OBJECTIVES: This study examined the effectiveness of a hospital program to promote exclusive breast-feeding in Santos, Brazil. METHODS: In a prospective design, women who delivered at a hospital with an active breast-feeding promotion program (n = 236) were compared with women who delivered at a nearby control hospital (n = 206). RESULTS: The two groups had similar demographic characteristics and previous breast-feeding histories. Exposure to breast-feeding activities, assessed by maternal recall prior to discharge, was universally high at the program hospital and universally low at the control hospital. Multivariate survival analysis showed that exclusive breast-feeding lasted 53 days longer among women who delivered at the program hospital. CONCLUSIONS: Hospital-based breast-feeding promotion programs may be effective in extending the duration of exclusive breast-feeding.
Como citar este artigo: Bueno LGS, Teruya KM. Aconselhamento em amamentação e sua prática. J Pediatr (Rio J). 2004;80(5 Supl):S126-S130. AbstractObjective: To provide health professionals with information on theory and practice of breastfeeding counseling.Sources of data: MEDLINE, Bireme library, Lilacs, relevant Internet websites, scientific journals, technical books, essays, theses, and national and international publications were selected, studied and used to provide information on the topic. The most important sources of data were: a publication by the World Health Organization (WHO -1993) and the authors experience and clinic practice in the assistance of mothers, children and families. Summary of the findings:A trained pediatrician plays an important role in the increase of breastfeeding rates and its duration. To improve this performance, in 1993, WHO designed a 40-hour course using an important didactic strategy aimed at health professionals and mothers. The goal was to protect, promote and support maternal nursing. It is a professional way of dealing with the mother by listening and trying to understand her, offering her help on planning, taking decisions, and getting strength on how to deal with pressures, thus increasing her confidence and self-esteem.Conclusion: Scientific evidences prove the effectiveness of Breastfeeding Counseling. Moreover, health professional s knowledge and practice are very important to increase breastfeeding rates.J Pediatr (Rio J). 2004;80(5 Supl):S126-S130: Breastfeeding, counseling, breastfeeding counseling, maternal nursing, medical education, pediatrician.
Scientific evidence proves the effectiveness of Breastfeeding Counseling. Moreover, health professional's knowledge and practice are very important to increase breastfeeding rates.
Como citar este artigo: Bueno LGS, Teruya KM. Aconselhamento em amamentação e sua prática. J Pediatr (Rio J). 2004;80(5 Supl):S126-S130. AbstractObjective: To provide health professionals with information on theory and practice of breastfeeding counseling.Sources of data: MEDLINE, Bireme library, Lilacs, relevant Internet websites, scientific journals, technical books, essays, theses, and national and international publications were selected, studied and used to provide information on the topic. The most important sources of data were: a publication by the World Health Organization (WHO -1993) and the authors experience and clinic practice in the assistance of mothers, children and families. Summary of the findings:A trained pediatrician plays an important role in the increase of breastfeeding rates and its duration. To improve this performance, in 1993, WHO designed a 40-hour course using an important didactic strategy aimed at health professionals and mothers. The goal was to protect, promote and support maternal nursing. It is a professional way of dealing with the mother by listening and trying to understand her, offering her help on planning, taking decisions, and getting strength on how to deal with pressures, thus increasing her confidence and self-esteem.Conclusion: Scientific evidences prove the effectiveness of Breastfeeding Counseling. Moreover, health professionals knowledge and practice are very important to increase breastfeeding rates.J Pediatr (Rio J). 2004;80(5 Supl):S126-S130: Breastfeeding, counseling, breastfeeding counseling, maternal nursing, medical education, pediatrician.
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