Duração do aleitamento materno em prematuros acompanhados em serviço de referência secundário

Freitas, Brunnella Alcântara Chagas de; Lima, Luciana Moreira; Carlos, Carla Fernanda Lisboa Valente; Priore, Sílvia Eloíza; Franceschini, Sylvia do Carmo Castro

doi:10.1016/j.rpped.2015.10.005

Cited by 28 publications

(26 citation statements)

References 24 publications

(17 reference statements)

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“…Probably, because of this approach, our study evidenced a high proportion of breastfeeding in the first month of adjusted age, even if not exclusive. Freitas et al (2016) reported the duration of breastfeeding in preterm infants followed during the first year of life, dividing them into two groups: lower and greater than 32 weeks gestation 15 , and later analyzing the duration of breastfeeding between the children who were in exclusive breastfeeding at the first appointment or not. They found a median of breastfeeding in the total population (lower and greater than 32 weeks) of 5 months, but in the group of lower gestation age the median was 4.2 months when in exclusive breastfeeding at the first appointment, and of 1.2 months when breastfeeding was complemented with formula at the first appointment.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this knowledge, breastfeeding rates among preterm newborn are still low 11 . Few studies report the duration of breastfeeding after hospital discharge, throughout the first year of life, among newborn below 33 weeks of gestation [12][13][14][15] . This knowledge is important for the promotion of breastfeeding maintenance strategies in this group of infants.…”

Section: Introductionmentioning

confidence: 99%

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Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Méio

Villela

Júnior

et al. 2018

Ciênc. saúde coletiva

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breastfeeding, anthropometric measurements, social and family information. The proportion of breastfeeding during follow-up was calculated. Survival analysis was conducted to estimate breastfeeding duration. In total, 242 of the 258 infants (93.7%) returned to follow-up; 170 (69.9%) at 6 months and 139 (57.2%) at 12 months (adjusted age). A history of miscarriages (27.5%), stillbirths (11.7%), neonatal deaths (9.5%) and preterm births (21.1%) was noted in 65.5% of women. At hospital discharge: 5.5% received exclusive breastfeeding, 65.8% breastfeeding and formula, 28.6% formula. At month 1, 81.3% received breastfeeding, decreasing to 68.5% at month 2, 62.4% at month 3, 48.1% at month 4 and 22.4% at month 6 (adjusted age). The median of breastfeeding duration was 4 months. Breastfeeding occurred up to four months adjusted age in almost half of the population. Despite the need to improve these rates, the results could reflect the profile of the Child-Friendly Hospital Initiative Unit. Maintaining breastfeeding amongst preterm infants following hospital discharge is still a challenge, for both mothers and health professionals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Méio

Villela

Júnior

et al. 2018

Ciênc. saúde coletiva

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“…However, these PN present late onset and shorter duration of breastfeeding (BF) when compared to full-term babies (4)(5) . Although researches have showed improve in BF among premature babies, EBF rates in this group are lower than those recommended by the WHO, which considers a "good" or "very good" situation when 50 to 89% and 90% to 100%, respectively, of children under six months of age are in EBF, regardless of gestational age (6) .…”

Section: Introductionmentioning

confidence: 99%

Aleitamento materno exclusivo de prematuros e motivos para sua interrupção no primeiro mês pós-alta hospitalar

Lima

Castral

Leal

et al. 2019

Rev. Gaúcha Enferm.

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Resumo Objetivo: Estimar a prevalência de aleitamento materno exclusivo de prematuros na alta hospitalar, aos 15 e 30 dias pós-alta, e identificar as alegações maternas para sua interrupção. Métodos: Estudo transversal com 108 prematuros nascidos em dois Hospitais Amigos da Criança, entre abril-julho de 2014. Realizou-se pesquisa em prontuário e entrevistas por telefone. Usaram-se análise descritiva, qui-quadrado de Pearson e teste exato de Fisher, com intervalo de confiança de 95%. Resultados: A prevalência do aleitamento materno exclusivo na alta foi de 85,2%, de 75% aos 15 dias e 46,3% aos 30 dias. A principal alegação para introdução de outros alimentos e/ou líquidos foi o leite insuficiente. Conclusões: Houve redução significativa nas taxas de aleitamento materno exclusivo após a alta, apontando a importância do acompanhamento pós-alta para reduzir o desmame precoce, sobretudo com ações educativas que previnam as insuficiências reais e percebidas na oferta de leite.

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“…Breastfeeding has benefits for mother and infant, and is recommended exclusively and freely during the first six months of life (Victora et al., ). However, when the neonate requires hospitalization in a neonatal intensive care unit (NICU), the establishment of breastfeeding can be a challenge for the mother–infant dyad (Freitas, Lima, Carlos, Priore, & Franceschini, ; Parker, Sullivan, Krueger, & Mueller, ).…”

Section: Introductionmentioning

confidence: 99%

Validation of Nursing Outcomes Related to Breastfeeding Establishment

Emídio¹,

Moorhead

Oliveira

et al. 2019

Int J of Nursing Knowl

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PURPOSE To clinically validate indicators of the nursing outcomes “Breastfeeding establishment: Infant (1000)” and “Breastfeeding establishment: maternal (1001)”, and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. METHOD This study utilized several methods in a stepwise approach including an integrative review of the literature, content validation, and clinical validation. The content validity index was performed by eight experts, who evaluated revised content of the studied nursing outcomes. In the clinical validation, 61 mother–infant dyads were evaluated by two pairs of nurses: one pair used an instrument with developed definitions, whereas the other used an instrument without definitions. The evaluations were compared using Fleiss’ kappa and weighted kappa. RESULTS The agreement between all evaluators was considered excellent for almost all nursing outcome indicators related to the mothers. The pair of evaluators using the definitions had an agreement greater than 0.80 for most indicators. For the pair that did not use the definitions, agreement was poor. CONCLUSION There was an increase in uniformity and accuracy between the assessments when using the conceptual and operational definitions for the nursing outcome indicators related to Breastfeeding establishment. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of terms within the Nursing Outcomes Classification, and enriched the body of nursing knowledge.

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Duração do aleitamento materno em prematuros acompanhados em serviço de referência secundário

Cited by 28 publications

References 24 publications

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida

Aleitamento materno exclusivo de prematuros e motivos para sua interrupção no primeiro mês pós-alta hospitalar

Validation of Nursing Outcomes Related to Breastfeeding Establishment

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