Breastfeeding practices after Kangaroo Mother Method in Rio de Janeiro: the necessity for he alth education and nursing intervention at homea

Abstract

ResumenLa "enseñanza-aprendizaje" integra el Método Mamá Canguro brasileño para promover las habilidades maternas en la acción de amamantar a bebés prematuros o con bajo peso. Por desconocer si lo que fue enseñado integró al círculo interno de la familia, nuestro objetivo fue el de analizar como ese conocimiento sobre lactancia exclusiva fue incorporado en el contexto de los domicilios. La investigación sucidió en el domicilio de 11 grupos de madres, familiares y vecinos. El saber local de los vecinos y familiares substituyó el conocimiento enseñado a la madre en el Método y cambió la alimentación de esos bebés. La educación en salud debe extenderse más allá del hospital e incluir a los familiares y personas significativas.

Breastfeeding Preterm Infants at Home

“…Therefore, in this study, as well as in others, [11][12][15][16] formula was a solution for the infants' nourishment at home, and knowing how to offer it is one of the mothers' needs. 11 We emphasize that the perception of the formula as a solution for preterm infant nutrition is a result of the women/mothers' position concerning the benefits of BF and what they learned at the NICU and at home in relation to the PTNs' nourishment.…”

“…11 In this sense, information offered by workers of the NICU, the length of hospital stay 12 and the professional care received by the mother encourage the acquisition of knowledge regarding the procedures, strategies and techniques for BF. As the mothers learn more about strategies, techniques and procedures related to BF, they become more confident and empowered to adopt it as the only nutrition resource for their infants.…”

“…As the mothers learn more about strategies, techniques and procedures related to BF, they become more confident and empowered to adopt it as the only nutrition resource for their infants. [5][6][11][12] However, when mothers do not receive information about milking and how to maintain HM production, they feel a lack of support for BF. 11 It is noteworthy that the women in this study did not have the opportunity to explore the information they received, with results on the maintenance of BF at home.…”

“…Entering the social, psychological universe and the reality of each woman must be part of the promotion, protection and support for BF. 13 Moreover, the collaboration between workers and mothers is more noticeable in the hospital environment, in comparison to the home environment, 12,14 in a way that women feel helpless when facing problems with handling BF at home. This fact results in the interruption of HM offering and the introduction of the formula, 5,[11][12][15][16] which happened with the women in this research and was intensified by the duality in professional attitudes when handling the infants' nourishment.…”

“…17 The participation of workers in the promotion of BF, beyond educational 12 and encouragement 15 processes, is pressing, with special attention to the congruence between discourse and practice. They influence BF and its maintenance at home 12,15 and can support the mothers of preterm infants, especially in overcoming their fears and insecurities. 14 Still, they are part of the social interactions that result in the concept of preterm infant frailty 11,15 and, as a consequence, promote super-protective actions toward PTNs, 15 which, when at home, cause insecurities in handling BF and doubts about it.…”