Health Education to Strengthen Breastfeeding Actions

  • Raul Rodrigues Cipriano Sousa
  • Ingred Pereira Cirino
  • Paula Valentina de Sousa Vera
  • Artemízia Francisca Sousa
  • Luisa Helena de Oliveira Lima
  • Edina Araújo Rodrigues Oliveira UFPI


Introduction: Breast milk is, without a doubt, the food that provides all the nutrients essential for the healthy growth and development of children. Through effective breastfeeding practices, it is possible to prevent several chronic noncommunicable diseases in childhood, adolescence, and adulthood.

Objective: To investigate the relevance of using an educational strategy in breastfeeding promotion.

Methods: It was a descriptive study with uncontrolled analytical approach conducted with 36 mothers of children under 2 years of age about breastfeeding, through an educational intervention using the booklet “Breastfeeding: an act of love”. Data collection took place in two moments (pre-test and post-test). Ethics Committee approved the project under protocol No. 058657.

Results: Data analysis revealed that 41.6% of the interviewees stated that they did not receive guidance about breast problems from any professional during prenatal care, and 22% reported having presented nipple fissures. Regarding the initiation of breastfeeding, 11.1% of the women interviewed did not knowthe importance of colostrum, and 30.6% did not know its benefits. Assessment of the mothers’ knowledge before and after the intervention obtained a percentage of correctness of 50.7% and 70%, respectively.

Conclusion: The educational activity to encourage breastfeeding was able to increase the mothers’ knowledge about breastfeeding and its health benefits for women and children. It is imperative to carry out activities such as the one proposed in this study, which enables the prevention of several problems that directly affect the health of families, acting effectively to promote a solid knowledge for the population.

Keywords: Breast Feeding. Child Health. Health Education. Infant Nutrition. Food and Nutrition Education.


1 Dodt RMC, Ferreira AMV, Nascimento LA, Macêdo AC, Joventino ES, Ximenes LB.
Influence of health education strategy mediated by a self-efficacy breastfeeding serial album. Texto Contexto Enferm. 2013; 22 (3): 610-8.

2 Sousa AM, Fracoli LA, Zoboli ELCP. Family practices related to breast-feeding maintenance: literature review and meta-synthesis Rev Panam Salud Publica. 2013; 34 (2): 127-34.

3 Linhares FMP, Pontes CM, Osório MM. Using the theoretical constructs of Paulo Freire to guide breastfeeding promotion strategies. Rev Bras Saúde Matern Infant. 2014; 14 (4): 433-439.

4 Boccolini CS, Carvalho ML, Oliveira IC, Vasconcelos AGG. Factors associated with breastfeeding in the fi rst hour of life. Rev Saúde Pública. 2011; 45 (1): 69-78.
5 Caminha MF, Batista Filho M, Serva VB, Arruda IKG, Figueirosa JN, Lira PIC. Time trends and factors associated with breastfeeding in the state of Pernambuco, Northeastern Brazil. Rev Saúde Pública. 2010; 44 (2): 240-8.
6 Ministry of Health (Brazil). Ten Steps to Healthy Eating: A Food Guide for Children Under Two: a Guide for Health Care Professionals in Basic Care. Brasilia( DF); 2010.
7 Ministry of Health (Brazil). National Health Council Resolution 466/12. Brasilia DF); 2012.
8 Dias EGE, Santos MRA, Pereira PG, Alves JCCS. Prevalence of breast-feeding exclusive to sixth month in city Mamonas - MG in 2013. Revista Contexto & Saúde. 2015; 15 (29); 81-90.

9 Benedett A, Silva IA, Ferraz L, Oliveira P, Fragodo E, Ourique J. Pain and discomfort in the practice of breastfeeding. Cogitare Enferm. 2014; 19 (1): 136-140.
10 Menezes MAS, Garcia DC, Melo EV, Cipolotti R. Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months. Rev Paul Pediatr. 2014; 32 (2):171-7.
11 Rocci E, Fernandes RAQ. Breastfeeding difficulties and influence in the early weaning. Rev Bras Enferm. 2014; 67 (1): 22-7.
12 Corona LP, Conde WL. The effect of breastfeeding on the body composition of children under three years old in São Paulo, Brazil. Journal of Human Growth and Development. 2013; 23 (3): 276-281.
13 Rodrigues AP, Nascimento LA, Dodt RCM, Oriá MOB, Ximenes LB. Validation of a flipchart for promotion of self-efficacy in breastfeeding. Acta Paul Enferm. 2013; 26 (6): 586-93.
14 Bonfim JM, Vasconcelos TB, Machado DMS, Câmara TMS, Nogueira MM, Bastos VPD. Study of mammary and profile changes socioeconomic in women assisted by a
Hospital público de Fortaleza/Ce. Rev Saúde Públ Santa Cat. 2013; 6 (4): 55-66.

15 Cervellinni MP, Gamba MA, Coca KP, Abrão ACFV. Injuries resulted from breastfeeding: a new approach to a known problem. Rev Esc Enferm USP. 2014; 48 (2): 346-53.
16 Andrade ISN. Breastfeeding and its benefits: the first step to health promotion. Rev Bras Promoç Saúde. 2014; 27 (2): 149-150.
17 Esteves TMB, Daumas RP, Oliveira MIC, Andrade CAF, Leite IC. Factors associated to breastfeeding in the first hour of life: systematic review. Rev Saúde Pública. 2014; 48 (4): 697-703.
18 Belo MNM, Azevedo PTACC, Belo MPM, Serva VMSBD, Batista Filho M, Figueirosa JN, et al. Maternal breastfeeding in the first hour of life at a Child-Friendly Hospital: prevalence, associated factors and reasons for its nonoccurrence. Rev Bras Saúde Matern Infant. 2014: 14 (1): 65-72.
19 Pereira DN, Grosseman S. Impact of a educational intervention on breastfeeding knowledge. Revista da AMRIGS. 2013; 57 (1): 14-20.
How to Cite
SOUSA, Raul Rodrigues Cipriano et al. Health Education to Strengthen Breastfeeding Actions. International Archives of Medicine, [S.l.], v. 10, may 2017. ISSN 1755-7682. Available at: <>. Date accessed: 22 july 2017. doi:
Global Health & Health Policy

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