Revista CEFAC (Jan 2008)
Amamentação no alojamento conjunto Maternal breastfeeding in rooming-in
Abstract
OBJETIVO: avaliar a amamentação em bebês do Alojamento Conjunto, identificar e avaliar as dificuldades no início do aleitamento materno. MÉTODOS: estudo transversal descritivo. A amostra foi constituída de 100 binômios mãe/recém-nascidos, em maternidade pública estadual que atende ao parto de alto risco pelo Sistema Único de Saúde. Utilizando protocolo do Fundo das Nações Unidas para Infância para observação e avaliação da mamada, foram registrados os comportamentos de cada dupla, computando-se a freqüência de comportamentos desfavoráveis ao aleitamento materno exclusivo. Além disso, foram coletados dados no prontuário do bebê e aplicado um questionário com as mães. RESULTADOS: a freqüência de binômios que apresentaram comportamentos sugestivos de sérias dificuldades (escore ruim) com o inicio do aleitamento materno variou entre 16% e 44%, conforme o aspecto da mamada avaliada. As dificuldades encontradas foram: adequação da sucção; má posição corporal da mãe e do bebê durante a mamada; o aspecto da anatomia das mamas; respostas da dupla e afetividade. Estas dificuldades foram mais significantes quando o parto foi cirúrgico (pPURPOSE: to analyze breastfeeding in rooming-in babies, identify and analyze the difficulties in the beginning of breastfeeding. METHODS: descriptive transverse study. The sample was made up by 100 mother/new-born binomials, in public maternity hospitals that offer high-risk parturition service. Using a United Nations Children’s Fund’s protocol to watch and evaluate the sucking, the behavior of the double was recorded, calculating the periodicity of behavious that are unfavourable to the exclusive breastfeeding. Above that, data was collected at baby’s handbook and a questionnaire was applied with the mothers during the time of rooming-in internment. RESULTS: the Binominal's frequency, that showed behavious suggesting sever serious difficulties (low score) at the beginning of the breastfeeding, varied between 16% and 44%, according to the aspect of the evaluated sucking. The most common difficulties were the fitness to the sucking, the bad position of mothers and babies bodies during the sucking and the aspect of the breasts’ anatomy. These problems were more important when the parturition was surgical (p<0.05) and the mother did not received any guidance about breastfeeding (p<0.05). Conclusions: high prevalence of the binomials mother/new-born with suggestive behavior of difficulties was identified. We noted the need for a previous instructive job with the mothers as early as possible, so that they may acquire a correct breastfeeding technique.
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