzling.pdf: 267420 bytes, checksum: 91590f5ce53373e6faee56fb81e2d93d (MD5) Previous issue date: 2005-03-01 / Despite the fact of many contraceptive methods are available, up to 89% of the puerpera do not make use of them. Gestations under 24 months interval are considered as high risk for the mother and the new born. Having in mind the goal of estimate the prevalence of pos-natal contraception, in the city of Pelotas, as well as the factors associated with the non-use of contraceptive 38 methods during this period, has been realized a nested cross-sectional study. 2471 mothers have been interviewed in the immediate pos-natal period and an random and representative sample of 34%, in home interviews six months after, in a total of 920 women. It came up with the evidence that 84% have used contraception up to the sixth month, been the combined oral contraceptive the most used (43%), followed by the progestin-only (13%) and for the condom (12%). The factors associated to anticonception in the sixth month of the puerperium have been: having a partner, have been attended pre and pos-natal professional medical orientation, previous use of contraception, not been breastfeeding in the sixth month pos-natal period, return to the sexual activity, have been cycled and medical orientation. / Apesar de existirem vários contraceptivos no mercado, até 89% das puérperas não faz uso de contracepção. Gestações com menos de 24 meses de intervalo são consideradas como de maior risco para mãe e bebê.Com o objetivo estimar a prevalência de contracepção no pós-parto, na cidade de Pelotas, bem como os fatores associados com o não-uso de contraceptivos nesse período, foi realizado um estudo transversal aninhado a uma coorte. Foram entrevistadas 2741 mulheres no período pós-parto imediato e uma amostra aleatória e representativa de 34%, no acompanhamento domiciliar seis meses depois, totalizando 920 puérperas. Evidenciou-se que 84% usou anticoncepção até o sexto mês puerperal, sendo o contraceptivo oral combinado o método mais utilizado (43%), seguido do progestágeno (13%) e pelo preservativo (12%). Os fatores associados à anticoncepção aos seis meses foram: presença de companheiro, ter realizado consultas pré e pós-natais, uso prévio de contracepção, não estar amamentando aos seis meses, retorno à atividade sexual, ter menstruado e orientação médica

Os objetivos desta pesquisa constituíram-se em identificar, na perspectiva da mulher-nutriz, o que é apoio à amamentação e rituais da assistência em amamentação nos serviços de saúde, especificamente hospitais amigo da criança e equipes da saúde da família, que não são considerados apoio. Sob as lentes da integralidade, partimos dos pressupostos que uma prática se constitui em apoio à mulher que amamenta, a partir da identificação da necessidade expressa pela mulher; que práticas normativas, pré-estabelecidas podem não atender às necessidades da mulher na amamentação e que as formulações políticas acerca do aleitamento materno (AM) têm reforçado o paradigma hegemônico. Fizeram parte deste estudo todas as puérperas assistidas exclusivamente por equipes de saúde da família do Distrito Oeste no pré-natal e/ou puerpério e tiveram seus partos em instituições credenciadas como Hospital Amigo da Criança (HAC) do município de Ribeirão Preto. Para este estudo descritivo de abordagem qualitativa utilizamos o questionário e a entrevista semi-estruturada como estratégias de investigação. A partir do questionário obtivemos o seguinte perfil dos sujeitos investigados: Quanto aos dados pessoais, 10% eram menores de 18 anos, 10% estavam entre 18 e 21 anos, 10% entre 27 e 31 anos e 70% tinham entre 22 e 26 anos de idade. Quanto à escolaridade, 50% cursaram o ensino médio completo, 30% o ensino fundamental completo, 10% ensino médio incompleto e 10% ensino superior incompleto. Sobre o estado civil obtivemos, 40% casadas, 40% mantenedora de união estável, 10% solteiras e 10% divorciadas. Nos dados obstétricos, 50% eram primigestas, 40% secundigestas e 10% tercigestas, 70% tiveram parto normal e 30% parto cesária, 100% fizeram pré-natal, com média de 9,6 consultas. Sobre a internação, 80% das mães não tiveram contato pele a pele com seu bebê após o parto e 20% das mães tiveram o contato pele a pele, 100% dos bebês não mamaram na sala de parto. Quanto ao conhecimento das mulheres sobre a maternidade ser HAC, 60% sabiam e 40% desconheciam, 100% não souberam dizer o que é HAC, 80% das puérperas não procuraram o hospital após a alta hospitalar, 20% procuraram, por motivos relativos a dores nos pontos e choro/fome do recém nascido. Para os dados qualitativos utilizamos o método da Análise de Conteúdo, cuja organização dos dados permitiu eleger uma Unidade Temática - o Acesso, que foi sub dividida em outras duas sub unidades: Acesso a Estrutura Física e Acesso a Escuta. Por gerar ruídos, convergentes e divergentes, o Acesso a Escuta foi subdividido em: Escuta Ampliada, Escuta Formatada e Escuta Virtual. Ressaltamos o processo de transformação do modelo de atenção ao AM em movimento, no entanto o apoio à amamentação ainda é incipiente. Na perspectiva da integralidade no AM, a demanda complexa e singular da nutriz precisa ser escutada, valorizada, traduzida e atendida nos serviços de saúde, como fruto do trabalho solidário das equipes de saúde na sua produção de cuidado, o que remete a uma dimensão da integralidade a ser apreendida e incorporada. / The aims of the research are to identify, under the perspective of the nursing mother, what is to support breast feeding and the rituals of assisting the suckling in the health services system, especially in child friend hospitals and family health teams, which are not considered supporters. Under the perspective of integrality, it can be presupposed that the task is to aid the breast feeding mother, starting from the necessity expressed by the woman, and normative, pre-established activities may not attend the necessities of the woman on breast feeding and political principals about breast feeding (BF) back up the hegemonic paradigm. The research studied all post parturition women exclusively assisted by family health teams of West District on ante-natal check-up and/or post parturition and gave birth in credentialed institutions such as Child Friend Hospital (CFH) in the municipality of Ribeirão Preto. To this qualitative descriptive research it was used the questionnaire and the semi-structured interview as investigating strategies. From the questionnaire it was found out this profile: About personal data, 10% are younger than 18, 10% are between 18 and 21, 10% are between 27 and 31 and 70% are between 22 and 26 years old. About scholarly, 50% complete high school, 30% complete primary school, 10% have incomplete high school and 10% have incomplete superior education. About marital status, 40% are married, 40% have a stable relationship, 10% are single and 10% are divorced. About obstetric data, 50% are primigravida, 40% were secundigravida and 10% were tertigravida, 70% had normal delivery and 30% did caesarian, 100% did ante-natal check-up, with approximately 9,6 appointments. About admissions, 80% of the mothers did not have skin contact with their babies after birth and 20% of the mothers had skin contact with their babies, 100% of the babies did not suckle their mothers in the delivery room. About the women knowing the maternity hospital to be a CFH, 60% knew it and 40% did not know it, 100% could not tell what CFH means, 80% of the women who gave birth did not go to the hospital after it, 20% went to the hospital because of pain in the caesarian cut and crying/hunger of the baby. To the qualitative data it was used the method of Content Analysis, and the data organization permitted to choose a Thematic Unity - the Access, which was sub divided in two sub units: Physical Structure Access and Hearing Access. Because it can generate convergent and divergent lacks of communication, Hearing Access was subdivided in: Enlargement Hearing, Formatted Hearing and Virtual Hearing. It is important to highlight the process of model change on assisting the BF, however the support on breast feeding is just starting. Under the perspective of integrality in BF, the singular and complex demanding of the nursing mother needs to be heard, to be valued, to be understood and to be seen in the health service system as a result of the health team supportive work, referring to a dimension of integrality that needs to be understand and utilized.

As mães de recém-nascidos prematuros vivenciam a ansiedade oriunda da fragilidade e incerteza sobre as condições de vida de seu filho e a convivência com o estressante ambiente hospitalar, com implicações no aleitamento materno. Na tentativa de amenizar esta situação, o objetivo deste estudo foi avaliar o efeito da acupuntura na ansiedade de mães de recém-nascidos de muito baixo peso (RNMBP). Trata-se de um ensaio clínico randomizado realizado em um hospital universitário do norte do Paraná. A pesquisa foi aprovada pelo Comitê de Ética e Pesquisa da instituição na qual foi realizado o estudo e foi submetida a registro em base de dados para ensaios clínicos Australian New Zealand Clinical Trials Registry. Todas as participantes assinaram o Termo de Consentimento Livre e Esclarecido. A coleta de dados ocorreu no Banco de Leite Humano da instituição, entre agosto de 2011 e novembro de 2012. As participantes foram alocadas em dois grupos: grupo acupuntura (GA) e grupo placebo (GP) e receberam sessões semanais de acupuntura auricular chinesa nos pontos Shenmen, Tensão, Ansiedade 1 e 2 e Relaxamento Muscular. A acupuntura placebo foi realizada com agulhas auriculares adaptadas, sem perfurar a pele. Houve cegamento entre as participantes e o estatístico que realizou a análise dos dados. Utilizaram-se o Inventário de Ansiedade Traço-Estado e a mensuração do cortisol salivar, antes e após a intervenção. Participaram do estudo 29 mães de RNMBP, 14 pertencentes ao GA e 15 pertencentes ao GP. A idade das participantes variou entre 16 e 40 anos, com mediana de 27 anos. A maioria tinha escolaridade até o ensino médio (57%), vivia com o companheiro (72%) e possuía trabalho remunerado (65%). Quanto às variáveis de aleitamento materno, 48% relataram experiência prévia com amamentação, sendo que 13% apresentaram intercorrências durante este período. A incidência de aleitamento materno exclusivo entre as participantes, na data da alta do recém-nascido, foi de 76%, nove pertencentes ao GA (64%) e 13, ao GP (87%), sem relevância estatística entre estes valores (p=0,215). Os resultados para o cortisol salivar, antes da intervenção, variaram entre 0,02 e 0,33 ug/dL para o total de participantes, com média de 0,13 para ambos os grupos (DP=0,08). Após a intervenção, ambos os grupos apresentaram média de 0,14 ug/dL (DP=0,12), variando entre 0,02 e 0,49 ug/dL. A diferença média entre as medidas de cortisol salivar, antes e após a intervenção, foi de -0,02 ug/dL (DP=0,11), mostrando que os níveis de cortisol aumentaram após a intervenção em ambos os grupos, sem significância estatística (p=0,480), e contrariando o esperado. Após a intervenção, o escore de ansiedade-estado das participantes teve redução média de oito pontos, não havendo diferença estatística entre os grupos (p=0,888), com a possibilidade de que tanto a acupuntura real quanto a placebo tenham produzido resultados positivos na redução da ansiedade. Sugere-se que estudos com maior amostra e um terceiro grupo controle sejam conduzidos para melhor esclarecer os efeitos da acupuntura para a redução da ansiedade nesta população. / Mothers of preterm infants experience anxiety due to the child\'s frail and uncertain health condition. Spending time in a stressful hospital environment has implications to lactation and breastfeeding. In the attempt to diminish this situation, the aim of this study was to assess the effect of acupuncture in mothers with very low birth weight infants (VLBW). This is a randomized, patient-assessor blind, sham-controlled clinical trial, conducted in a school hospital in northern Paraná. This research has been approved by the ethics review board of the institution where it took place. The trial is registered at Australian New Zealand Clinical Trials Registry, number 12611000025932. All participants signed the written informed consent. Data was collected at the institution\'s Human Milk Bank from August 2011 to November 2012. Subjects were allocated into two groups: acupuncture - AG or placebo-acupuncture - PG and treatment sessions occurred once a week. The Chinese ear acupoints used were Shenmen, Tension, Anxiety 1 and 2, Muscle relaxation. For placebo- acupuncture, custom-designed noninvasive ear needles were used. Participants were submitted to the STAI-Y scale and salivary cortisol measurements before and after treatment. Twenty-nine mother\'s with VLBW infants took part in the study (GA = 14, GP = 15). Participants\' age ranged from 16 to 40, median age was 27 years old. Most subjects had high school educational levels (57%); lived with their partners (72%) and had paid jobs (65%). 48% mothers had previous experiences with breastfeeding and 13% mentioned some problems while doing so. Exclusive breastfeeding rate at infant\'s hospital discharge was 76%, AG = 9 (64%), PG = 13 (87%), not significant (p=0,215). Salivary cortisol levels before intervention ranged from 0,02 to 0,33 ug/dL and both groups presented mean 0,13 ug/dL (SD = 0,08). After treatment both groups had 0,14 ug/dL (SD = 0,12) mean levels, with a 0,02 - 0,49 ug/dL range. Mean difference between salivary cortisol levels before and after treatment was -0,02 ug/dL (SD = 0,11), showing increase in cortisol levels after treatment for both groups, not significant and contrary to expected. After treatment, mean STAI-Y1 (state) scores dropped 8 points, not significant between groups (p=0,888). This result indicate that both real and placebo acupuncture may have produced positive effects in anxiety reduction. We suggest other studies are conducted with bigger sample sizes and that include a third arm with routine care as control group to better understand the effects of acupuncture for anxiety in this population.

Versa sobre as relações da mulher que trabalha com a amamentação culminando com uma pesquisa de campo que procura ouvir as muilheres em sua realidade objetiva, à parte da lógica sanitária e da lógica laboral. Objetivo- Avaliar as dificuldades e disponibilidade para amamentação em mulheres que trabalham através de suas representações sociais. Método- Foram pesquisados dois grupos de mulheres que trabalham com filhos entre 4 e 24 meses de idade, através de um questionário semi-estruturado gravado em fita-magnética. A partir das respostas, foram selecionadas as representações sociais das mães referentes aos diferentes tópicos das perguntas utilizando-se o método do Discurso do Sujeito Coletivo (DSC). Em seqüência foram elaborados os Discursos do Sujeito Coletivo globais que, em seguida, foram divididos formando dois novos DSCs de acordo com os dois gurpo em questão. Resultados- foram entrevistadas 54 mulheres divididas entre menor e maior renda, sendo comparados os DSCs relativos a esses extratos. Os dados quantitativos mais significativos foram os que demonstraram que, quanto maior o nível profisional da mulher (executivas e profissionais liberais) mais cedo retorna ao trablaho (uma média de 3,3 e 3,5 meses após o parto). As semi-graduadas - que têm, normalmente, proteção legal (CLT) e cobertura das empresas, retornam após 5,4 meses. Já as não graduadas (trabalhadoras mais simples) retornam após 4,4meses em média. Com relação aos dados qualitativos os DSCs mais representativos foram: a) os que demonstraram a importância do trablaho na vida dessas mulheres. "trabalha por satisfação pessoal" 34,62%; "Não consegue imaginar a vida sem trabalho": 32,3% e b)como enxergam a amamentação: "Toda mulher tem que amamentar porque é bom para a saúde do bebê : 38,82%; "É complicado amamentar por causa dos horários das mamadas e distância do serviço": 25,29%; "Acha errado, um absurdo as mulheres que não amamentam seus filhos": 22,58%. Conclusões As mulheres entrevistadas têm uma boa noção sobre os valores da amamentação e são, em seus discursos, favoráveis a sua prática. Quanto ao trabalho, é encarado de forma intensa e satisfatória. Existe um reconhecimento das dificuldades em conciliar os dois papéis e, no caso de optar, acabam abrindo mão de uma amamentação mais plena ou prolongada. / Introduction - This paper studies the relationship between the working woman and the act of breast feeding, leading to a field research that endeavours to really listen to that woman in her own words, apart from the sanitary and the labor rationales. Objective - It reckons the difficulties and the availability of working women for breast feeding through their social representations. Method - Two groups of working women were researched. They all had children from 4 to 24 month old. This was done through taped answers to a semi-structured questionnaire. The method of the Collective Subject Discourse (CSD) was used to extract from the mothers' answers their social representations on the different items on the questionnaire. Then, global CSDs were constructed for every question. Those CSDs were later split in two, one for each group of women. Results - Fifty four women were interviewed being split in two groups according to family income. Out of those, 27 were higher income and 27 were lower income. The group discourses were then compared. The quantitative findings of most significance have shown that the higher the woman's professional level (executives and liberal professionals) the sooner she went back to work (3.3 and 3.5 months after delivery). Those in middle range positions took the longest to return to work (5.4 months). They usually have full protection of the labor laws and statutory corporate practices. The unskilled workers return to the workplace in 4.4 months in average. As to the qualitative findings, the most meaningful discourses were: a) those emphasizing the importance of work in the women lives: I work for personal satisfaction: 34.62%; I can't imagine life without work: 32.35%; and b) how they view breast feeding: Every woman has to breast feed because it is good for the baby's health: 38.82% ; Breast feeding is tough because the baby's meals schedule is incompatible with the distances between home and work:25.29%; I think it is wrong, an absurd for women not to breast feed their children: 22.58%. Conclusions - The researched women are well aware of breast feeding values and are, in their discourses, wholly favorable to the practice. Work is also viewed in an intense and satisfactory way. But they perceive the difficulties in conciliating the two roles and, if forced to choose, the will opt for relinquishing an extended period of breast feeding.

by Tung Mui Yin. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 109-125). / Questionnaire also in Chinese. / Acknowledgements --- p.i / Abstract --- p.ii-iii / Chapter Chapter 1. --- Introduction --- p.1 / Chapter Chapter 2. --- Literature Review / Trends in breastfeeding --- p.4 / Benefits of breastfeeding --- p.5 / Factors associated with the decision to breastfeed --- p.12 / Timing of decision to breastfeed --- p.20 / Factors influencing the maintenance of breastfeeding --- p.21 / Studies on evaluation of the effect of breastfeeding education program --- p.36 / Chapter Chapter 3. --- Methodology / Hypotheses --- p.43 / Operational definitions --- p.44 / Research design --- p.45 / Ethical approval --- p.45 / Sample --- p.45 / Randomization of the subjects --- p.47 / Data collection --- p.48 / Instruments --- p.49 / Intervention --- p.53 / Method of data analysis --- p.57 / Chapter Chapter 4. --- Results / Sample characteristics --- p.59 / Effect of intervention on the attitude towards and knowledge of breastfeeding --- p.63 / "Effect of intervention on the rate of intention, initiation and maintenance of breastfeeding" --- p.68 / Factors influencing the intention to breastfeed --- p.71 / Factors influencing the initiation and maintenance of breastfeeding --- p.75 / Hospital policy on breastfeeding and the reasons for early cessation of breastfeeding --- p.80 / Chapter Chapter 5. --- Discussion and Conclusions / Introduction --- p.84 / Limitations of the study --- p.84 / Effect of the antenatal breastfeeding education program on attitude towards and knowledge of breastfeeding --- p.90 / Effect of the antenatal breastfeeding education program on the intention and initiation of breastfeeding --- p.91 / Factors contributing to the success of the antenatal breastfeeding education program --- p.92 / Factors influencing the intention of breastfeeding --- p.94 / Effect of the antenatal breastfeeding education program on the maintenance of breastfeeding --- p.96 / Conclusion and implications for future breastfeeding promotion programs --- p.104 / References --- p.109 / Appendices / Chapter 1. --- Letter of ethical approval / Chapter 2. --- Letter of request for approval / Chapter 3. --- Consent form / Chapter 4. --- Questionnaire / Chapter 5. --- Teaching plan for the antenatal breastfeeding education program / Chapter 6. --- Summary of mean attitude scores for individual items / Chapter 7. --- Performance of women in knowledge towards breastfeeding scale

Versa sobre as relações da mulher que trabalha com a amamentação culminando com uma pesquisa de campo que procura ouvir as muilheres em sua realidade objetiva, à parte da lógica sanitária e da lógica laboral. Objetivo- Avaliar as dificuldades e disponibilidade para amamentação em mulheres que trabalham através de suas representações sociais. Método- Foram pesquisados dois grupos de mulheres que trabalham com filhos entre 4 e 24 meses de idade, através de um questionário semi-estruturado gravado em fita-magnética. A partir das respostas, foram selecionadas as representações sociais das mães referentes aos diferentes tópicos das perguntas utilizando-se o método do Discurso do Sujeito Coletivo (DSC). Em seqüência foram elaborados os Discursos do Sujeito Coletivo globais que, em seguida, foram divididos formando dois novos DSCs de acordo com os dois gurpo em questão. Resultados- foram entrevistadas 54 mulheres divididas entre menor e maior renda, sendo comparados os DSCs relativos a esses extratos. Os dados quantitativos mais significativos foram os que demonstraram que, quanto maior o nível profisional da mulher (executivas e profissionais liberais) mais cedo retorna ao trablaho (uma média de 3,3 e 3,5 meses após o parto). As semi-graduadas - que têm, normalmente, proteção legal (CLT) e cobertura das empresas, retornam após 5,4 meses. Já as não graduadas (trabalhadoras mais simples) retornam após 4,4meses em média. Com relação aos dados qualitativos os DSCs mais representativos foram: a) os que demonstraram a importância do trablaho na vida dessas mulheres. "trabalha por satisfação pessoal" 34,62%; "Não consegue imaginar a vida sem trabalho": 32,3% e b)como enxergam a amamentação: "Toda mulher tem que amamentar porque é bom para a saúde do bebê : 38,82%; "É complicado amamentar por causa dos horários das mamadas e distância do serviço": 25,29%; "Acha errado, um absurdo as mulheres que não amamentam seus filhos": 22,58%. Conclusões As mulheres entrevistadas têm uma boa noção sobre os valores da amamentação e são, em seus discursos, favoráveis a sua prática. Quanto ao trabalho, é encarado de forma intensa e satisfatória. Existe um reconhecimento das dificuldades em conciliar os dois papéis e, no caso de optar, acabam abrindo mão de uma amamentação mais plena ou prolongada. / Introduction - This paper studies the relationship between the working woman and the act of breast feeding, leading to a field research that endeavours to really listen to that woman in her own words, apart from the sanitary and the labor rationales. Objective - It reckons the difficulties and the availability of working women for breast feeding through their social representations. Method - Two groups of working women were researched. They all had children from 4 to 24 month old. This was done through taped answers to a semi-structured questionnaire. The method of the Collective Subject Discourse (CSD) was used to extract from the mothers' answers their social representations on the different items on the questionnaire. Then, global CSDs were constructed for every question. Those CSDs were later split in two, one for each group of women. Results - Fifty four women were interviewed being split in two groups according to family income. Out of those, 27 were higher income and 27 were lower income. The group discourses were then compared. The quantitative findings of most significance have shown that the higher the woman's professional level (executives and liberal professionals) the sooner she went back to work (3.3 and 3.5 months after delivery). Those in middle range positions took the longest to return to work (5.4 months). They usually have full protection of the labor laws and statutory corporate practices. The unskilled workers return to the workplace in 4.4 months in average. As to the qualitative findings, the most meaningful discourses were: a) those emphasizing the importance of work in the women lives: I work for personal satisfaction: 34.62%; I can't imagine life without work: 32.35%; and b) how they view breast feeding: Every woman has to breast feed because it is good for the baby's health: 38.82% ; Breast feeding is tough because the baby's meals schedule is incompatible with the distances between home and work:25.29%; I think it is wrong, an absurd for women not to breast feed their children: 22.58%. Conclusions - The researched women are well aware of breast feeding values and are, in their discourses, wholly favorable to the practice. Work is also viewed in an intense and satisfactory way. But they perceive the difficulties in conciliating the two roles and, if forced to choose, the will opt for relinquishing an extended period of breast feeding.

December, 2003. / Includes bibliographical references (leaves 190-200) / xiii, 249 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--University of Adelaide, Medical School, Dept. of Public Health, 2004

Funded by the Primary Health Care Initiatives Program. Bibliography: p. 161-170. This thesis examines the public health of breastfeeding from a feminist perspective, based on a qualitative longitudinal study. From reviewing the history of infant feeding, a number of discourses of breastfeeding are identified and their continuing influence on contemporary thinking is discussed.

<p>För det nyfödda barnet är det viktigt att direkt få hud mot hud kontakt och därmed en bra möjlighet att knyta an till sina föräldrar. En tidig anknytning ligger till grund för barnets utveckling och välbefinnande. Efter ett kejsarsnitt separeras mamman och barnet de första timmarna postpartum. Denna studie var en beskrivande litteraturstudie med syfte att beskriva om anknytningen påverkas mellan föräldrar och barn efter ett kejsarsnitt. Relevant litteratur har söks genom databaserna Medline och Cinahl. Urvalskriterierna var att artiklarna svarade på studiens syfte, var skrivna på engelska och hade abstrakt. 18 artiklar valdes som har granskats och kvalitetsbedömts. De flesta studier var kvantitativa och jämförande. Resultatet redovisades i en figur, löpande text och i en tabell. Studien har visat på flera negativa tendenser under den första tiden efter förlossningen som försenad anknytning och amning. Mamman hade även svårigheter att sköta om barnet under de första dagarna postpartum vilket gav pappan en mer framträdande roll. Den första tiden efter förlossningen är en viktig tidpunkt för anknytningen. Det är därför viktigt att vårdpersonal har kännedom om anknytningsteorin och vet hur de ska arbeta för att stärka och stötta familjen den första tiden så att familjen får en god anknytning och en bra start.</p> / <p>For the newborn child it is important that directly have skin to skin connection and thereby a good ability to bond with his parents. An early attachment is very important for the child’s wellbeing and comfort. After a cesarean delivery mother and child are separated the child’s first hours in life. The purpose of this review literature study was to find out if the attachment between the child and the patents affects after a cesarean delivery. Relevant literature has been found in the Medline and the Cinahl databases. The criteria of selection where that the study’s responded to this study’s purpose, that they where written in English and had an abstract. 18 study’s where chosen and has been revised and quality judged. Most of the study’s where quantitative and comparative. The result is shows in a figure, running text and in a table. The study has shown several negative tendencies during the postpartum period such as bonding delay and later breast-feeding establishment. The mother had also difficulties to take care of her child the first day’s postpartum witch gave the father a more leading role in the caretaking activities. The first day’s postpartum is crucial for the attachment and it is important that caregivers has knowledge about the attachment theory and that they know how to strengthening and support the family so they can establish a fine bonding and attachment.</p>

För det nyfödda barnet är det viktigt att direkt få hud mot hud kontakt och därmed en bra möjlighet att knyta an till sina föräldrar. En tidig anknytning ligger till grund för barnets utveckling och välbefinnande. Efter ett kejsarsnitt separeras mamman och barnet de första timmarna postpartum. Denna studie var en beskrivande litteraturstudie med syfte att beskriva om anknytningen påverkas mellan föräldrar och barn efter ett kejsarsnitt. Relevant litteratur har söks genom databaserna Medline och Cinahl. Urvalskriterierna var att artiklarna svarade på studiens syfte, var skrivna på engelska och hade abstrakt. 18 artiklar valdes som har granskats och kvalitetsbedömts. De flesta studier var kvantitativa och jämförande. Resultatet redovisades i en figur, löpande text och i en tabell. Studien har visat på flera negativa tendenser under den första tiden efter förlossningen som försenad anknytning och amning. Mamman hade även svårigheter att sköta om barnet under de första dagarna postpartum vilket gav pappan en mer framträdande roll. Den första tiden efter förlossningen är en viktig tidpunkt för anknytningen. Det är därför viktigt att vårdpersonal har kännedom om anknytningsteorin och vet hur de ska arbeta för att stärka och stötta familjen den första tiden så att familjen får en god anknytning och en bra start. / For the newborn child it is important that directly have skin to skin connection and thereby a good ability to bond with his parents. An early attachment is very important for the child’s wellbeing and comfort. After a cesarean delivery mother and child are separated the child’s first hours in life. The purpose of this review literature study was to find out if the attachment between the child and the patents affects after a cesarean delivery. Relevant literature has been found in the Medline and the Cinahl databases. The criteria of selection where that the study’s responded to this study’s purpose, that they where written in English and had an abstract. 18 study’s where chosen and has been revised and quality judged. Most of the study’s where quantitative and comparative. The result is shows in a figure, running text and in a table. The study has shown several negative tendencies during the postpartum period such as bonding delay and later breast-feeding establishment. The mother had also difficulties to take care of her child the first day’s postpartum witch gave the father a more leading role in the caretaking activities. The first day’s postpartum is crucial for the attachment and it is important that caregivers has knowledge about the attachment theory and that they know how to strengthening and support the family so they can establish a fine bonding and attachment.