IDENTIFICATION OF FACTORS THAT LEAD TO EARLY WEANING AND NURSING GUIDELINES
Palabras clave:
Early weaning, Exclusive breastfeeding, Nursing care.Resumen
Objective: The objective was to identify the factors that lead to early weaning. Methods: from a research with a quantitative and qualitative approach, of a descriptive and exploratory character, in the Family Health Strategy - ESF of the municipality of Orós – Ceará. The collection started in May 2019 by applying a semi-structured questionnaire composed of objective questions. Thirteen women nursing mothers aged 16 to 35 years participated in the research, all of whom were registered with the FHS and lived in the unit's micro areas. Results: According to the data collected, the association obtained between the number of women according to marital status and the child's age group identified a prevalence of 84.62% women with children from 1 to 6 months of age, 6 being single, 3 married and 2 divorced. Through the problems determined in this study, it was found that the main determinants of early weaning are: 5 (38.45%) little milk production, 3 (23.07%) weak milk , 2 (15.38%) nipple flat or inverted , 1 (7.7%) pain, 1 (7.7%) absence of milk production, 1 (7.7%) returns to labor activities. Thus, the difficulties mentioned there was a higher prevalence in the "low milk production," because in this case it is necessary for lactating women to acquire knowledge about the management of a successful breastfeeding. Conclusion: Thus, in the current scenario of difficulties in breastfeeding observed in the research, the advice of the multidisciplinary health team, especially in Nursing, is of fundamental importance to help overcome pre-established difficulties.
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Barbosa LN, Santos NC, moraes MAM, Rizzardi SD, Corrêa E C. Prevalence of educational practices about exclusive breastfeeding (EBF) in Cuiabá - MT . Anna Nery School. 2015; 19 (1): 147-153. http://dx.doi.org/10.5935/1414-8145.20150020
Andrade Fialho F, Martins Lopes A, Ãvila Vargas Dias IM, Salvador M. Fatores associados ao desmame precoce do aleitamento materno. Rev Cuid. 2014; 5(1): 670-8. https://doi.org/10.15649/cuidarte.v5i1.105
Brazil. Ministry of Health. Basis for the discussion of the National Policy for the Promotion, Protection and Support of Breastfeeding. Brasilia. 2017a. Link: http://bvsms.saude.gov.br/bvs/publicacoes/bases_discussao_politica_aleecimento_materno.pdf .
Marinho MS, Andrade EM, Abrão ACFV. The role of the nurse in promoting, encouraging and supporting breastfeeding . Contemporary Nursing Magazine, 2016; 4, (2) 189-198. http://dx.doi.org/10.17267/2317-3378rec.v4i2.598
United Nations Organization in Brazil - ONUBR. Breastfeeding in the first years of life would save 820,000 children a year worldwide . January 2018. Link: https://nacoesunidas.org/aleecimento-materno-nos-primeiros-anos-de-vida-salvaria-820-mil-criancas-por-ano-no-mundo/ .
Nascimento SIC, Adami FS,& Fassina P. Estudo de caso: prescrição dietética para paciente com sobrepeso e depressão. Revista Uningá , 2016; 50 (1). http://revista.uninga.br/index.php/uninga/article/view/1315
Diehll A, Tatim D. Research in applied social sciences: methods and techniques. Pearson Prentice Hall (São Paulo), 2004; 10(3), 1982-7849. https://scholarcommons.usf.edu/cgi/viewcontent.cgi?article=1002&context=oa_textbooks#:~:text=The%20scientific%20method%2C%20as%20applied,action%20research%2C%20and%20so%20forth.
Minayo MC Souza. The knowledge challenge: qualitative health research. 14th ed. São Paulo: Hucitec , 2017. https://www.researchgate.net/publication/33022942
Rodrigues DP, Dodou HD, Lago PN, Mesquita NS, Melo LPT, Souza AAS. Care for both mother and child immediately after childbirth: a descriptive study. Online braz j nurs [internet] 2014 Jun [cited month day year]; 13 (2): 227-38. Link: http://www.objnursing.uff.br/index.php/nursing/article/view/4231
Al-Riyami A. Como preparar uma proposta de pesquisa. Oman Med J . 2008; 23 (2): 66-69. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282423/
IBGE - Brazilian Institute of Geography and Statistics. Panorama - City of Orós . 2018. Available at: https://cidades.ibge.gov.br/brasil/ce/oros/panorama .
Bardin L. Content Analysis. São Paulo: Editions 70, 2011.
BRAZIL . Ministry of Health. National Health Council. RESOLUTION No. 466 OF DECEMBER 12, 2012. It deals with research on human beings and updates resolution 196. Published in DOU nº 12, June 13 , 2013b - Section 1 - Page 59. Available at: http://bvsms.saude.gov.br/bvs/saudelegis/ cns / 2013 / res0466_12_12_2012.html. Accessed on: October 20 , 2018.
Andrade HS, Pessoa RA, Donizete LCV. Fatores relacionados ao desmame precoce do aleitamento materno. Revista Brasileira de Medicina de Família e Comunidade, 2018; 13(40), 1-11. http://dx.doi.org/10.5712/rbmfc13(40)1698
Bento IC, Esteves JMD M, França TE. Alimentação saudável e dificuldades para torná-la uma realidade: percepções de pais/responsáveis por pré-escolares de uma creche em Belo Horizonte/MG, Brasil. Ciência & Saúde Coletiva, 2015; 20, 2389-2400. http://dx.doi.org/10.1590/1413-81232015208.16052014
Silva KMDS, Goetz ER, Santos MVJD. Aleitamento materno: conhecimento das gestantes sobre a importância da amamentação na Estratégia de Saúde da Família. Rev. bras. ciênc. saúde, 2017;111-118. http://dx.doi.org/10.4034/RBCS.2017.21.02.02
Brazil. Ministry of Health. Permanent Commission on Health Care Protocols - CPPAS. Attention to women's health in prenatal care, puerperium and newborn care. Brasília: SES-DF, 2017c. Available at: http://www.saude.df.gov.br/wp-conteudo/uploads/2018/04/3-Atencao_a_Saude_da_Mulher_no_Prenatal_Puerperio_e_Cuidados_ao_Recem_nascido.pdf .
Brazil. Ministry of Health. Health Care Secretariat. Department of Strategic Programmatic Actions. Sexual rights, reproductive rights and contraceptive methods / Ministry of Health, Health Care Secretariat, Department of Strategic Programmatic Actions . Brasília: Ministry of Health, 2009.
Taborda JA, Silva FCD, Ulbricht L, Neve EB. Consequences of teenage pregnancy for girls considering the socioeconomic differences between them. Cadernos Saúde Coletiva, 2014; 22(1), 16-24. http://dx.doi.org/10.1590/1414-462X201400010004
Lucas FD. Breastfeeding: Positioning and proper handling of the newborn. Lagoa Santa, Minas Gerais. 2014. Available at: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/aleecimento-materno-posicionamento-pega.pdf .
Silva NMD. Nursing in Assistance to women with breastfeeding difficulties . Confins, Minas Gerais. 2014. Available at: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/4693.pdf .
Pereira CTS. Breastfeeding: Causes and Consequences of Early Weaning. Santa Barbara d'oeste. 2018. Available at: https://repositorio.pgsskroton.com.br/bitstream/123456789/22252/1/CARLA_THAIS_SANGE_PEREIRA_ATIVIDADE%2BDEFESA.pdf . Accessed on: May 22 , 2019.
Brazil. Ministry of Health. National strategy to promote breastfeeding and healthy complementary food in the Unified Health System. Brasilia. 2015a. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/estrategia_nacional_promocao_aleecimento_materno.pdf .
Rocci E, Fernandes RAQ. Dificuldades no aleitamento materno e influência no desmame precoce. Revista Brasileira de Enfermagem, 2014; 67(1), 22-27. http://dx.doi.org/10.5935/0034-7167.20140002
Algarves T R, Sousa Julião AM, Costa HM. Aleitamento materno: influência de mitos e crenças no desmame precoce/breastfeeding: myths and beliefs influence in early weaning. Saúde em Foco, 2015; 2(1), 151-167. http://www4.fsanet.com.br/revista/index.php/saudeemfoco/article/view/912
BRAZIL. Ministry of Health. Health Care Secretariat. Department of Strategic Programmatic Actions. Primer for the breastfeeding working mother / Ministry of Health, Health Care Secretariat, Department of Strategic Programmatic Actions . - Brasília: Ministry of Health, 2010. 23 p.
Urbanetto PDG, Costa AR, Gomes GC, Nobre CMG, Xavier DM, Jung BC. Facilidades e dificuldades encontradas pelas puérperas para amamentar/Facilities and difficulties found by mothers to breastfeed. Revista de Pesquisa: Cuidado é Fundamental Online, 2018; 10(2), 399-405. http://dx.doi.org/10.9789/2175-5361.2018.v10i2.399-405
Sousa E, Reis MCG. O papel do enfermeiro na obesidade infantil. Revista de Enfermagem da FACIPLAC, 2016; 1(1). Available at: http://revista.faciplac.edu.br/index.php/REFACI/article/view/190/77 . Accessed on: September 9 , 2018.