Impacto de uma intervenção pró-aleitamento nas taxas de amamentação de recém-nascidos de muito baixo peso

Abstract

Objective: To describe an intervention to provide support and encouragement to mothers of preterm newborns and to evaluate its effect on breastfeeding rates in the first 6 months after hospital discharge. Methods:One hundred newborns and their mothers were selected consecutively and prospectively according to order of birth. The mother-infant dyads were alternately assigned to one of two groups: one group received routine care (routine group), and the other group received the intervention (intervention group). The intervention consisted of individualized support in addition to the routine support provided in the Neonatology Service. Before delivery, one of the researchers was introduced to the mother and offered her information about the delivery. The researcher was also present at delivery, made an early visit to the infant in the intensive care unit, provided constant support for the mother to express breast milk and to maintain lactation, gave the mother information about maternal and infant hospital discharge, and provided outpatient follow-up after discharge.Results: Thirty-six dyads completed the study. The characteristics of mothers and infants, as well as causes of exclusion, were similar in the two groups. In the routine group, 38.9% of the infants were being breastfed at hospital discharge, and median breastfeeding duration was 54 days. In the intervention group, 80.5% were being breastfed at discharge, and median breastfeeding duration was 91 days (p<0.01). Conclusions:Simple support measures offered to mothers during hospitalization and outpatient follow-up had a very positive effect on breastfeeding rates.J Pediatr (Rio J). 2007;83(6):541-546: Prematurity, breastfeeding, preterm newborn, feeding, nutrition, human milk.

Preterm infant: maternal experience during breastfeeding in neonatal intensive care unit and after discharge

“…Mixed feeding was identified in our interviews as a widely adopted practice in feeding extremely premature babies. Similar to that found in this study, we observed that the mother of premature baby does not maintain exclusive breastfeeding when realizes that her child is not satisfied and/or not gaining weight (10,16) .…”

“…However, even though breastfeeding is the richest food for babies (9)(10) and that breast milk is the most appropriate food for them, many studies show low indicators related to this practice among us (1,9) .…”

O uso da translactação para o aleitamento materno de bebês nascidos muito prematuros: ensaio clínico randomizado

“…O início ou não da prática do AM e também outros momentos muito importantes constituíram em objetos de investigação sobre o , entre outros(DALL'OGLIO et al, 2007). Outra pesquisa identificou uma redução significativa na taxa de desmame de 64,3% no grupo controle (GC) para 19,5% no grupo de intervenção, devido ao aconselhamento e às orientações sobre ordenha para as mães participantes desse último grupo(SANTORO JÚNIOR;MARTINEZ, 2007). Constataram-se ainda, em um ensaio clínico aleatório, elevadas taxas de prevalência do AM no grupo que recebia estimulação oral e sucção nãonutritiva (grupo de intervenção), quando comparadas às taxas obtidas no GC(PIMENTA et al, 2008).…”