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Exclusive breastfeeding has not been effectively enforced in Brazil. Among the factors that can lead to early weaning is low maternal confidence for breastfeeding. The purpose of this study was to evaluate the maternal confidence for breastfeeding, the role of associated factors that could affect the practice, and the infant feeding practices. Four hundred and seventy brazilian women were interviewed about their confidence for breastfeeding by the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF), comparing it in three different periods: immediately before giving birth, and 3 and 6 months of postnatal. The influence of sociodemographic characteristics and prenatal assistance on the mother’s confidence for breastfeeding was evaluated. Also, the infant feeding practices up to 6 months after birth were investigated. 77% of women felt highly confident about breastfeeding, even before the beginning of practice whereas after 3 and 6 months of delivery, 85% believed to be highly capable. The more practice time, the greater the BSES-SF scores. After 3 months of postnatal, mothers with over 31 years showed the highest values of the BSES-SF, feeling more confident for breastfeeding. The sociodemographic characteristics and prenatal care did not affect the mother's confidence to breastfeed. 52% of mothers were exclusively breastfeeding after 3 months of giving birth. After 6 months, 84.8% of mothers were performing the complementary breastfeeding. The results showed the need for planning and implementing interventions that could help the relationship between maternal confidence and practice of breastfeeding from prenatal care until the first six months after delivery. Keywords: Breastfeeding. Trust. Weaning. Feeding Methods. Resumo Amamentacao exclusiva nao foi efetivamente aplicada no Brasil. Os fatores que levam ao desmame precoce esta a baixa confianca materna para a amamentacao. O objetivo deste estudo foi avaliar a confianca materna para a amamentacao, fatores associados que podem afetar a pratica de alimentacao infantil. Quatrocentas e setenta mulheres foram entrevistadas sobre sua confianca no aleitamento materno pela Escala de Auto eficacia em Amamentar (BSES-SF), comparando em tres periodos diferentes: imediatamente antes do parto, 3 e 6 meses de pos-natal. A influencia das caracteristicas sociodemograficas e assistencia pre-natal na confianca da mae para a amamentacao foi avaliada. Alem disso, as praticas de alimentacao ate 6 meses apos o nascimento foram investigadas. 77% das mulheres sentiam-se altamente confiantes em relacao a amamentacao, mesmo antes do inicio da pratica, apos 3 e 6 meses de parto, 85% acreditavam ser altamente capazes. Quanto mais tempo de pratica, maior a pontuacao da BSES-SF. Apos 3 meses do pos-parto, as maes com mais de 31 anos apresentaram os maiores valores da BSES-SF, sentindo-se mais confiantes para a amamentacao. As caracteristicas sociodemograficas e o pre-natal nao afetaram a confianca da mae em amamentar. 52% das maes estavam amamentando exclusivamente apos 3 meses do parto. Apos 6 meses, 84,8% das maes realizavam a amamentacao complementar. Os resultados mostraram a necessidade de planejar e implementar intervencoes que possam ajudar a relacao entre a confianca materna e a pratica do aleitamento materno desde o pre-natal ate os primeiros seis meses apos o parto. Palavras-chave: Aleitamento Materno. Confianca. Desmame. Metodos de Alimentacao

Maternal Confidence for Breastfeeding and Infant Feeding Practices in a Brazilian Population