Influência do ambiente hospitalar nos aspectos relacionados ao aleitamento materno

Abstract

Purpose: To investigate the influence of hospital environment on aspects related to breastfeeding and communication on the mother/ newborn interaction during the breastfeeding process. Methods: This consisted on a cross-sectional study composed by 34 dyads: 18 in rooming-in care and 16 in intermediate/medium care units of a public hospital. Each dyad was observed at the time of breastfeeding, and data were analyzed considering the aspects standardized by UNICEF for breastfeeding. Verbal and nonverbal communication modes were observed. Results: Comparison of variables showed significant associations between hospital environment and the position of the mother in relation to the newborn and mother stimulation and vocalization to the neonate, with favorable percentage for the dyad that was in rooming. The other variables did not differ. Conclusion: Important conditions for the establishment of breastfeeding and communication between mother and newborn are influenced by the location of the dyad, especially the hospital environment.

Prevalência e fatores associados ao aleitamento materno na primeira hora de vida em nascidos vivos a termo no sudoeste da Bahia, 2017*

“…The latter can make use of this environment to approach issues fundamental to greater efficacy of breastfeeding. 23,24 Childbirth in a hospital accredited by the Baby--Friendly Hospital Initiative -(BFHI) -was associated with greater MBFFHL prevalence, corroborating results of previous studies. 15,20 Ever since BFHI was launched in 1991, it has served as a motivating force for maternity hospitals worldwide to implement policies and practices in support of breastfeeding.…”

Fatores ligados aos serviços de saúde determinam o aleitamento materno na primeira hora de vida no Distrito Federal, Brasil, 2011

“…Rooming-in is a hospital environment that enables the mother and her baby to remain together during the whole postpartum hospital stay 43 . Several studies have demonstrated the importance of the rooming-in for breastfeeding, providing greater confidence to the mother in relation to the latch-on and proper positioning for breastfeeding, autonomy to understand and care for the child, in addition to providing increased interaction between mothers and health professionals, which can take advantage of this environment to address essential aspects to enhancing the effectiveness of breastfeeding 44,45 . Cochrane systematic review found that the prevalence of exclusive breastfeeding until the fourth day before hospital discharge was higher among women who remained rooming-in than among those who were separated from their child 46 .…”

Boas Práticas Em Aleitamento Materno Em Um Ambulatório Pediátrico

“…Existe uma variação de comportamento entre as mães, muitas delas verbalizam seus anseios, medos e insegurança, porém outras já são mais reservadas, independentemente do contato com o RN. Por isso, é preciso levar em consideração o ambiente e o estado emocional, também deve-se verificar se isto não impede a mãe de interagir com o neonato (BECK et al, 2012) Este processo de amamentação se torna uma experiência muito difícil e exige das mães esforço e persistência para superar, além da existência de dificuldades de ordem técnica, os sentimentos de medo e ansiedade gerados pela situação vivenciada tomam conta destas mães. (PAIVA et al, 2013) Oliveira, Orlandini e Marcon (2011) revelaram alguns aspectos que podem auxiliar a minimizar o estresse dos pais durante a internação do RN na UTIN, este trabalho pode ser realizado através do processo de humanização do cuidado.…”