Valoración de patrón de afrontamiento y tolerancia al estrés en las mujeres post cesárea con hipogalactia en un hospital de la ciudad de Guayaquil.

Abstract

Coping with an ongoing process in the face of unwanted changes. Tolerance of resistance capacity. Assessment of the stress tolerance-coping pattern in post-caesarean section women with hypogalactia. Objective: To assess the stress tolerance-coping pattern. Design: Population: 47 women. Quantitative, descriptive, prospective, cross-sectional study. Technique: survey. Instrument: questionnaire of questions. Results: 30-35 years 36%; 32% 21-29 years, 19% 15-20 years. Bachelor 28%, superior 26%, secondary 26%, none 13% and 9% primary. Urban area 51%, urban-marginal area 34%, 15% rural area. Single 43%, married 38%, common-law union 15%, separated 2%. Employee 35%, 26% housewife, students 11%, own business 9%. Factors: Personal: inability to breastfeed 37%, fatigue 14%, place / environment 12%, stay with other mothers and children 10%, work activity 11%. Related to the newborn: crying 55%, breastfeeding technique 14%, baby hygiene 17%. Sleep and rest: 1-2 hr 28%, 3-4 hr. 11%, 62% do not fall asleep. Manifestations: low or absence of milk 38%, pain 24%, drowsiness 22%, anxiety and fear 10%. Coping strategies: Relaxation methods: 79% relaxation techniques, 21% medications. Conduct with the health professional: 83% communicative, acceptance 17%. Change capacity: Bond / newborn: attachment 74%, acceptance 26%. Coping: help and advice 15%, resolve conflicts 12%, avoid getting irritated 11%, recall positive experiences 15%, resolve conflicts 12%. Individual and family support: Communication with the partner: always 53%, sometimes 36%, never 11%. Communication with the family: 36% always, sometimes 30%, never: 34%. Conclusion: moderately altered functional pattern in emotional and affective responses.