The study analyzed the promotion of infant food and nutrition for children under two years in the Primary Health Care in a city located in Minas Gerais. An exploratory and descriptive study interviewing managers, coordinating nurse, community health workers and mothers of registered children. The data were analyzed using the Shapiro-Wilk normality test and Fisher's exact test, Pearson's chi-square test and simple Student t test. The city did not implement the Strategy Amamenta e Alimenta Brasil. Strategy for Family Health performed childcare, but in an irregular or incomplete way. The main difficulties were low adherence by mothers and work overload by nurses. SISVAN's nutritional diagnosis reports are not used.55.6% of mothers participate in the childcare. 33.3% of mothers received guidance on breastfeeding before and after the baby was born. 22.2% received it during prenatal care and 5.6% received it only after the baby was born. Half of the mothers received guidance on healthy complementary feeding. No significant associations were found for the participation of mothers and the variables maternal education, maternal age, having an only child, being an adolescent mother. Mothers should be advised on the approach of the units to monitor the child's growth and development, preventing health problems.
Breastfeeding and a suitable eating plan in the first years of life are crucial for the development of premature children. Early exposure to ultra-processed foods (UPF) can lead to an increased risk of chronic diseases. To analyze premature infants for breastfeeding practices, intake of ultra-processed foods, their health risks and other associated factors. Data on diet and sociodemographic variables were investigated using questionnaires. We used anthropometric assessment according to WHO growth curves and laboratory tests to analyze the lipid profile. From the whole sample, 51% never received exclusive breastfeeding, or received it for less than a single month; 29% received between four and six months; in 84% another food was introduced before six months. After the stratification of consumption between “none/one type” and “more than one type” of UPF, the variables “child's age” and “family history of overweight/obesity” were positively associated. After bivariate and multivariate analyzes, a greater diversity of UPF intake was associated with family income 2 minimum wages and employed mothers. Premature infants are at risk of early weaning and use of AUP before even six months of corrected age.
Resumo: O objetivo desse relato é descrever as ações do projeto de extensão "Incentivo ao aleitamento materno e doação de leite humano no município de Viçosa-MG" e discuti-las como promotoras de saúde materno-infantil. As atividades incluem a realização de campanhas de apoio ao aleitamento materno e divulgação do Banco de Leite Humano (BLH), realização de coleta domiciliar de leite materno, captação de doadoras e realização de orientações sobre amamentação. Comparando os anos de desenvolvimento do projeto (2015 e 2016) com o ano anterior, observou-se aumento no número de visitas domiciliares, no volume de leite coletado, no número de doadoras e de atendimentos individuais no BLH. Os resultados representam ganhos em termos de maior disponibilidade de leite humano destinado aos prematuros e número maior de mulheres apoiadas no processo da amamentação. Conclui-se que a Extensão Universitária contribui para potencializar ações de saúde pública em prol do aleitamento materno e da doação do leite humano.Palavras-chave: Bancos de Leite. Aleitamento materno. Leite humano.Área Temática: Educação e Saúde. Actions for Breastfeeding and donation human milk of an university extension projectAbstract: The objective of this report is to describe the actions of the extension project "Incentive to breastfeeding and donation of human milk in the municipality of Viçosa-MG" and to discuss them as promoters of maternal and child health. Activities include campaigns to support breastfeeding and dissemination of the Human Milk Bank (HMB), home collection of breast milk, donor recruitment and provision of guidelines on breastfeeding. Comparing the project's years of development (2015 and 2016) with the previous year, there was an increase in the number of home visits, the volume of milk collected, the number of donors and individual visits in the HMB. The results represent gains in terms of greater availability of human milk for preterm infants and the greater number of women supported in the breastfeeding process. It is concluded that the University Extension contributes to the strengthening of public health actions in favor of breastfeeding and the donation of human milk Keywords: Milk banks. Breastfeeding. Human milk. Acciones en favor de la lactancia materna y donación de leche humanan de un proyecto de extensión universitariaResumen: El objetivo de este relato es describir las acciones del proyecto de extensión "Incentivo a la lactancia materna y donación de leche humana en el municipio de Viçosa-MG" y discutirlas como
Premature infants are vulnerable in the course of feeding practices, with lower rates of breastfeeding and inadequate feeding. To analyze breastfeeding rates, use of cow's milk and dietary inadequacies of premature infants in the second semester of Corrected Gestational Age (CGA), comparing them in two moments. This is a non-concurrent cohort with documentary analysis of medical records of 118 premature infants monitored at a secondary referral health service. Sociodemographic and perinatal data were analyzed in relation to the type of breastfeeding, feeding error and use of cow's milk in two moments: 6 months and 12 months of CGA. A reduction in breastfeeding rates was observed by the second semester of CGA (48.3% vs. 36.4%). The prevalence of dietary inadequacies was significant and showed no differences between the two periods (26.3 vs. 27.1%), but the rates of use of cow's milk increased in the second moment (11% vs. 26.3%). Birth weight less than 2000g was associated with a 4.2 times greater chance of artificial feeding in the first year of CGA. Low rates of breastfeeding, use of cow's milk and inadequate complementary feeding are expressive in premature infants whose families have low education and low income.
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