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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
61

Factors influencing utilisation of postnatal services in Mulago and Mengo Hospitals Kampala, Uganda.

Nankwanga, Annet January 2004 (has links)
Maternal and child-health and health education are three major concerns of public health organisations and researchers throughout the world. Health education for mothers is a strategy many countries have adopted to improve maternal and child-health. The present study was carried out in Uganda with the objective of exploring the factors influencing the utilisation of postnatal services at Mulago and Mengo hospitals, a government and private hospital. Both hospitals are located in Kampala district in Uganda. The survey, was completed by 330 women who responded to a structured questionnaire that was given to them six to eight weeks after delivery. Questions that were asked generated demographic information about the mothers / mothers&rsquo / knowledge about postnatal services / mothers&rsquo / socio-economic status and barriers to utilisation of the postnatal services. The participants included all women who delivered in Mulago and Mengo hospitals in November 2003 except for those who had had a neonatal death. The data was analysed using descriptive and inferential statistics. Some of the key findings of the study were that most women lacked awareness about postnatal services and those who knew about these services only knew about immunisation and family planning services. The majority of the mothers did not know about other services, such as physiotherapy, counselling, growth monitoring, and physical examination. Lack of money for transport or service costs, distance from the health care facility, not being aware of the services, lack of somebody to take care of the child at home were some of the main barriers to utilisation of postnatal services. Others included, lack of education, lack of employment, lack of decision-making powers, and lack of time to go back for the service. The ministry of health should educate women and communities about the importance of postnatal care, its availability, and the importance of women having decision-making power over their own health. The health service organization should improve on the quality of care by ensuring that services are provided at convenient hours with privacy, confidentiality and respect and it should evaluate the services periodically from the users perspective to maintain the quality of service.
62

Understanding respect through the lived experience of postpartum women /

Coast, Mary Jo Ciancio. January 2008 (has links)
Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 151-159). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
63

Período pós-parto: práticas de cuidado adotadas pela puérpera / Postpartum period: care practices adopted by the woman in the puerperium

Nayara Girardi Baraldi 08 November 2012 (has links)
O puerpério é considerado uma fase de modificações biossocioculturais que, muitas vezes, não são compreendidas pela mulher, o que exige maior atenção dos profissionais, dos familiares e das redes de contato envolvidos em seu cuidado. A literatura e a prática profissional mostram que as crenças sobre o cuidado da puérpera têm relevância em seu cotidiano e, muitas vezes, se sobrepõem às orientações recebidas na instituição de saúde. Diante desta situação, este estudo teve como objetivo: explorar as práticas de cuidado adotadas no pós-parto pela mulher usuária de uma Unidade Básica de Saúde da cidade de Rio Claro, SP. Trata-se de estudo qualitativo, que teve como referencial teórico o Modelo de Competência Cultural de Purnell e cujos dados foram tratados pelo Discurso do Sujeito Coletivo (DSC). A pesquisa foi aprovada por Comitê de Ética em Pesquisa e atendeu à Resolução 196/96. Os dados foram coletados em 2011, por meio de entrevistas realizadas com 20 puérperas entre o 30º e 45º dias de pós-parto. Identificou-se a condição sociodemográfica e familiar das entrevistadas, além de sua vivência no puerpério. Os dados mostraram que as puérperas eram jovens, apresentavam baixo índice de tabagismo, etilismo e drogadição, com renda média em torno de 3 salários mínimos. Os relatos obtidos originaram 21 DSC, cujos conteúdos mostraram a influência de crenças sobre as práticas de cuidado no puerpério; crenças que foram transmitidas intergerações pelos cuidadores de sua rede familiar e cultural. Os profissionais de saúde se fizeram presentes por meio de orientações de práticas, com enfoque no biológico, oferecidas de maneira verticalizada e, por vezes, fragmentada e divergente, o que demonstrou sua dificuldade em acompanhar as influências culturais envolvidas no processo. Por conta disso, as práticas de cuidado no puerpério sofreram maior influência das crenças e dos padrões da cultura da mulher, como também das informações obtidas na internet, que preencheram lacunas e apontaram caminhos para a mulher seguir com maior segurança nesta fase do ciclo gravídico-puerperal. Diante dos achados, propõem-se o estabelecimento de estratégias para incorporação da bagagem cultural da mulher à assistência prestada pelo profissional de saúde, de modo a prover o cuidado culturalmente competente; a programação de grupos voltados à educação em saúde, focados na vivência do puerpério, para a mulher e sua rede de contato; a implementação da Estratégia Saúde da Família; e a inclusão do egresso de curso de Obstetrícia nos programas de saúde dos municípios, para agregar este novo profissional no cuidado da mulher e de seu recém-nascido. / Puerperium is considered a phase with biological, social and cultural changes often not correctly understood by women, the main reason why requires special attention from professionals, and caregivers networks involved on the care. Literature and professional practice shows that beliefs about postpartum care has a strong relevance in a womans routine and often overlaps guidance received at the health institutions. From this perspective, this study had as objective to explore practices adopted in postpartum by women served in the Basic Health Unit in a city of Rio Claro state of São Paulo (Brazil). This is a qualitative study and followed Purnell Cultural Competence Model as a theoretical approach and whose data was treated by the Collective Subject Speech (CSS). The data was approved by Ethics in Research Committee and complied with Resolution 196/96. The data was collected in 2011 through interviews with 20 women in the puerperium between 30 and 45 days of postpartum. We identified social and demographic conditions from each interviewed as well as from her family, besides their experiences at the puerperal period. The data showed that women in the puerperium were young, had low smoking rates, alcoholism or drugs addictions, and on average had an income that was equivalent to 3 minimum salaries. The reports had originated 21 CSS, and the contents showed the stronger beliefs influence on postpartum care practices; beliefs that were passed by intergenerational family and cultural caregivers. Health professionals demonstrated their presence through guidelines with practices with a biological focus and offered in a vertical manner, and sometimes divergent and fragmented, which demonstrated difficulty in following the cultural influences involved in the process. For this reason, puerperal care practices had suffered greatly due to the influence of beliefs and cultural woman patterns, as well as information obtained from the Internet. The Internet filled gaps and provided greater security methods to follow at pregnancy stage, childbirth as well as at puerperium. Upon reviewing the results, it is suggested that the following take place to incorporate the cultures of women to the experiences of the health care professionals to provide a culturally competent care; programming groups on health education focused on the puerperium experience for women and her caregivers; the implementation of Family Health Program, and the inclusion of Midwifery in the health programs to allow this new professional to take care the woman and her newborn.
64

Teamarbete på BB : En intervjustudie av barnmorskors och undersköterskors upplevelser / Teamwork in postnatal care : An interview study of midwives and assistant nurses experiences

Nilsson, Joanna, Udén, Rebecca January 2021 (has links)
Bakgrund: Teamarbete anses nödvändigt i hälso- och sjukvården. Barnmorskan och undersköterskan ska kunna samarbeta i team tillsammans med andra barnmorskor, undersköterskor samt med andra professioner. Syfte: Syftet med studien var att beskriva barnmorskors och undersköterskors upplevelser av teamarbete på ett BB. Metod: En kvalitativ metod används i genomförandet av studien. Tio telefonintervjuer, med fem barnmorskor och fem undersköterskor, utfördes. Datamaterialet analyserades med hjälp av Graneheim och Lundmans innehållsanalys. Resultat: Resultatet sammanställdes i sex kategorier: Att arbeta mot samma mål, Att kommunicera, Att stödja varandra i arbetet, Att ha förståelse för varandra inom teamen, Att känna trygghet i teamet samt Att hantera stress. Två av kategorierna genererade i underkategorier. Slutsats: Det är grundläggande att ha ett effektivt teamarbete för att skapa en god vård. För att skapa ett effektivt teamarbete krävs det att teammedlemmarna stödjer varandra och arbetar mot samma mål. Det är även viktigt att ha en god kommunikation med varandra och ha förståelse för varandras professioner. / Background: Teamwork is considered necessary in health care. The midwife and the assistant nurse must be able to work in teams together with other midwives, assistant nurses and other professions.  Purpose: To describe midwives and assistant nurses experience of teamwork in postnatal care. Method: A qualitative method was used. The data collection was conducted using semi structured interviews. Interview material was analyzed using a qualitative content analysis by Graneheim och Lundman. Result: The results were compiled in six categories: To work towards the same goal, To communicate, To support each other in the work, To have an understanding of each other in the teams, To feel secure in the team and To manage stress. Two of the categories generated in subcategories. Conclusion: It is fundamental to have effective teamwork to create good care. To create effective teamwork, team members need to support each other and work towards the same goal. It is also important to have good communication with each other and have an understanding of each other's professions.
65

Kvinnors upplevelse av amningsstöd och information : en litteraturöversikt / Women's experience of breastfeeding support and information : a literature review

Lian Bjerkeli, Henriette, Fischerström, Pernilla January 2023 (has links)
Det finns många fördelar med att amma varför amning är förstahandsvalet. Antalet kvinnor som helammar sitt nyfödda barn minskar trots att majoriteten av svenska kvinnor planerar att helamma. WHO rekommenderar att barnet helammas till sex månaders ålder. Trots rekommendationen helammas 44 procent av barnen globalt vid sex månaders ålder. Amning är en del av barnmorskans kompetensområde vilket innebär att de ska främja amning. Barnmorskor har en plikt att genomföra amningsrådgivning till samtliga kvinnor. Många kvinnor upplever initialt amningssvårigheter och för att förhindra tidigt amningsstopp är barnmorskans amningsstöd grundläggande. För att utveckla barnmorskans amningsstöd är det därför viktigt att ta reda på hur kvinnor upplever att det är att ta emot amningsrådgivning. Syftet med studien var att undersöka kvinnors upplevelse av amningsstöd och amningsinformation från barnets födelse till sex månaders ålder. Metoden som valdes var en litteraturöversikt med systematisk metod. Studier med kvalitativ och mixad metod inkluderades och endast kvalitativa data användes i resultatet. Databassökning genomfördes i Pubmed och Cinahl. Därefter kvalitetsgranskades artiklarna och endast de som uppfyllde kvalitetskraven inkluderades i resultatet. Vald data analyserades sedan genom integrerad analys. I resultatet inkluderades femton artiklar. Likheter och skillnader i hur kvinnor upplevde amningsstödet identifierades och utformade subkategorierna: kontinuitet inom vårdkedjan, tid för amningsstöd, praktiskt amningsstöd, betydelsen av bekräftelse och uppmuntran samt information och rådgivning. Utifrån subkategorierna identifierades sedan kategorierna kontinuitet och tillgänglighet samt vårdpersonalens bemötande. Slutsatsen indikerade att kvinnorna hade både positiva och negativa upplevelser av amningsrådgivning. I resultatet framkom faktorer som barnmorskor kan påverka kvinnans amningsupplevelse på egen hand genom sitt bemötande. Vidare urskildes faktorer som barnmorskorna inte kan påverka, såsom barnmorskeutbildningens innehåll och tidsbrist. Resultatet ger en bredare förståelse för vad som behöver utvecklas för att amningsrådgivningen ska förbättras. / There are many benefits to breastfeeding and it is the preferred choice. Despite the majority of the Swedish women intending to exclusively breastfeed, the numbers are decreasing. WHO recommends exclusive breastfeeding until six months, however only 44 percent globally follow through. Midwives are experts in the field of breastfeeding, they should promote and provide efficient support. Many women experience initial difficulties with breastfeeding, and to prevent early disruption of breastfeeding, the midwife's support is essential. Understanding women's perception of breastfeeding advice is key to improving midwives' support. The aim of the study was to examine women's experiences of breastfeeding support and breastfeeding information from birth to six months of age. The method was a literature review using a systematic approach. Studies with qualitative and mixed methods were included, and only qualitative data were used in the results. A database search was conducted in PubMed and Cinahl. The articles were quality-reviewed, and only those meeting the quality criteria were included in the results. The selected data was then analyzed through integrated analysis. The results included fifteen articles. Similarities and differences in how women experienced breastfeeding support were identified and constituted the subcategories: continuity within the healthcare chain, time for breastfeeding support, practical breastfeeding support, the significance of affirmation and encouragement and information and guidance. Based on the subcategories, these categories where formulated: continuity and accessibility, as well as healthcare professionals' approach. The conclusion indicated that women had both positive and negative experiences of breastfeeding advice. The results revealed factors that midwives can independently influence women’s breastfeeding experience with their approach. Furthermore, factors were identified that midwives cannot change on their own, such as the content of midwifery education and time constraints. The results provide a broader understanding of what needs to be developed for breastfeeding advice to improve.
66

A framework for utilisation of health services for skilled birth attendant and postnatal care in Ethiopia

Yoseph Woldegebreal Gessesse 11 1900 (has links)
Text in English, with Annexures in English and Amharic / Annexure 5 and Annexure 7 "Questionnaire for qualitative study" in English and Amharic / The Ministry of Health (MOH) and its partners are determined to prevent and manage preventable causes of morbidity and mortality in mothers, neonates and children. In the last decade, special emphasis has been given to increasing the number of health facilities that provide maternal and child health services (MNCH), huge production of skilled birth attendants (SBAs), and equipping the health facilities to improve the utilisation of quality services. This study investigated the community perspectives of health service utilisation and proposes a framework for improving the utilisation of the available SBA and postnatal care (PNC). PURPOSE The purpose of this study was to develop a framework for the utilisation of skilled care for delivery and postnatal care by women of childbearing age (15-45). METHODOLOGY The study used a Sequential explanatory Mixed Methods Approach to investigate the utilisation of SBA and PNC in a district in Ethiopia. The Delphi Technique helped to solicit input from maternal health care experts on the development of a Framework for utilisation of SBA and PNC. This study utilised the Anderson Health Utilisation Model. RESULTS In the study, 79.8% of the women who delivered within 12 months prior to this study received ANC from SBA. Baby care and PNC for the mother and baby received from SBA were at 248 (71.5%), 55 (15.8%), and 131 (38%) respectively. The study further found that women who can read and write and were educated are more likely to utilise SBA and receive quality health care services. The study showed that certain factors such as disrespecting service users, abusing service users’ lack of trust on the SBA by service users, religion and superstition contribute negatively to the use of SBAs. None of the predisposing, enabling and need factors predicted the use of SBA for PNC by the mothers. Nevertheless, through the focus group discussions (FGDs) and individual interviews (IDI), it was revealed that there was a widespread knowledge and perception gaps in the community related to the importance of postnatal period and PNC. Religious sanctification also have imperative role in hampering PNC service use by the mothers. The Health care workers (HCWs) also lacked the keenness and orientation to provide the service. Babies born from families with monthly income equal to 500 or above USD were more likely to use PNC within 45 days. There was a widespread misconception in the community that Babies do not need PNC before 45 days of birth except for vaccination purpose. CONCLUSION To examine their role in health service utilisation for SBA and PNC, researches can integrate social support and social network to the Andersen’s health-service utilisation model. A framework for utilisation of SBA and PNC is proposed. The researcher recommends developing an utilisation tool kit that specifies the detail operationalisation of the framework. / Health Studies / D. Litt. et Phil. (Health Studies)
67

Evaluation of knowledge and of effects of haemolytic disease of the newborn amongst postnatal women in the public hospitals of the Umgungundlovu district

Khumalo, Gugulethu Eve 28 May 2014 (has links)
Submitted in fulfilment of the requirements of the Degree of Master of Technology: Biomedical Technology, Durban University of Technology, 2013. / The purpose of the study was to evaluate knowledge and effects of Haemolytic Disease of the Newborn (HDN) in postnatal women from the Umgungundlovu District. Although the prevalence of HDN has declined because of prophylaxis from 45 cases per 10,000 births to 10.2 cases per 10,000 births but it is still a cause of infant and neonatal morbidity and mortality. The effects of the disease range from jaundice, kernicterus and in severe cases death. Methodology : An interviewer-administered questionnaire was used to obtain information about the knowledge and effects of HDN amongst postnatal women. The incidence rate was calculated using the number of cases that were found divided by the total number of deliveries during the study period. A total of 300 women were interviewed. SPSS version 19.0 was used to analyse data. Findings : Fifteen (15) of the 300 women had babies with confirmed HDN and only four of the 15 (26%) women had knowledge of HDN. Two hundred and eighty five women had babies with jaundice but were not affected by HDN and, of these women, 12 (4.2%) of them knew what HDN was. Overall, only 16 (5.3%) knew what HDN was. All 15 women who had babies with HDN indicated financial and emotional effects because of HDN. The total incidence was 0.09% for the first 12 months of the study period. Conclusion : Postnatal women with jaundiced babies lack knowledge of HDN and HDN has financial and emotional effects on these women. Although the incidence rate of HDN was found to be even smaller than previously reported, it still exists and threatens the lives of infants and neonates.
68

Factors contributing to high neonatal death rates in a district hospital in the Mpumalanga Province

Ndlovu, Bathusi Patricia 25 March 2013 (has links)
The purpose of the research was to determine the underlying contributory factors in an obstetric unit at the district hospital in Mpumalanga province, South Africa, regarding neonatal deaths and to propose strategies for midwifery practice. Quantitative, nonexperimental, descriptive, exploratory and retrospective (ex-post facto) design was used to explore and describe the factors contributing to neonatal deaths. Data collection was done using an audit tool. The conclusions drawn from this study supported the assumptions that there are factors related to antenatal, intrapartum, postnatal and neonatal care that contribute to neonatal deaths, thus emphasizing the urgency of improving the care of pregnant mothers and their babies through effective implementation of programmes and protocols / Health Studies / M.A. (Health Studies)
69

L’infirmière, la pratique de soin et la négociation : ethnographie des suivis postnatals à domicile en milieu multiethnique à Montréal

Audy, Emilie 04 1900 (has links)
Cette thèse porte sur les interactions entre infirmières et usagères lors des suivis postnatals à domicile. À partir d’une enquête ethnographique réalisée sur le territoire de Bordeaux- Cartierville-Saint-Laurent à Montréal, je montre la façon dont les infirmières « négocient » leur pratique de soin. Ces « négociations » permettent l’accomplissement du mandat infirmier quelque soient les manifestations de la différence, à l’intersection de la rencontre entre la culture professionnelle infirmière et la culture profane de l’usagère. À partir d’une littérature de la sociologie des professions et de la sociologie de la santé et d’un cadre théorique construit autour du concept de négociation, cette étude montre que c’est principalement en modulant leur rapport aux normes de la santé publique que les infirmières parviennent à négocier leur pratique et ainsi à répondre aux besoins des populations qu’elles rencontrent. Cinq formes de négociation se dégagent : la négociation par coopération, par compromis, par détachement, par adaptation typifiée et par coercition. Faire le récit de ces différentes formes de négociation permet d’expliquer comment les infirmières concrétisent leur mandat infirmier alors qu’elles sont en interaction avec des usagères qui ne partagent pas les valeurs de prévention et de promotion des « saines habitudes de vie » proposées par la santé publique du Québec. / This thesis is an analysis of the interactions between nurses and service users in the context of post-natal home monitoring. Based on an ethnographic study I conducted in Montreal (Bordeaux-Cartierville-Saint-Laurent), I have defined how nurses negotiate care practice with their service users. These ‘‘negotiations’’ permit them to fulfill their mandate even with the manifestation of difference that can arise between the nurse’s professional and the service users’ profane culture. The theoretical framework that I have built around the concept of negotiation is also supported by sociological literature on profession and health. In order to cater to the service users’ needs, the nurses inherently modulate their relationship to the public health norms. Five types of negotiation have resulted form this study: Cooperation, Compromise, Detachment, Typified Adaptation and Coercion. This narrative of these different forms of negotiation tells us how nurses manage to fulfil their mandate with the service users who do not subscribe to the Quebec public health prevention and promotion of healthy living values.
70

Associação entre introdução precoce de alimentos complementares e depressão pós-parto em mulheres com histórico de depressão na gravidez / Association between early complementary feeding and postpartum depression in women with history of depression during pregnancy

Fernandes, Luciana Barbiere 25 June 2019 (has links)
INTRODUÇÃO: Alimentação adequada e saudável é essencial para o pleno desenvolvimento infantil. A alimentação complementar (AC) deve ser iniciada de maneira oportuna e segura, suprindo as necessidades nutricionais da criança. Mães com depressão pós-parto (DPP) apresentam dificuldades nos cuidados gerais e nas práticas relacionadas à alimentação da criança. O objetivo do presente estudo é verificar a associação entre DPP e introdução precoce de alimentos complementares (IPAC), aos 4 meses de idade da criança, e descrever a frequência de alimentos introduzidos precocemente. METODOLOGIA: Estudo transversal, realizado entre agosto de 2013 a agosto de 2014, a partir de dados coletados entre 6 e 9 meses após o parto de 326 puérperas que já haviam participado de ensaio de comunidade (PROGRAVIDA). Dados referentes a IPAC e outras informações foram coletados por meio de questionário estruturado. A DPP foi avaliada por meio do \"Patient Health Questionnaire-9\". Modelos de regressão de Poisson com variância robusta, seguindo modelo hierárquico, foram usados para avaliar a associação entre DPP e IPAC. No modelo bruto foi estimada a razão de prevalência (RP) e o intervalo de confiança de 95% (IC95%) entre DPP e IPAC, levando-se em conta a randomização das participantes no estudo original. No modelo multivariado foram estimadas as RP e IC95% entre DPP e IPAC, ajustadas por variáveis sócio demográficas e socioeconômicas (etnia, escolaridade, renda familiar mensal, situação de trabalho materno e situação conjugal), dados maternos (idade, número de filhos e tipo de parto), dados perinatais (idade da criança e peso ao nascer) e dados da criança (uso de chupeta e aleitamento materno). A análise estatística foi realizada com uso do programa STATA 12 e o nível de significância estatística foi considerado igual ou inferior a 5%. RESULTADOS: A prevalência geral de IPAC foi de 75,8% (IC95% 0,71-0,80). No modelo bruto, não foi encontrada associação entre depressão e IPAC (RP:0,97; IC 95% 0,83 - 1,14). Na análise multivariada, constatou-se menor prevalência de IPAC entre mulheres que ainda amamentavam aos 6 meses, naquelas que trabalhavam fora e entre aquelas com menor renda familiar. A estimativa da associação bruta entre DPP e IPAC não se modificou significativamente após ajustes para possíveis variáveis confundidoras. Portanto, puérperas com depressão grave à moderada não apresentaram diferenças na IPAC, comparadas às mulheres sem depressão ou com depressão leve (RP:0,96; IC 95% 0,81 - 1,12). Os alimentos com maior proporção de introdução precoce foram água, chá e outros leites, e os com menor proporção foram carnes, arroz e feijão e massas, não havendo diferenças entre os grupos¸ segundo depressão materna. CONCLUSÃO: Verificou-se elevada prevalência de IPAC, independentemente dos níveis de depressão. Intervenções para restringir a IPAC não devem priorizar o estado de humor da mulher no puerpério, mas sim a prática do aleitamento e aspectos sociais, tais como renda familiar e trabalho externo da mãe / INTRODUCTION: Adequate and healthy feeding is essential for infant and child development. Complementary feeding must occur in timing and appropriately, supplying child´s nutritional needs. Postpartum depressed (PPD) mothers show difficulties in general care and practices related to child´s feeding. The aim of this study is to verify the association between PPD and early complementary foods introduction (IPAC), at 4 months old, and to describe the frequency of early food\'s introduction. METHODOLOGY: Cross-sectional study, performed from August 2013 to August 2014, through data collected between 6 to 9 months after labor, from 326 puerperal women who had participated in a community trial (PROGRAVIDA). IPAC data and other information were collected via structured questionnaire. PPD was evaluated through the \"Patient Health Questionnaire-9\". Poisson regression models with robust variance, following a hierarchical model, were used to evaluate the association between PPD and IPAC. In the simplified model, the prevalence ratio (PR) and 95% confidence level (95%CI) between PPD and IPAC was estimated, taking into consideration the randomization of participants in the community trial. Multivariate models estimated the PR and 95%CI between PPD e IPAC, adjusted for socio-demographic and socioeconomic variables (ethnicity, education, monthly family income, employment and marital status), maternal data (age, number of children and type of delivery), perinatal data (age and birth weight) and child data (pacifier use and breastfeeding). The statistical analysis was performed with STATA 12 software and the significance level was considered equal or lower than 5%. RESULTS: The IPAC general prevalence was 75.8% (95%IC 0.71 - 0.80). In the simplified model no association was found between depression and IPAC (PR: 0.97; 95%CI 0.83 - 1.14). In the multivariate analysis, it was encountered a lower prevalence of IPAC among women who were still breastfeeding at 6 months, in those who worked out and among women with lower family income. The estimate of the simplified association between PPD and IPAC did not change significantly after adjustment for possible confounding variables. Therefore, postpartum women with severe to moderate depression did not present differences in IPAC, compared to women without depression or mild depression (PR: 0.96; 95%CI 0.81 - 1.12). Foods with a higher proportion of early introduction were water, tea and other milks, and the ones with the lowest proportion were meats, rice and beans and pasta, and there were no differences between the groups¸ according to maternal depression. CONCLUSION: There was a high prevalence of IPAC, independently of depression levels. Interventions to restrict IPAC should not prioritize woman\'s mood in the puerperium, but rather the practice of breastfeeding and social aspects, such as family income and mother\'s external work

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