Human Milk Banks have the purpose to foster and support breastfeeding in hospitals, especially for newborns who , for several reasons, need attention and specialized care. The aim of this study was to determine the profile of women who donated human milk from a milk bank in southern Brazil and to identify the motivation, contributing and limiting factors to the donation. It was a Cross-sectional study carried out with donors registered at a milk bank in 2017. The study was conducted in two stages, the first one being the sociodemographic and gestational data collection, and the second, telephone contact for the donation process details. The results show that the intention to help was the main reason for the donation (48.3%). The main contributing factor was the collection at the donor’s home (42.2%), while lack of it (29.3%) was the most cited limiting factor. Information on breastfeeding (31.9%) and milk donation (62.1%) was obtained during admission to the labor . The median donation time was four weeks (1-28). Receiving information on breastfeeding and milk donation during antenatal classes were factors associated with longer donation time (p <0.02). It is concluded that the collection at the donor’s home was an important factor in the milk donation process, as well as the orientation received during the antenatal classes, a moment in which the woman is very receptive to new information. Keywords: Breast Feeding. Milk Banks. Postpartum Period. Human Milk. Resumo Os Bancos de Leite Humano têm como objetivo promover e apoiar a amamentação em hospitais, especialmente para recém-nascidos que, por várias razões, necessitam de atenção e cuidados especializados. O objetivo deste estudo foi determinar o perfil das mulheres doadoras de leite humano de um Banco de Leite do sul do Brasil e identificar a motivação, os fatores contribuintes e limitantes à doação. Foi realizado estudo transversal, com doadoras de leite cadastradas em um banco de leite do Sul do Brasil, em 2017. O estudo foi realizado em dois momentos, sendo o primeiro com dados sociodemográficos e gestacionais da ficha de cadastro, e o segundo por contato telefônico para detalhamento do processo de doação. Os resultados mostram que a intenção de ajudar foi o principal motivo para a doação (48,3%). O principal fator contribuinte foi a coleta domiciliar (42,2%), ao mesmo tempo que a falta dela (29,3%) foi o fator limitante mais citado. Informação sobre o aleitamento materno (31,9%) e a doação de leite (62,1%) foi recebida durante a internação para o parto. A mediana de tempo de doação foi de quatro semanas (1-28). Receber informação sobre aleitamento materno e doação de leite no curso de gestante foram fatores associados ao maior tempo de doação (p<0,02). Conclui-se quea coleta domiciliar é um fator importante no processo de doação de leite, bem como as orientações recebidas em cursos de gestantes, momento em que a mulher está bastante receptiva a novas informações. Palavras-chave: Aleitamento Materno. Bancos de Leite. Período Pós-Parto. Leite Humano
AIMS: To characterize type 2 diabetes mellitus patients who have recently initiated treatment with insulin regarding lifestyle and depressive symptoms.METHODS: Cross-sectional study carried out with patients in recent use of insulin, which was determined by the register held in the family health strategy, from January 2017 to August 2018. In home visits, the patients answered questions about lifestyle and characteristics of the disease, and Beck’s Depression Inventory.RESULTS: The sample consisted of 38 type 2 diabetic patients in recent use of insulin. There was a predominance of males (57.9%), married (65.8%) and white (89.5%), the average years of study being 5.8±2.9. 13.2% were considered physically active in leisure time, and only 47.4% were restricting carbohydrates. 65.8% were overweight and 34.2% were obese. The participants had type 2 diabetes mellitus diagnosis for 8.9±7.48 years on average. Regarding the reasons that led to the use of insulin, 92.1% mentioned the lack of control of the disease. As for the classification of depressive symptoms, 47.3% had some psychological alteration. We verified that the presence of depressive symptomswas more prevalent in women (p=0,014).CONCLUSION: Patients with type 2 diabetes on recent insulin use had few changes in lifestyle after being diagnosed with the disease. Most patients started using insulin due to lack of control of the disease. The presence of depressive symptoms was more prevalent in women and in patients who reported dietary changes after the diagnosis of type 2 diabetes mellitus.
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