Tempo de aleitamento materno exclusivo em recém-nascidos prematuros e a termo

Silva, Waléria Ferreira da; Guedes, Zelita Caldeira Ferreira

doi:10.1590/s1516-18462012005000055

Cited by 20 publications

(26 citation statements)

References 25 publications

(30 reference statements)

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“…As protective factors related to lower pacifier use, the variables that presented statistically significant association were exclusive breastfeeding for a period of three months or more and the maintenance of breastfeeding for six months or more. These results have contributed for a discussion about pacifier use as a consequence of difficulties found by mother and infant to maintain breastfeeding as a source of satisfaction of non-nutritive sucking, which was also presented by Silva e Guedes 22 . The inverse relationship between longer breastfeeding time and lower frequency of non-nutritive sucking habits was also shown 6,15 , whereas Carrascoza et al 16 associated the lower frequency of pacifier use with the presence of exclusive breastfeeding at the end of the first month of life, at the moment of hospital discharge and at the age of six months old.…”

Section: Discussionmentioning

confidence: 60%

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

Dadalto

Rosa

2016

Rev. CEFAC

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Purpose: to investigate the evaluation of mothers of preterm newborns about the introduction and use of pacifiers and its relationship with socioeconomic variables, prematurity and breastfeeding, in the context of their children hospitalization in neonatal intensive care unit. Methods: in the initial stage, 62 preterm newborns' mothers participated in this study, 52 of them came back for follow-up within six months and 40 within 24 months. Data were tabulated using software SPSS version 18.0 and statistical analysis, chi-square, Fisher and Mann-Whitney tests.Results: the attempt to introduce a pacifier took place for 96.2% of preterm infants discharged from neonatal intensive care unit, and it was used by 50%. The use of pacifiers was high among family members (siblings -51.9%; cousins -76.9%), which reinforced cultural aspects. The following showed statistically significant association with higher use of pacifiers: prematurity assessed by weight/gestational age ratio (p=0.044), difficult to start or continue breastfeeding after discharge (p=0.012) and primiparity (p=0.02); relation with lower frequency of pacifier: exclusive breastfeeding ≥3 months (p=0.026) and breastfeeding length ≥6 months (p=0.004). Difficulty in breastfeeding after discharge was associated to higher hospital length (p=0.007) and higher length of orogastric tube (p=0.006). Conclusion: offering pacifiers to preterm infants discharged from neonatal intensive care unit showed strong cultural influence, but their acceptance occurred mainly due to mothers' difficulty to start or continue breastfeeding. Keywords: Pacifiers; Breastfeeding; Culture; Infant, Premature RESUMO Objetivo: investigar a avaliação de mães de recém-nascidos pré-termo acerca da introdução e uso de chupeta e sua relação com variáveis socioeconômicas, prematuridade e aleitamento materno, partindo--se do contexto da internação de seus filhos em unidade de terapia intensiva neonatal. Métodos: na etapa inicial, participaram 62 mães de recém-nascidos pré-termo, tendo comparecido 52 para acompanhamento aos seis meses de idade e 40 aos 24 meses. Os dados foram tabulados utilizando o programa SPSS versão 18.0 e análise estatística com testes Qui-quadrado, Fisher e Mann-Whitney. Resultados: a tentativa de introdução da chupeta ocorreu para 96,2% dos bebês nascidos pré-termo, egressos de unidade de terapia intensiva neonatal, e seu uso em 50%; o hábito de sucção de chupeta foi alto entre crianças da família (irmãos -51,9%; primos -76,9%), reforçando aspectos culturais. Apresentaram associação estatisticamente significante com maior uso de chupeta: prematuridade avaliada pela relação peso/idade-gestacional (p=0,044), dificuldade para estabelecer ou manter o aleitamento materno após a alta hospitalar (p=0,012) e primiparidade (p=0,02); relação com menor frequência de chupeta: aleitamento materno exclusivo ≥3 meses (p=0,026) e tempo de aleitamento materno ≥6 meses (p=0,004). A dificuldade para o aleitamento materno após a alta hospitalar foi associada com maior tempo de internação...

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Section: Discussionmentioning

confidence: 60%

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

Dadalto

Rosa

2016

Rev. CEFAC

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“…Embora haja estudos publicados sobre a prevalência de AM em prematuros (6)(7) e a prevalência de AM em instituições Amiga da Criança (4)(5)8) , não foi encontrada pesquisa que avaliasse o AM de prematuros em instituições Amiga da Criança, tal como o proposto por este estudo.…”

Section: Discussionunclassified

“…Os pais residirem juntos e a escolaridade materna de mais de 8 anos de estudo se revelaram como fatores de proteção para a continuidade do AME após a alta no HF. Mães que vivem sem companheiro têm mais chance de abandonar precocemente o AME que mães com companheiro (8) . O tempo de escolarida-Tabela 2.…”

Section: Discussionunclassified

Aleitamento materno exclusivo em prematuros de hospitais Amigo da Criança: estudo comparativo

et al. 2018

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Aim: to compare the prevalence of exclusive breastfeeding (EBF) and to verify the factors associated with its interruption in premature infants hospitalized at Baby-Friendly hospitals. Method: this is a comparative study performed with 107 premature infants admitted to the neonatal unit of two hospitals in Paraná. Data were obtained through interviews with mothers and analysis of infant records at hospital discharge and 15 days after delivery. Results: the prevalence of EBF was 29.2% in the University Hospital and 15.3% in the Philanthropic Hospital. At hospital discharge, associations with clinical characteristics of infants predominated, and 15 days after discharge there was a greater association with the socio-demographic characteristics of the parents. Conclusion: the prevalence of EBF, which was shown to be low at the time of hospital discharge in both hospitals, decreased after discharge, reinforcing the need for other strategies, in addition to those provided at Baby-Friendly hospitals, for the promotion and support of EBF in preterm infants.

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“…In the study carried out by Sanches 22 , is concerned that exclusive breastfeeding of infants of low birth weight and premature babies is quite complex and involves numerous factors that influence their practice, though prior knowledge of the factors associated with the interruption of this practice can facilitate the actions of the interdisciplinary team in the promotion and support of breastfeeding. As a result, it is expected that these difficulties can be overcome by health staff actions of the hospital, the family, society, beyond the articulation of health services 25 .…”

Section: Discussionmentioning

confidence: 99%

Perfil alimentar e desenvolvimento motor oral dos neonatos nascidos com baixo peso

et al. 2016

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Purposes: to describe the feeding profile and analyze the Oral Sensory Motor System of preterm low birth weight who participated or not the Kangaroo method. Methods: this is a non-interventional, observational quantitative study with 60 preterm low birth weight. A specific form was used to describe the feeding profile. Evaluations of Oral Sensory Motor System were made by the protocol of Castro¹. Results: preterm and low birth weight babies evaluated formed two groups: 30 participants of the Kangaroo Method (G1) and 30 non-participants of this method (G2). They presented Gestational Age 25-36 weeks, which were 34 female and 26 male; 8 children were fed by nasogastric tube, 46 by exclusive breastfeeding, 4 fed through the cup and 1 just by the cup. In the Grupo1,9 (30%) infants showed oral reflexes as expected. In the Group 2, 12 (40%) showed all reflexes. Conclusion: this study shows that babies who went through the kangaroo method do not revealed statistically significant difference in relation to the feeding profile and oral sensory motor system, when compared to babies who did not went through this method.

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Tempo de aleitamento materno exclusivo em recém-nascidos prematuros e a termo

Cited by 20 publications

References 25 publications

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

Aleitamento materno exclusivo em prematuros de hospitais Amigo da Criança: estudo comparativo

Perfil alimentar e desenvolvimento motor oral dos neonatos nascidos com baixo peso

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