Objective: assess the efficacy of the Nipple Trauma Indicator Instrument implemented in the rooming-in facility t of a university teaching hospital as a healthcare quality indicator.Method: exploratory, descriptive, retrospective study, with analysis of the Nipple Trauma Indicator tool of 1,691 mothers admitted in rooming-In from June to November 2012. Data were presented as absolute frequencies and percentages and statistical tests were administered.Results: the mean rate of nipple trauma was 55.5%. The most frequent trauma was excoriation (62,2%) and the main cause was incorrect attachment of the newborn (44%). Maternal and neonatal factors associated with nipple trauma are also presented. Método: estudo exploratório-descritivo, retrospectivo, com análise do instrumento Indicador de Trauma Mamilar de 1.691 puérperas, admitidas na unidade de Alojamento Conjunto no período de junho a novembro de 2012. Os dados foram apresentados em forma de frequências absolutas e percentuais, sendo aplicados testes de associação. ConclusionResultados: a média de índice de trauma mamilar foi de 55,5%, o trauma mais frequente a escoriação (62,2%), a principal causa a pega inadequada do recém-nascido (44%). Apresentam-se também os fatores maternos e neonatais que se associaram ao trauma mamilar.Conclusão: o Indicador de Trauma Mamilar retrata a assistência prestada em aleitamento materno mostrando-se como uma importante ferramenta para a construção desse indicador de qualidade. Palavras-chaves:Aleitamento materno. Mamilos. Ferimentos e lesões. Indicadores de qualidade em assistência à saúde. RESUMEN Objetivo: evaluar la adecuación del instrumento Indicador de trauma del pezón, implementado en el maternidad de un Hospital Universitario, como indicador de la calidad.Método: estudio exploratorio, descriptivo y retrospectivo; que analizó el instrumento Indicador de Trauma del pezón, en 1691 madres admitidos de junio a noviembre de 2012. Los dados fueron presentados como frecuencias absolutas y porcentajes, con pruebas de asociación.Resultados: el promedio del índice de trauma del pezón fue de 55,5%, el trauma más frecuente fue la excoriación (62,2%); su principal causa, la fijación incorrecta del recién nacido (44%). Se presentaron los factores neonatales y maternos asociados con el trauma.Conclusión: el instrumento Indicador de trauma del pezón retrata la atención en lactancia materna contribuyendo a la construcción del este indicador del calidad.Palabras clave: Lactancia materna. Pezones. Heridas y traumatismos. Indicadores de calidad de la atención de salud.

Considering the need of parameters to know the workload existent in Rooming-in (RI), it is imperative to identify nursing activities in the mother-child binomial. The objectives of the study are: to identify nursing activities in the Rooming-In Unit of the HU-USP; to classify activities in nursing interventions according to the Nursing Intervention Classification (NIC), and to validate the interventions. A survey of all activities was carried out by means of clinical records and direct observation of nursing assistance in all the shifts. The content of interventions was validated with the nurses of unit, by means of the workshop technique. It was identified 43 direct and indirect nursing interventions; activities associated and personal activities of the staff. The instrument built with the number of these interventions/activities will permit to, in further studies, correlate the time expended to perform these interventions/activities and thus to propose parameters to measure the need of nursing professionals in RI.

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