PROTOCOLO DE AMAMENTAÇÃO NA PRIMEIRA HORA DE VIDA

• Autor(a) principal: Rodrigues, Cristina de Freitas
• Data de Publicação: 2019
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional Universidade Franciscana
• Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/841
• topic: Amamentação; Contato pele a pele; Enfermagem obstétrica; Breastfeeding, Skin-to-skin contact, Obstetric Nursing.; Saúde Materno Infantil

Over the last two decades, fostering and incentive to breastfeeding have been objects of study and widely publicized by the national and international scientific community. Skin-to-skin contact after childbirth and encouragement to breastfeeding in the labor environment have demonstrated to be favorable practices for keeping breastfeeding up to the age six months, in addition to offer essential nutritional elements to the child health. Therefore, breastfeeding is considered to be a political, economic and social practice. General Objective: Creating a protocol for breastfeeding during the first hour of life for a low-risk pregnancy. Specific objectives: Knowing scientific evidence on exclusive breastfeeding during the first hour of life; Knowing the social-demographic of professionals that assist a low-risk pregnancy, investigating current breastfeeding practices in the first hour of life for a low-risk pregnancy. Method: In order to achieve the first objective, an integrative review of the literature was carried out by searching national and international databases, which included fourteen articles overall. In order to achieve the second and the third objectives, a descriptive quantitative research was performed. A multi-professional team working on a low-risk pregnancy answered a questionnaire, which allowed us to identify a demographic profile that included occupation, years of career, positions occupied in the career and at institutions and, moreover, the following three dimensions: social-demographic profile, maternal dimension and professional dimension. Those dimensions covered the knowledge of the employees on the topic and their professional practices. Results: From the results of the literature integrative review, the topics that appeared on the articles studied focused on the incentive to skin-to-skin contact in the nursery room; breastfeeding as a benefit to the bond between mother and baby; consideration of opinions from puerperal women regarding breastfeeding and premature skin-to-skin contact. The results highlight the necessity of training of teams that work at the obstetric area towards promoting breastfeeding during the first hour of life, as well as the importance of public authorities support on the theme. Regarding the questionnaire application, it was divided into three dimensions and Dimension I referred to the social-demographic profile. Thirty-five professionals that work at the obstetric service have been interviewed. As Dimensions I and II were analyzed to achieve the third objective, it has been noticed that professional guidance regarding skin-to-skin contact and breastfeeding right after labor are 97% positive. Conclusion: In order to carry out this research, scientific evidence on the topic have been collected, as a questionnaire was applied to professionals working in low-risk pregnancies. Their answers were studied and then used as the base to create a protocol. Data analysis provided by the questionnaire allowed us to identify the social-demographic profile of professionals and their practices towards breastfeeding during the first hour of life. Thus, the protocol was based on their profile and practices developed in such context and supported by solid scientific evidence. Product and applicability Through this study, a Breastfeeding During The First Hour Protocol has been produced, which is a health care technology that enhances mother and baby quality assistance and can be applied in every health care setting. We reinforce that its applicability will be extremely important in low-risk pregnancy context, considering how necessary in the obstetric area it is.