Conhecimentos sobre benefícios do aleitamento materno e desvantagens da chupeta relacionados à prática das mães ao lidar com recém-nascidos pré-termo / Knowledge about the benefits of breastfeeding and disadvantages of the pacifier related to the mother's practice with preterm infants
Rev. paul. pediatr
; 35(4): 399-406, out.-dez. 2017. tab
Article
in Pt
| LILACS
| ID: biblio-902879
Responsible library:
BR1.1
RESUMO
RESUMO Objetivo:
Avaliar conhecimentos e expectativas de mães de recém-nascidos pré-termo (RNPT) internados em unidade de terapia intensiva neonatal (UTIN) sobre aleitamento materno (AM) e uso de chupeta; e analisar sua vivência ao lidar com a necessidade de sucção nos primeiros meses.Métodos:
As mães foram entrevistadas durante a internação dos recém-nascidos (RN) na UTIN e quando eles completaram seis meses de idade. Foram incluídas todas as mães com disponibilidade para participar do estudo. Os critérios de exclusão englobaram RNs com síndromes ou distúrbios neurológicos e mães com comprometimento cognitivo, depressão e usuárias de drogas. Os dados tabulados no programa Statistical Package for the Social Sciences (SPSS) foram analisados por estatística descritiva e teste qui-quadrado.Resultados:
Foram entrevistadas 62 mães inicialmente e 52 no follow-up de seis meses. As expectativas das participantes quanto à amamentação foram positivas, visto que elas relataram benefícios para mãe (90,3%) e bebê (100%), mas tiveram dificuldades para manter o aleitamento exclusivo, intr oduzindo a mamadeira (75,0%), já adquirida pela maioria (69,4%) antes do nascimento. O fato de haver chupeta no enxoval do RN (43,6%) não influenciou seu uso (p=0,820), tendo ocorrido também quando as mães não iriam ofertá-la devido às desvantagens para mãe (80,7%) e bebê (96,8%). A expectativa prévia de que a chupeta pudesse trazer benefícios para mãe e bebê não influenciou seu uso (p=0,375 e p=0,158).Conclusões:
As mães demonstraram conhecimentos prévios sobre benefícios do aleitamento materno e desvantagens da chupeta; entretanto, elas modificaram sua concepção ao lidar com o bebê, recorrendo à introdução de mamadeira e chupeta.ABSTRACT
ABSTRACT Objective:
To evaluate the knowledge and expectations of mothers of preterm newborn infants admitted in a neonatal intensive care unit about breastfeeding and pacifier use, and to analyze their experience in dealing with the sucking urge in the first months of life.Methods:
Mothers were interviewed during hospitalization of the newborn in the neonatal intensive care unit and when the infant was six months old. All mothers with availability to participate in the study were included. Exclusion criteria comprised infants with syndromes and neurological disorders and mothers with cognitive impairment, depression, and drug users. Data were analyzed with the SPSS software, with descriptive statistics and chi-square test.Results:
Sixty-two mothers were interviewed in the beginning and 52 at a six-month follow-up. Mothers' expectations concerning breastfeeding were positive when they listed the benefits to the mother (90.3%) and infant (100%). However, they had difficulties maintaining exclusive breastfeeding and used the baby bottle (75.0%), which most mothers (69.4%) had already acquired before the infant was born. The fact of having a pacifier in the infant's layette (43.6%) did not influence its use (p=0.820). This also occurred among mothers who said they would not offer the pacifier due to disadvantages to the mother (80.7%) and infant (96.8%). The previous expectation that the pacifier could bring benefits for mother and infant did not affect its use (p=0.375 and p=0.158).Conclusions:
Mothers demonstrated prior knowledge about breastfeeding benefits and disadvantages of the pacifiers. However, they changed their view when dealing with the infant and introduced bottles and pacifiers.Key words
Full text:
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Index:
LILACS
Main subject:
Breast Feeding
/
Health Knowledge, Attitudes, Practice
/
Pacifiers
/
Maternal Behavior
Type of study:
Observational_studies
/
Qualitative_research
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Newborn
Language:
Pt
Journal:
Rev. paul. pediatr
Journal subject:
PEDIATRIA
Year:
2017
Type:
Article