Breastfeeding booklet in prison institutions: initiative for promotion, protection and support

Abstract

Objectives: to understand the use of the booklet on breastfeeding in prison in times of COVID 19 by managers and health professionals who work with pregnant and breastfeeding women deprived of their liberty. Methods: this is a descriptive, exploratory research with a qualitative approach, carried out from March to December 2020. Thirteen professionals who work in Brazilian prison institutions participated in the study and answered a semi-structured interview. The data obtained were submitted to content analysis. Results: the use of the booklet proved to be strategic in facing the barriers resulting from the pandemic and offered updated information and guidelines that are indispensable for the continuity of breastfeeding within the Brazilian prison system. Final Considerations: nursing participated in the organization of educational material as a tool for the promotion, protection and support of safe breastfeeding within the institutions of the prison system that serve pregnant and lactating women deprived of liberty.

Exclusive breastfeeding among people in prison: an intersectional and abolitionist approach to analyzing scientific production in Brazil from 2000 to 2022

“…Despite findings on the high participation of imprisoned mothers in educational activities developed by nurses on breastfeeding (90%) (Cavalcanti et al, 2018), Guimarães et al (2018) highlighted the stressful effects of authoritarian rules imposed by the prison system that reduce the decision-making power of breastfeeding women and increase their resistance to implementing strategies. Still, the exploratory research by Santos et al (2022c) concluded that, for managers and health professionals from several Brazilian states, a booklet on breastfeeding in prison proved to be a tool that strengthens the practice, guaranteeing rights, alleviating anxieties, and valuing breastfeeding women, in addition to reaching family members with relevant information.…”

Impact of covid-19 pandemic on pregnant women and nursing mothers: integrative review

“…47 Studies continue to advance in the area of COVID-19 immunization for pregnant women, although many have chosen not to be vaccinated, even so, there has been a reduction in mortality from COVID-19 infection in this group. [47][48][49][50]…”

“…22,49 A national study carried out by the neonatology team created and validated a booklet for pregnant women with the main information on breastfeeding in times of COVID-19. 31,38,50 The booklet is a strategy that can be useful in health education, but we must pay attention to those women who are illiterate or functionally illiterate, and those who have a disability or visual limitation.…”

“…31,38 The booklets were a tool for coping with the pandemic period and this strategy provides up-to-date and indispensable guidance for continuing breastfeeding. Only one study looks at this strategy for women in the prison system 38,50 and in general this public is still excluded. Another way to mitigate this impact found in the studies was to build protocols to guide the flow of care provided by health professionals; one of them concerns the measures that should be followed during care when: (1) Asymptomatic pregnant women or those without household contact with people with flu-like illness or respiratory infection proven to be caused by SARS-CoV-2; (2) Symptomatic pregnant women or those with household contact with people with flu-like illness or respiratory infection proven to be caused by SARS-CoV-2; (3) Pregnant, parturient and puerperal women diagnosed with infection by the new coronavirus or undergoing diagnostic clarification; (4) Conduct for the donation of breast milk to human milk banks and human milk collection points in the context of Covid-19 infection.…”