Identification of difficulties at the beginning of breastfeeding by means of protocol application

dc.contributor.authorDe Barros Leite Carvalhaes, Maria Antonieta [UNESP]
dc.contributor.authorHostin Corrêa, Cláudia Regina [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-28T19:56:39Z
dc.date.available2022-04-28T19:56:39Z
dc.date.issued2003-01-01
dc.description.abstractObjective: to assess a group of mothers/newborns with the necessity of special support at the beginning of breastfeeding by means of protocol application recommended by UNICEF and to verify assisting practices associated with difficulties of breastfeeding. Methods: in this descriptive study, the sample comprised 50 mother/newborn pairs randomly selected in a maternity where low risk deliveries are care by SUS (Brazilian Unified Health System). The breastfeeding observation protocol was used to record the behavior of each pair, including the frequency of negative behavior regarding breastfeeding. Next, each aspect was scored as good, regular or poor. The association between negative scores and particular assisting practices was also investigated. A critical level of p < 0.05 was used. Results: the frequency of pairs presenting evidence of severe problems (poor score) at the beginning of breastfeeding ranged from 2% to 22% according to the aspects assessed. The most frequently observed difficulties were mother and infant's bad positioning during breastfeeding and inappropriate mother/newborn interaction. These problems were significantly more frequent after surgical deliveries (p < 0.05). Milk formula and/or glucose solution was also associated with the worst scores in some breastfeeding aspects. Conclusion: the protocol application to observe and evaluate breastfeeding identified a high prevalence of mothers/newborn pairs with difficulties to begin breastfeeding, especially when the delivery was surgically performed and when the newborn was offered supplementary liquids. Copyright © 2003 by Sociedade Brasileira de Pediatria.en
dc.description.affiliationFaculdade de Medicina de Botucatu UNESP
dc.description.affiliationDepartamento de Enfermagem Faculdade de Medicina de Botucatu Universidade Estadual Paulista
dc.description.affiliationUnespFaculdade de Medicina de Botucatu UNESP
dc.description.affiliationUnespDepartamento de Enfermagem Faculdade de Medicina de Botucatu Universidade Estadual Paulista
dc.format.extent13-20
dc.identifierhttp://dx.doi.org/10.2223/jped.932
dc.identifier.citationJornal de Pediatria, v. 79, n. 1, p. 13-20, 2003.
dc.identifier.doi10.2223/jped.932
dc.identifier.issn0021-7557
dc.identifier.scopus2-s2.0-0642374420
dc.identifier.urihttp://hdl.handle.net/11449/224470
dc.language.isopor
dc.relation.ispartofJornal de Pediatria
dc.sourceScopus
dc.titleIdentification of difficulties at the beginning of breastfeeding by means of protocol applicationen
dc.titleIdentificação de dificuldades no início do aleitamento materno mediante aplicação de protocolopt
dc.typeArtigo

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