Ambulatório de amamentação na atenção básica como uma importante ação de promoção ao aleitamento materno: relato de experiência
Breastfeeding outpatient in primary care as an important action to promote breastfeeding: experience report
Camila Dantas Martins; Carine Vieira Bicalho; Renata Maria Moreira Furlan; Amélia Augusta de Lima Friche; Andréa Rodrigues Motta
Resumo
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Abstract
This paper describe a successful experience of promotion, prevention and support for breastfeeding developed by professionals from a basic health unit. This is a Breastfeeding Outpatient Clinic, implemented in a health center in Belo Horizonte, in August 2019. The Outpatient Clinic was established based on the perception of the unit’s team that many mothers had difficulty breastfeeding, however, due to the work overload of this team, this assistance did not occur in a timely manner, resulting in early weaning. Initially, a meeting was held to sensitize the team on the breastfeeding indicators of the unit. Based on this knowledge, the implementation of a breastfeeding Outpatient clinic was proposed, aimed not only at dyad with difficulties in managing breastfeeding, but at all postpartum women in the area covered by that health center. A flow was created, through which it was established that all postpartum women who brought their children to carry out the heel prick test at the unit would be referred to the Breastfeeding Outpatient Clinic to perform this service. With the improvement of care, the users of the health center started to breastfeed for longer, which reflected in the improvement of the unit’s indicators.
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References
1 WHO: World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-Friendly Hospital Initiative [Internet]. Geneva: Department of Nutrition for Health and Development, WHO; 2018 [citado em 2020 Maio 5]. Disponível em:
2 UFRJ: Universidade Federal do Rio de Janeiro. Aleitamento materno: prevalência e práticas de aleitamento materno em crianças brasileiras menores de 2 anos 4: ENANI 2019. Rio de Janeiro: UFRJ; 2021. 108 p. [citado em 2023 Abr 21]. Disponível em:
3 Boccolini CS, Boccolini PMM, Monteiro FR, Venancio SY, Giugliani ERJ. Tendência de indicadores do aleitamento materno no Brasil em três décadas. Rev Saude Publica. 2017;51:108-16.
4 Alves-Santos NH, Castro IRR, Anjos LA, Lacerda EMA, Normando P, Freitas MB, et al. General methodological aspects in the Brazilian National Survey on Child Nutrition (ENANI-2019): a population-based household survey. Cad Saude Publica. 2021;37(8):e00300020.
5 WHO: World Health Organization. UNICEF: United Nations Children’s Fund. Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva: WHO; 2021.
6 Rinaldi A, Conde W. A influência das informações da Pesquisa Nacional de Saúde sobre a estimativa atual e a trajetória do aleitamento materno exclusivo no Brasil. Cad Saude Publica. 2019;35(8):e00190118.
7 Lacerda EMA, Boccolini CS, Alves-Santos NH, Castro IRR, Anjos LA, Crispim SP, et al. Aspectos metodológicos da avaliação do consumo alimentar no ENANI-2019: inquérito domiciliar de base populacional. Cad Saude Publica. 2021;37(8):e00301420.
8 Brasil. Ministério da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde; 2019. 265 p.
9 Alves JS, Oliveira MIC, Rita RVVF. Orientações sobre amamentação na atenção básica de saúde e associação com o aleitamento materno exclusivo.Ciênc. Cien Saude Colet. 2018;23(4):1077-88.
10 Ferreira F, Silva A, Silva S, Santos M, Freitas R, Santos R, et al. Aleitamento materno exclusivo: empecilhos apresentados por primíparas. Rev Enf UFPE. 2018;12(12):3205-11.
11 Jesus S, Alves JC, Carvalho BYVT, Fujinaga IDCI, Medeiros AMC. Influência de fatores maternos no desempenho da amamentação. Distúrb Comun. 2019;31(4):575-84.
12 Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90.
13 Cheng LY, Wang X, Mo PK. The effect of home-based intervention with professional support on promoting breastfeeding: a systematic review. Int J Public Health. 2019;64(7):999-1014.
14 Kassianos AP, Ward E, Rojas-Garcia A, Kurti A, Mitchell FC, Nostikasari D, et al. A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women. Health Psychol Rev. 2019;13(3):344-72.
15 Mahesh PK, Gunathunga MW, Arnold SM, Jayasinghe C, Pathirana S, Makarim MF, et al. Effectiveness of targeting fathers for breastfeeding promotion: systematic review and meta-analysis. BMC Public Health. 2018;18(1):1140.
16 Kim SK, Park S, Oh J, Kim J, Ahn S. Interventions promoting exclusive breastfeeding up to six months after birth: a systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud. 2018;80:94-105.
17 Walton H, Spector A, Williamson M, Tombor I, Michie S. Developing quality fidelity and engagement measures for complex health interventions. Br J Health Psychol. 2020;25(1):39-60.
18 Conceição CM, Coca KP, Alves MRS, Almeida FA. Validação para língua portuguesa do instrumento de avaliação do aleitamento materno LATCH. Acta Paul Enferm. 2017;30(2):210-6.
19 Carvalhaes MABL, Corrêa CRH. Identificação de dificuldades no início do aleitamento materno mediante aplicação de protocolo. J Pediatr. 2003;79(1):13-20.
20 Melo DS, Oliveira MH, Pereira DS. Progressos do Brasil na proteção, promoção e apoio do aleitamento sob a perspectiva do Global Breastfeeding Collective. Rev Paul Pediatr. 2021;39:e2019296.
21 Bicalho D, Lima TM. O Programa Nacional de Alimentação Escolar como garantia do direito à alimentação no período da pandemia da COVID-19. Demetra. 2020;15:e52076.
22 Guedes-Granzotti RB, Silva K, César CPHAR, Dornelas R, Souza LS, de Jesus LS, et al. Importância das orientações em saúde para o desenvolvimento infantil e o aleitamento materno no primeiro ano de vida. Rev Ter Ocup Univ Sao Paulo. 2020;31(1-3):1-8.
23 Venancio SI, Melo DS, Relvas GRB, Bortoli MC, Araújo BC, Oliveira CF, et al. Effective interventions for the promotion of breastfeeding and healthy complementary feeding in the context of Primary Health Care. Rev Paul Pediatr. 2022;41:e2021362.
Submitted date:
09/07/2022
Accepted date:
09/05/2023
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