Conjunto De Medidas Para O Incentivo Do Aleitamento Materno Exclusivo Intra-Hospitalar: Evidências De Revisões Sistemáticas

Abstract

Objective: To identify the main recommendations found in systematic reviews regarding exclusive breastfeeding protective factors.Data source: Integrative review based on the guiding question: What evidence is found in literature regarding the protective factors of exclusive breastfeeding during the intrahospital period? A search was conducted in the Cochrane Library, PubMed/MEDLINE and LILACS database using the keyword “Breast Feeding” and the word “Breastfeeding”. Systematic reviews published from 2007 to 2016 that answered the guiding question were included in the study, whereas systematic reviews that analyzed breastfeeding of preterm infants and breastfeeding of children with orofacial malformation were excluded. The sample included eight systematic reviews. Data synthesis: The recommendations related to the protective factors for exclusive in-hospital breastfeeding found in the systematic reviews were: early skin-to-skin contact, rooming-in care, intervention for treating painful nipples during breastfeeding, restriction of infant supplementation, baby-led breastfeeding and educational interventions and support for mothers during hospital stay. The proposed measures included the six practices presented as protective factors. Conclusions: The review enabled the identification of evidence to support the recommended measures from delivery room to hospital discharge, with the aim of encouraging breastfeeding and preventing intrahospital weaning,

Acompanhamento dos atendimentos de puérperas e recém-nascidos em um Banco de Leite Humano

“…In addition to the technical-scientific knowledge to promote and support breastfeeding, the perception of maternal and neonatal vulnerability is essential for subsequent maternal stimulation and self-efficacy during breastfeeding. 32 Another important evidence in this study was the need for return and follow-up in the HMB of 211-mother-baby pair, totaling 2,448 procedures performed at the HMB.…”

“…And for the mother, it produces an intensification of her motherhood and pleasure in caring for her child, while consolidating the symbiotic link between the binomial. [30][31][32] Early breastfeeding is significant in spontaneous vaginal delivery corresponding to 80% when compared to cesarean deliveries 50%. 32 Regarding the search for the HMB, it was found that the mother-baby dyad sought and/or was referred to care after 48 hours of life of the newborn, highlighting reasons such as significant weight loss of the newborn followed of difficulty in breastfeeding handling.…”

“…[30][31][32] Early breastfeeding is significant in spontaneous vaginal delivery corresponding to 80% when compared to cesarean deliveries 50%. 32 Regarding the search for the HMB, it was found that the mother-baby dyad sought and/or was referred to care after 48 hours of life of the newborn, highlighting reasons such as significant weight loss of the newborn followed of difficulty in breastfeeding handling. The prevalence of maternal demand for difficulty with incorrect handling, allegation of insufficient milk and breast-related problems such as fissure, engorgement and mastitis to the HMB were also described in another research.…”

“…33 Other authors argue that by guidance alone breastfeeding does not occur effectively, making it necessary to instrumentalize the nursing mother so that she has full confidence in herself to breastfeed her infant. 30,32 A systematic review compared the types of breastfeeding counseling (individual and group) to verify their effect on breastfeeding rates up to 48 hours postpartum, in the first month and between 1 and 5 months. Results showed a significant increase in breastfeeding by 43% until 48 hours postpartum when mothers received individual follow-up.…”

Pre- And Perinatal Factors Associated With Weight Gain Among Preschool Children Enrolled at Day Care Centers

“…13 The fundamental role of joint postpartum rooming is highlighted as a space for strengthening mother-child bond, facilitating the onset of breastfeeding and avoiding early (and often unnecessary) introduction of infant formulas, which can also be classified as ultraprocessed food, and other foods. 14 It is noteworthy that having stayed in rooming-in care, attended more than six prenatal appointments and never having breastfed the child were factors independently associated with excessive weight gain (afterwards, terms of interaction between factors were tested, but no association was found). Therefore, our hypothesis to justify such associations is related to the construction of positive support networks, both by other women and by professionals involved in the health care of pregnant women.…”