Introduction: Speech therapy has assumed an important role with breastfeeding. Purpose: To verify the breastfeeding situation, considering aspects of the mother-newborn dyad, according to newborn's lifetime through speech-language intervention. Methods: Study conducted from May 2015 to September 2016, with 166 mothernewborn dyads during the breastfeeding situation, in a high-risk public maternity hospital in the state of Sergipe. A specific protocol was used registering anatomical aspects of nipples and breasts, newborn's behavioral status, newborn suckling and breast-latch pattern and dyads posture to describe the breastfeeding situation at different times: Moment 1 (Baseline); Moment 2 (Speech-Language Intervention); Moment 3 (Accompaniment). The results were described using simple and percentage frequencies, Mantel-Haenzsel Test (M-H) and the Likelihood Ratio Test (LRT), adopting significance level of 5%. Results: Regarding the effect of the speech-language intervention, there was a significant difference in the maternal parameters for the breasts situation (regorgement); While in the parameters involving the newborns there were significant differences, with improvement in breast-latch patterns aspects such as: do not only pick up the beak, snatch part of the areola, breast-latcheffectively and manage to keep breast-latchpattern. Regarding the dyad postural aspects, there were significant differences regarding newborn's raised andaligned head and body contact (bellyto-belly). Conclusion: Speech-language intervention with the mothernewborn dyads in the first hours after delivery showed an improvement in the parameters considered fundamental on a successful breastfeeding glimpsing a health education practice among the puerperal women.
Objectives: To investigate full term newborns suction pattern in non-nutritive suction and their feeding performance. Methods: An analytical descriptive study was carried out from November 2016 to March 2017, with 50 dyads mothers/newborns through the non-nutritive suction evaluation and a direct observation on the newborn's performance on feeding. The data were distributed through simple and relative frequencies (percentages) when categorical or by mean, maximum, minimum and the standard deviation when is continuous, discrete or ordinal. To evaluate the mean differences, the Student's t test was used with significance level of 5%. Results: There were significant differences among the newborn's mandible movement (“newborn's mouth slightly open” p=0,005), suction (“cheek strain during feeding” p<0,001) and dyad mother and newborn positioning (“breasts supported with fingers on the areola” p=0,041 and baby's neck or trunk turned” p=0,041). Conclusions: Newborns that presented changes in their mandible movement on the Non-Nutritive Suction (NNS) also presented difficulties in feeding. The newborn's knowledge on suction pattern through the NNS has proven to be an important strategy that may help identify possible difficulties during feeding.
Objetivo: Investigar a relação entre os aspectos maternos (idade, escolaridade, tipo de parto e experiências anteriores com amamentação) e o desempenho da díade mãe-recém-nascido (RN) na amamentação, em uma maternidade pública. Métodos: Estudo diagnóstico analítico, realizado de novembro de 2016 a março de 2017, com 50 díades mães-RN, mediante aplicação do “Protocolo de Avaliação da Mamada”, proposto pela UNICEF. Os dados coletados foram tabulados e descritos por meio de frequências simples e percentuais. Para avaliar associação entre variáveis foi utilizado o teste Exato de Fisher, com nível de significância de 5%. Resultados: Na situação da amamentação, houve diferenças significativas entre idade materna e estado comportamental do RN; e experiências maternas anteriores com amamentação e o encerramento da mamada. Conclusão: A idade materna e as experiências anteriores com a amamentação são fatores que influenciaram o desempenho da mamada nesta população. A avaliação do desempenho da díade na amamentação permite a identificação de dificuldades, o que pode contribuir para o delineamento de condutas pelos profissionais de saúde, considerando as singularidades de cada díade.
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