Uma experiência educacional de incentivo ao aleitamento materno e estimulação do bebê, para mães de nível sócio-econômico baixo: estudo preliminar

Abstract

This study included a preliminary analysis of the effectiveness of an educational program on breast-feeding and infant stimulation techniques. The program, developed by Garcia-Montrone (1992), was applied to a group of mothers (experimental group) of low socio-economic status. The program was evaluated by direct observation of mother-infant interaction and interviews with the mothers up to six months after childbirth. Results were compared with a control group of women matched for age, educational level, and previous experience with breast-feeding. Each group began with 10 mother-infant dyads, and there was one withdrawal in each group over the course of the study. 55% of the mothers in the experimental group were still breast-feeding six months after childbirth, compared to 22% in the control group. The experimental group also showed a significantly higher frequency of stimulation of the infant, both during and after breast-feeding. The authors conclude that it is feasible to combine breast-feeding and infant stimulation instruction in an educational program for women of low socio-economic status and that the use of this program can help reduce risk factors both for malnutrition and developmental retardation.

Support for healthy breastfeeding mothers with healthy term babies

“…We excluded 79 studies from the review. The main reason for exclusion was because studies were not randomised trials, or it was not clear that allocation to groups had been carried out randomly; we excluded 18 studies identified by the search for this reason (Caulfield 1998; Davies-Adetugbo 1996; Ebbeling 2007; Garcia-Montrone 1996; Hall 2007; Jang 2008; Kistin 1994; McInnes 2000; Moreno-Manzanares 1997; Neyzi 1991; Nor 2009; Pascali-Bonaro 2004; Perez-Escamilla 1992; Segura-Millan 1994; Sisk 2006; Susin 2008; Thussanasupap 2006; Valdes 2000). A further two papers were reviews rather than reports of a randomised controlled trials (Guise 2003; Lewin 2005).…”

“…Although outcomes included breastfeeding the main focus was on “maternal competence” and infant outcomes. 44% post-randomisation exclusions Garcia-Montrone 1996 Educational intervention. Controls were matched, but not randomised Gijsbers 2006 This study focused on families with a history of asthma. Guise 2003 Paper is a review. Haider 1996 Infants with diarrhoea.…”

Comparação da situação nutricional de crianças de baixa renda no segundo ano de vida, antes e após a implantação de programa de atenção primária à saúde

“…Couri et al (2001) observaram em unidades básicas de saúde da cidade de São Paulo que, embora as mães tivessem bom conhecimento sobre a importância do aleitamento materno, determinadas situações práticas que freqüentemente promovem o desmame não tiveram índices satisfatórios, destacando que apenas o conhecimento não é suficiente para aumentar o período de aleitamento. O suporte dos serviços de saúde para a preparação das mães na superação de dificuldades circunstanciais que ocorrem durante a lactação é fundamental para o estabelecimento da mesma (Garcia-Montrone & Rose, 1996). Nesse sentido, as ações do Projeto Favela oferecem apoio constante às mães por meio das visitas domiciliares, sobretudo durante o primeiro mês de lactação, período mais critíco para o seu estabelecimento.…”

What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study

“…income and occupation) [13], parity [12], newborn’s prematurity [14], lack of access to antenatal care [15], and other health problems of the mother or the infant [13]. However, most of the evidence is focused on breastfeeding and bottle- feeding, and little has been built upon mixed-feeding practice (both breastfeeding and bottle-feeding) and how it differentiates from the other two feeding practices [16-20]. The most recent feeding survey in the UK found that 14% of mothers intended to mix-feed their babies from birth, compared with 61% who intended to exclusively breastfeed and 17% who intended to exclusively bottle-feed [5], although caution should be exercised when interpreting these figures as intention was assessed retrospectively.…”