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Human Milk Banks have the purpose to foster and support breastfeeding in hospitals, especially for newborns who , for several reasons, need attention and specialized care. The aim of this study was to determine the profile of women who donated human milk from a milk bank in southern Brazil and to identify the motivation, contributing and limiting factors to the donation. It was a Cross-sectional study carried out with donors registered at a milk bank in 2017. The study was conducted in two stages, the first one being the sociodemographic and gestational data collection, and the second, telephone contact for the donation process details. The results show that the intention to help was the main reason for the donation (48.3%). The main contributing factor was the collection at the donor’s home (42.2%), while lack of it (29.3%) was the most cited limiting factor. Information on breastfeeding (31.9%) and milk donation (62.1%) was obtained during admission to the labor . The median donation time was four weeks (1-28). Receiving information on breastfeeding and milk donation during antenatal classes were factors associated with longer donation time (p <0.02). It is concluded that the collection at the donor’s home was an important factor in the milk donation process, as well as the orientation received during the antenatal classes, a moment in which the woman is very receptive to new information. Keywords: Breast Feeding. Milk Banks. Postpartum Period. Human Milk. Resumo Os Bancos de Leite Humano têm como objetivo promover e apoiar a amamentação em hospitais, especialmente para recém-nascidos que, por várias razões, necessitam de atenção e cuidados especializados. O objetivo deste estudo foi determinar o perfil das mulheres doadoras de leite humano de um Banco de Leite do sul do Brasil e identificar a motivação, os fatores contribuintes e limitantes à doação. Foi realizado estudo transversal, com doadoras de leite cadastradas em um banco de leite do Sul do Brasil, em 2017. O estudo foi realizado em dois momentos, sendo o primeiro com dados sociodemográficos e gestacionais da ficha de cadastro, e o segundo por contato telefônico para detalhamento do processo de doação. Os resultados mostram que a intenção de ajudar foi o principal motivo para a doação (48,3%). O principal fator contribuinte foi a coleta domiciliar (42,2%), ao mesmo tempo que a falta dela (29,3%) foi o fator limitante mais citado. Informação sobre o aleitamento materno (31,9%) e a doação de leite (62,1%) foi recebida durante a internação para o parto. A mediana de tempo de doação foi de quatro semanas (1-28). Receber informação sobre aleitamento materno e doação de leite no curso de gestante foram fatores associados ao maior tempo de doação (p<0,02). Conclui-se quea coleta domiciliar é um fator importante no processo de doação de leite, bem como as orientações recebidas em cursos de gestantes, momento em que a mulher está bastante receptiva a novas informações. Palavras-chave: Aleitamento Materno. Bancos de Leite. Período Pós-Parto. Leite Humano
Human Milk Banks have the purpose to foster and support breastfeeding in hospitals, especially for newborns who , for several reasons, need attention and specialized care. The aim of this study was to determine the profile of women who donated human milk from a milk bank in southern Brazil and to identify the motivation, contributing and limiting factors to the donation. It was a Cross-sectional study carried out with donors registered at a milk bank in 2017. The study was conducted in two stages, the first one being the sociodemographic and gestational data collection, and the second, telephone contact for the donation process details. The results show that the intention to help was the main reason for the donation (48.3%). The main contributing factor was the collection at the donor’s home (42.2%), while lack of it (29.3%) was the most cited limiting factor. Information on breastfeeding (31.9%) and milk donation (62.1%) was obtained during admission to the labor . The median donation time was four weeks (1-28). Receiving information on breastfeeding and milk donation during antenatal classes were factors associated with longer donation time (p <0.02). It is concluded that the collection at the donor’s home was an important factor in the milk donation process, as well as the orientation received during the antenatal classes, a moment in which the woman is very receptive to new information. Keywords: Breast Feeding. Milk Banks. Postpartum Period. Human Milk. Resumo Os Bancos de Leite Humano têm como objetivo promover e apoiar a amamentação em hospitais, especialmente para recém-nascidos que, por várias razões, necessitam de atenção e cuidados especializados. O objetivo deste estudo foi determinar o perfil das mulheres doadoras de leite humano de um Banco de Leite do sul do Brasil e identificar a motivação, os fatores contribuintes e limitantes à doação. Foi realizado estudo transversal, com doadoras de leite cadastradas em um banco de leite do Sul do Brasil, em 2017. O estudo foi realizado em dois momentos, sendo o primeiro com dados sociodemográficos e gestacionais da ficha de cadastro, e o segundo por contato telefônico para detalhamento do processo de doação. Os resultados mostram que a intenção de ajudar foi o principal motivo para a doação (48,3%). O principal fator contribuinte foi a coleta domiciliar (42,2%), ao mesmo tempo que a falta dela (29,3%) foi o fator limitante mais citado. Informação sobre o aleitamento materno (31,9%) e a doação de leite (62,1%) foi recebida durante a internação para o parto. A mediana de tempo de doação foi de quatro semanas (1-28). Receber informação sobre aleitamento materno e doação de leite no curso de gestante foram fatores associados ao maior tempo de doação (p<0,02). Conclui-se quea coleta domiciliar é um fator importante no processo de doação de leite, bem como as orientações recebidas em cursos de gestantes, momento em que a mulher está bastante receptiva a novas informações. Palavras-chave: Aleitamento Materno. Bancos de Leite. Período Pós-Parto. Leite Humano
Objectives: to verify the prevalence and factors associated with maternal insecurity in breastfeeding with lactating women treated at a milk bank. Methods: cross-sectional study with secondary record data from January 2017 to December 2018 at the Human Milk Bank of the University Hospital of the Federal University of Maranhão. Results: a total of 891 lactating women were analyzed, of which 23.4% had maternal insecurity, being the second most prevalent complication. Most were young adults, married (68%), with complete higher education (64.9%) and family income above five minimum wages (32.5%). Regarding the obstetric history, the highest frequency was ofprimigravida (63.7%o), primiparous (70%), who had had seven or more prenatal appointments (91 %) in private health services (76.5%) where most births also occurred (78.6%), with cesarean section being the most prevalent mode of delivery (86.5%), 47.2% reported never having received guidance on breastfeeding and 80.7% were breastfeeding for the first time. There was a statistically significant relationship (p-value < 0.05) of maternal insecurity with the place where the prenatal care was performed and the place and mode of delivery. Conclusion: maternal insecurity was the second most prevalent breast complication among lactating women in the service. It stands out the need for adequate guidance and counseling on the subject, especially during prenatal care, contributing to avoid early weaning
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