Fatores associados ao trauma mamilar no primeiro mês pós-parto
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UEFS |
Texto Completo: | http://localhost:8080/tede/handle/tede/463 |
Resumo: | This study aimed to assess factors associated with nipple trauma in women who breastfeed, resulting in two articles. The first entitled "Factors associated with nipple trauma in lactation period: a systematic review" was based on the search of publications indexed in the databases Medical Literature Analysis and Retrieval System Online/Pubmed, Latin American and Caribbean Health Sciences, and ScienceDirect, with no restriction on language or publication period. As risk factors for nipple trauma were identified: mother with white or yellow race/color, primiparity, cracked nipples in previous pregnancies, mother who does not live with a partner, use of anesthesia in parturition, gestational age of the newborn between 37 to 40 weeks, presence of breastfeeding in the first hour of life, semi protrude and/or malformed nipples, malposition between mother and child, incorrect lacth of the infant in mother's breast, presence of breast engorgement, nipple pain, use of nursing bottle, use of pacifier and lactational mastitis. On the other hand, the guidance received about how to lacth and positioning the infant in the maternal breast during prenatal was considered as a protective factor against the nipple trauma. The second article entitled "Nipple fissure: study of latent variables in the first month postpartum" consisted of a cross-sectional analysis of a birth cohort, an observational and prospective character, who studied the mother-child dyad. The prevalence of cracked nipples observed in mothers who breastfeed in the first month postpartum was 35.9%. It was found among the latent variables that the unfavorable maternal emotional state (OR= 1.65; 95% CI= 1.26-2.16) and lower availability for breastfeeding (OR= 1.80; 95% CI= 1.25-2.59) were associated with cracked nipples, as well as the covariates parturition in unit that is not recognized as a Baby Friendly Hospital (OR= 1.48; 95% CI= 1.07-2.03), cesarean section (OR= 1.72; 95% CI= 1.33-2.24) inadequate positioning of the newborn during breastfeeding (OR= 3.91; 95% CI= 1.02-14.99), incorrect lacth of the infant the in the maternal breast (OR= 14.36; 95% CI= 7.80-26.46) and the presence of breast engorgement (OR= 2.74; 95% CI= 2.10-3.58). Preventive measures against the risk factors of nipple trauma are necessary to prevent this important cause of pain during breastfeeding and premature weaning. |
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Vieira, Graciete Oliveira1309281254979952771568http://lattes.cnpq.br/6191458244297367Dias, Janaína Silva2017-03-16T22:28:22Z2015-05-07DIAS, Janaína Silva. Fatores associados ao trauma mamilar no primeiro mês pós-parto. 2015. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2015.http://localhost:8080/tede/handle/tede/463This study aimed to assess factors associated with nipple trauma in women who breastfeed, resulting in two articles. The first entitled "Factors associated with nipple trauma in lactation period: a systematic review" was based on the search of publications indexed in the databases Medical Literature Analysis and Retrieval System Online/Pubmed, Latin American and Caribbean Health Sciences, and ScienceDirect, with no restriction on language or publication period. As risk factors for nipple trauma were identified: mother with white or yellow race/color, primiparity, cracked nipples in previous pregnancies, mother who does not live with a partner, use of anesthesia in parturition, gestational age of the newborn between 37 to 40 weeks, presence of breastfeeding in the first hour of life, semi protrude and/or malformed nipples, malposition between mother and child, incorrect lacth of the infant in mother's breast, presence of breast engorgement, nipple pain, use of nursing bottle, use of pacifier and lactational mastitis. On the other hand, the guidance received about how to lacth and positioning the infant in the maternal breast during prenatal was considered as a protective factor against the nipple trauma. The second article entitled "Nipple fissure: study of latent variables in the first month postpartum" consisted of a cross-sectional analysis of a birth cohort, an observational and prospective character, who studied the mother-child dyad. The prevalence of cracked nipples observed in mothers who breastfeed in the first month postpartum was 35.9%. It was found among the latent variables that the unfavorable maternal emotional state (OR= 1.65; 95% CI= 1.26-2.16) and lower availability for breastfeeding (OR= 1.80; 95% CI= 1.25-2.59) were associated with cracked nipples, as well as the covariates parturition in unit that is not recognized as a Baby Friendly Hospital (OR= 1.48; 95% CI= 1.07-2.03), cesarean section (OR= 1.72; 95% CI= 1.33-2.24) inadequate positioning of the newborn during breastfeeding (OR= 3.91; 95% CI= 1.02-14.99), incorrect lacth of the infant the in the maternal breast (OR= 14.36; 95% CI= 7.80-26.46) and the presence of breast engorgement (OR= 2.74; 95% CI= 2.10-3.58). Preventive measures against the risk factors of nipple trauma are necessary to prevent this important cause of pain during breastfeeding and premature weaning.Este estudo teve como objetivo avaliar os fatores associados ao trauma mamilar em lactantes, tendo como resultado dois artigos. O primeiro intitulado “Fatores associados ao trauma mamilar no período lactacional: uma revisão sistemática” foi fundamentado na busca de publicações indexadas nas bases de dados Medical Literature Analysis and Retrieval System Online/Pubmed, Literatura Latino-Americana e do Caribe em Ciências da Saúde, e ScienceDirect, sem restrição de idioma ou período de publicação. Foram identificados como fatores de risco para o trauma mamilar: mãe de raça/cor branca ou amarela, primiparidade, presença de fissura mamilar em gestações anteriores, mãe não residir com o companheiro, uso de anestesia no parto, idade gestacional do recém-nascido entre 37e 40 semanas, presença de mamada na primeira hora de vida, mamilos semiprotrusos e/ou mal formados, posicionamento inadequado entre mãe e filho, pega incorreta do lactente ao seio materno, presença de ingurgitamento mamário, dor mamilar, uso de mamadeira, uso de chupeta e mastite lactacional. Por outro lado, a orientação recebida sobre pega e posicionamento do lactente ao seio materno durante o pré-natal foi considerada como fator de proteção contra o trauma mamilar. O segundo artigo intitulado “Fissura mamilar: estudo de variáveis latentes no primeiro mês pós-parto” consistiu em uma análise transversal de uma coorte de nascidos vivos, de caráter observacional e prospectiva, que estudou a díade mãe-filho. A prevalência de fissura mamilar observada em lactantes no primeiro mês pós-parto foi de 35.9%. Verificou-se entre as variáveis latentes que o estado emocional materno desfavorável (OR= 1.65; IC 95%= 1.26-2.16) e menor disponibilidade para amamentar (OR= 1.80; IC 95%= 1.25-2.59) associaram-se à fissura mamilar, assim como as covariáveis parto em unidade não credenciada como Hospital Amigo da Criança (OR= 1.48; IC 95%= 1.07-2.03), parto cesáreo (OR= 1.72; IC 95%= 1.33-2.24), posicionamento inadequado do neonato durante a mamada (OR= 3.91; IC 95%= 1.02-14.99), pega incorreta do lactente ao seio materno (OR= 14.36; IC 95%= 7.80-26.46) e presença de ingurgitamento mamário (OR= 2.74; IC 95%= 2.10-3.58). Ações de prevenção contra os fatores de risco do trauma mamilar são necessárias para evitar esta importante causa de dor durante a mamada e de desmame precoce.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2017-03-16T22:28:22Z No. of bitstreams: 1 Dissertação Janaína Versão final_02-06.pdf: 687363 bytes, checksum: d808a60f7664fc60a1270e67fa83601a (MD5)Made available in DSpace on 2017-03-16T22:28:22Z (GMT). No. of bitstreams: 1 Dissertação Janaína Versão final_02-06.pdf: 687363 bytes, checksum: d808a60f7664fc60a1270e67fa83601a (MD5) Previous issue date: 2015-05-07application/pdfporUniversidade Estadual de Feira de SantanaMestrado Acadêmico em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDETraumaLesãoMamiloAleitamento maternoInjuryNippleBreastfeedingCIENCIAS DA SAUDE::SAUDE COLETIVAFatores associados ao trauma mamilar no primeiro mês pós-partoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-21222253766072083266006006001006395569471477890-6173167103754495199info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALDissertação Janaína Versão final_02-06.pdfDissertação Janaína Versão final_02-06.pdfapplication/pdf687363http://tede2.uefs.br:8080/bitstream/tede/463/2/Disserta%C3%A7%C3%A3o+Jana%C3%ADna+Vers%C3%A3o+final_02-06.pdfd808a60f7664fc60a1270e67fa83601aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/463/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/4632017-03-16 19:28:22.913oai:tede2.uefs.br:8080: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2017-03-16T22:28:22Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false |
dc.title.por.fl_str_mv |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
title |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
spellingShingle |
Fatores associados ao trauma mamilar no primeiro mês pós-parto Dias, Janaína Silva Trauma Lesão Mamilo Aleitamento materno Injury Nipple Breastfeeding CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
title_full |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
title_fullStr |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
title_full_unstemmed |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
title_sort |
Fatores associados ao trauma mamilar no primeiro mês pós-parto |
author |
Dias, Janaína Silva |
author_facet |
Dias, Janaína Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Vieira, Graciete Oliveira |
dc.contributor.advisor1ID.fl_str_mv |
13092812549 |
dc.contributor.authorID.fl_str_mv |
79952771568 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6191458244297367 |
dc.contributor.author.fl_str_mv |
Dias, Janaína Silva |
contributor_str_mv |
Vieira, Graciete Oliveira |
dc.subject.por.fl_str_mv |
Trauma Lesão Mamilo Aleitamento materno |
topic |
Trauma Lesão Mamilo Aleitamento materno Injury Nipple Breastfeeding CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Injury Nipple Breastfeeding |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
This study aimed to assess factors associated with nipple trauma in women who breastfeed, resulting in two articles. The first entitled "Factors associated with nipple trauma in lactation period: a systematic review" was based on the search of publications indexed in the databases Medical Literature Analysis and Retrieval System Online/Pubmed, Latin American and Caribbean Health Sciences, and ScienceDirect, with no restriction on language or publication period. As risk factors for nipple trauma were identified: mother with white or yellow race/color, primiparity, cracked nipples in previous pregnancies, mother who does not live with a partner, use of anesthesia in parturition, gestational age of the newborn between 37 to 40 weeks, presence of breastfeeding in the first hour of life, semi protrude and/or malformed nipples, malposition between mother and child, incorrect lacth of the infant in mother's breast, presence of breast engorgement, nipple pain, use of nursing bottle, use of pacifier and lactational mastitis. On the other hand, the guidance received about how to lacth and positioning the infant in the maternal breast during prenatal was considered as a protective factor against the nipple trauma. The second article entitled "Nipple fissure: study of latent variables in the first month postpartum" consisted of a cross-sectional analysis of a birth cohort, an observational and prospective character, who studied the mother-child dyad. The prevalence of cracked nipples observed in mothers who breastfeed in the first month postpartum was 35.9%. It was found among the latent variables that the unfavorable maternal emotional state (OR= 1.65; 95% CI= 1.26-2.16) and lower availability for breastfeeding (OR= 1.80; 95% CI= 1.25-2.59) were associated with cracked nipples, as well as the covariates parturition in unit that is not recognized as a Baby Friendly Hospital (OR= 1.48; 95% CI= 1.07-2.03), cesarean section (OR= 1.72; 95% CI= 1.33-2.24) inadequate positioning of the newborn during breastfeeding (OR= 3.91; 95% CI= 1.02-14.99), incorrect lacth of the infant the in the maternal breast (OR= 14.36; 95% CI= 7.80-26.46) and the presence of breast engorgement (OR= 2.74; 95% CI= 2.10-3.58). Preventive measures against the risk factors of nipple trauma are necessary to prevent this important cause of pain during breastfeeding and premature weaning. |
publishDate |
2015 |
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2015-05-07 |
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2017-03-16T22:28:22Z |
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DIAS, Janaína Silva. Fatores associados ao trauma mamilar no primeiro mês pós-parto. 2015. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2015. |
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DIAS, Janaína Silva. Fatores associados ao trauma mamilar no primeiro mês pós-parto. 2015. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2015. |
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