EVALUATION OF THE PERFORMANCE OF NURSING MOTHERS AND NEWBORNS DURING FEEDINGS IN THE NEONATAL PERIOD: A COMPARATIVE STUDY

Oliveira, Raylla Coutinho de; Silva, Mariana Mesquita; Lopes, Brenda de Araújo; Brito, Mychelangela de Assis; Rocha, Ruth Cardoso; Carneiro, Cristianne Teixeira; Bezerra, Maria Augusta Rocha

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ORIGINAL ARTICLE • Cogit. Enferm. 26 • 2021 • https://doi.org/10.5380/ce.v26i0.75517 copy

EVALUATION OF THE PERFORMANCE OF NURSING MOTHERS AND NEWBORNS DURING FEEDINGS IN THE NEONATAL PERIOD: A COMPARATIVE STUDY

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to evaluate the performance of nursing mothers and newborns, during breastfeeding, in the neonatal period and to identify the difficulties for the practice of breastfeeding/breastfeeding.

Method:

longitudinal, comparative study, carried out in a regional hospital, in Piauí, Brazil. Forty-nine nursing mothers participated, approached on the first and 28th day of life of their newborns. The collection took place between September 2018 and February 2019, with a characterization questionnaire and application of the LATCH - Scoring System instrument (Latch, Audible swallowing, Type of nipple, Comfort, Hold). For analysis, descriptive statistics and multiple association tests were used.

Results:

It was found that in the first assessment, 32.7% of the nursing mothers and newborns needed support for adequacy of the breastfeeding process, while in the second, only 2%.

Conclusion:

It was evidenced that early interventions aimed at promoting and maintaining breastfeeding should be implemented by nurses, beginning in the prenatal period and indispensable in the first puerperal week, especially those related to breastfeeding technique.

DESCRIPTORS
Breast Feeding; Infant; Newborn; Nursing Care; Early Weaning; Child Health

Variables	Moments		p-value ¹ 1 McNemar’s test
Variables	1^st Stage n (%)	2^nd Stage n (%)	p-value ¹ 1 McNemar’s test
Need for intervention/support (LATCH score less than or equal to 7)	16 (32,7)	1 (2)	<0,001
Little or no intervention/support (LATCH score 8, 9 or 10)	33 (67,3)	48 (98)

Variable	Moments
Score	1^st Stage			2^nd Stage
Score	0 n (%)	1 n (%)	2 n (%)	0 n (%)	1 n (%)	2 n (%)
Latch (L)	7 (14,3)	13 (26,5)	29 (59,2)	0	1 (2)	48 (98,0)
Audible swallowing (A)	6 (12,2)	17 (34,7)	26 (53,1)	0	1 (2)	48 (98,0)
Type of nipple (T)	1 (2)	15 (30,7)	33 (67,3)	0	1 (2)	48 (98,0)
Comfort (C)	0	5 (10,2)	44 (89,8)	1 (2)	8 (16,4)	40 (81,6)
Hold (H)	2 (4,1)	13 (26,5)	34 (69,4)	0	0	49 (100)

Variable	1^st Stage		2^nd Stage
	n (%)	p-value¹	n (%)	p-value¹
Were there difficulties in breastfeeding during the neonatal period	26 (53,1)	0,612	9 (18,4)	0,001
Delay in the "milk let-down"	14 (28,6)	0,065	1 (2)	0,082
A newborn who does not suck or sucks poorly	13 (26,5)	1	1 (2)	0,082
Flat or inverted nipples	13 (26,5)	0,284	0	-
Nipple pain / bruised nipples	6 (12,2)	1	9 (18,4)	0,001
Not enough milk	6 (12,2)	0,068	1 (2)	0,082
Breast engorgement	1 (2)	1	0	-
Abnormal milk ejection reflex	1 (2)	0,068	0	-

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Oliveira RC de, Silva MM, Lopes B de A; Drafting the work or revising it critically for important intellectual content - Brito M de A, Rocha RC, Carneiro CT; Final approval of the version to be published - Bezerra MAR; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Bezerra MAR. All authors approved the final version of the text.