Aleitamento materno em recém-nascidos prematuros tardios e a termo: estudo de coorte

Machado, Maria Cristina Heinzle da Silva; Silva, Milena Raquel Tacito e; Almeida, Maiara Aparecida Miálich; Carvalhães, Maria Antonieta de Barros Leite; Parada, Cristina Maria Garcia de Lima; Tonete, Vera Lúcia Pamplona

doi:10.5216/ree.v21.52382

Cited by 3 publications

(1 citation statement)

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“…Esses fatores fazem com que por diversas vezes os PMT necessitem de cuidados intensivos para maturar e aprender a gerir suas necessidades, especialmente as condições relacionadas a amamentação, com piores taxas de aleitamento materno exclusivo e aleitamento materno, após alta da maternidade. 9 É importante a discussão das causas e fatores associados a morbimortalidade neonatal, haja vista que ainda, o componente neonatal, em especial, os prematuros, representam a principal parcela dentro das taxas de mortalidade infantil. 8 10 É nessa perspectiva, que este estudo objetiva descrever os fatores associados e preditores da necessidade de terapia intensiva neonatal em prematuros tardios.…”

Section: Introductionunclassified

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Jantsch

Torres

Klein

et al. 2021

renome

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Objetivo: Descrever os fatores associados a necessidade de internação em Unidade de Terapia Intensiva Neonatal (UTIN) em população de prematuros tardios. Método: Estudo transversal analítico que acompanhou 123 prematuros tardios no seu primeiro ano de vida, no sul do Brasil. A variável independente foi considerada a necessidade de terapia intensiva, e as variáveis de comparação foram obstétricas e neonatais. Para análise estatística foram utilizados os testes Qui-quadrado e Odds ratio. Resultados: Os principais motivos para as internações em UTIN de prematuros tardios foi o desconforto respiratório (57%), baixo peso (23%) e a hipoglicemia (17,1%). Além disso, os prematuros Pequenos ou Grandes para idade gestacional obtiveram 2,5 vezes mais chances de serem admitidos, comparados aos adequados para idade gestacional (P<0,01). Conclusão: Os fatores associados a internação em UTIN na população de prematuros tardios foi o baixo peso, apgar, nascimento de parto cesárea, considerados esses fatores resultantes da imaturidade fisiológica do prematuro.

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Section: Introductionunclassified

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Jantsch

Torres

Klein

et al. 2021

renome

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Breastfeeding performance of late preterm newborns with hyperbilirubinemia undergoing phototherapy: Controlled Cross-Sectional Study

Neves,

Yamamoto,

Camargo

et al. 2023

Preprint

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Background: Prematurity is a risk factor for eating disorders. However, late preterm newborns are generally cared for in a rooming-in unit, with no different management from term newborns. Hyperbilirubinemia is considered physiological, but can be potentially neurotoxic at high levels. Phototherapy is the most widely used treatment, but it can lead to adverse events, such as circadian rhythm changes. Preterm infants are at greater risk of neurotoxicity due to hyperbilirubinemia and feeding difficulties are a risk factor for increased serum bilirubin levels. In view of this, it is necessary to evaluate the breastfeeding performance of late preterm infants in order to provide data that will enable appropriate management in the face of possible difficulties and guarantee that preterm infants undergoing phototherapy will have an effective feed and adequate intake. Methods: Controlled cross-sectional study. Conducted in a public maternity hospital, the sample was based on convenience and consisted of 60 mother/late preterm newborn dyads, assisted in the Joint Lodging, divided into two groups. One group comprised of 30 mother/newborn dyads in which the newborns had hyperbilirubinemia that required phototherapy (case group) and another group with 30 dyads in which the newborns did not require phototherapy (control group). Data characterizing the sample was obtained through anamnesis and medical/hospital records. Breastfeeding performance was assessed using the Breastfeeding Observation Form proposed by UNICEF. The analyses were carried out using Jamovi (version 2.4.1). The significance level of 5% was adopted for all analyses. The study was approved by the Research Ethics Committee. All participants/guardians signed the Free and Informed Registration Form. Results: Newborns in the case group had a higher occurrence of "fair" and "poor" scores in all the protocol categories. Conclusion: The study concluded that late preterm newborns undergoing phototherapy have more difficulties in breastfeeding compared to late preterm newborns who do not require the treatment, and therefore need careful and individualized attention in the management of breastfeeding.

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Factors associated with exclusive breastfeeding in “Near Miss” neonates in Brazil

Marano,

Pereira,

Amaral

et al. 2024

Revista Brasileira De Ginecologia E Obstetrícia

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Objective: To assess the association between sociodemographic and perinatal factors and hospital practices to encourage exclusive breastfeeding in near miss neonates in maternity hospitals.Methods: This is a prospective cohort of live births from the survey "To be born in Brazil" conducted between 2011 and 2012. The weighted number of newborns who met the neonatal near miss criteria was 832. Exclusive breastfeeding at hospital discharge and 45 days after delivery were dependent variables of the study. The sociodemographic and perinatal factors of the puerperal women and hospital practices to encourage breastfeeding were independent variables. The data were analyzed with Poisson regression and set with p value<0.05. Is exclusive breastfeeding in neonatal near misses associated with factors related to sociodemographic conditions, maternal characteristics and the organization of health services?Results: Data from 498 women and their children were analyzed. Mothers with incomplete primary education were more likely (36%) to have exclusive breastfeeding (RR: 1.36; 95% CI: 1.06-1.74) at discharge. Women who did not offer the breast to the newborn in the joint accommodation (65%) were less likely to be breastfeeding exclusively (RR: 0.65; 95% CI: 0.56-0.75) at discharge. Variables that increased the probability of exclusive breastfeeding after 45 days of delivery were primiparity (RR: 1.36; 95% CI: 1.08-1.69) and having the newborn in the delivery room (RR: 1.90; 95% CI: 1.12-3.24). Conclusion:Exclusive breastfeeding in neonatal near misses was associated with maternal characteristics and important hospital practices, such as being breastfed in the joint accommodation and the newborn being in the mother's lap in the delivery room.

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Aleitamento materno em recém-nascidos prematuros tardios e a termo: estudo de coorte

Cited by 3 publications

References 0 publications

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Breastfeeding performance of late preterm newborns with hyperbilirubinemia undergoing phototherapy: Controlled Cross-Sectional Study

Factors associated with exclusive breastfeeding in “Near Miss” neonates in Brazil

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