Intervenção de Enfermagem no aleitamento materno no puerpério mediato

Abstract

Obstetrics is an area of women's health that involves care and attention reinforced by family members, society and health professionals who accompany the mother and the newborn (NB). The objective of this study was to investigate the practice of breastfeeding in the mediated puerperium in women of vaginal delivery, where signs of breastfeeding were identified or not, and nursing interventions were carried out in the mother-child binomial that presented signs of unfavorable breastfeeding in the mediated puerperium. It is a practical clinical intervention whose target audience was mothers and newborns. Study conducted in a tertiary hospital in Fortaleza-CE. Sample consisted of 30 mother-child binomials, totaling 27.2% of the population according to the monthly consultations passed by the institution. We used an instrument with identification data from the mother, the newborn and another one that shows signs favorable to breastfeeding and signs of possible difficulty in the NB feeding, divided into sections A, B, C and D. The description of the difficulties in breastfeeding showed that 14 (46.6%) of the mothers interviewed stated that they presented some type of difficulty during the breastfeeding of their children, especially in the midterm postpartum period. 6 (20%) women presented difficulties in section A, in the item that reports reddish, swollen and / or sore breasts. Carried out guidelines on how to hold the baby, the right way to breastfeed and be encouraged by family members, friends with a successful breastfeeding experience. In section B, C was not found any problem, being 100% of the mothers who did not need nursing intervention. In section D the difficulties were 3 (10%) women with rapid suction and superficial due to sleepiness of the NB and 5 (16.6%) women presented hard and shiny breasts, breast engorgement due to milk accumulation and inexperienced mother. The intervention was to put the NB in a position as comfortable as possible, correct positioning of the baby. According to the results obtained, it was found that the majority of the participants received assistance in the promotion of breastfeeding in the first hour of life and it was noticed that most mothers have some type of difficulty at the time of the feeding. Mothers, in the mediated puerperium, know the importance of breastfeeding. The nurse must intervene at the moment the mother needs and with this intervention, the study objectively shows that support to mothers to overcome the difficulties can represent the difference between success, the abandonment of the breastfeeding and the reduction of precocious weaning rates.