Frequência de distribuição de leite materno e fatores associados em pacientes de hospital público
DOI:
https://doi.org/10.5902/2236583425303Keywords:
Breastfeeding, Hospital admission, Breast milk in bottle, Enteral nutritionAbstract
This study aimed to verify the relation between the period of hospitalization of new borns (NB) admitted into a neonatal intensive care unit (ICU) of a federal public hospital and the frequency of distribution of breast milk (BM) offered in their daily diet. This is a transversal study with secondary data that evaluated 246 NBs admitted in the neonatal ICU between March and June of 2016. Statistical tests were performed using Microsoft® Excel 2010 and SPSS version 18.0®. During this period, 63% of the NBs received oral BM, whereas a lower rate of BM intake was related to a longer hospitalization.(p<0.001). However, among the babies who received BM through enteral tube, there was a significant correlation between hospitalization period and frequency of distribution of BM (p<0.001). These results corroborate the diet´s importance of BM plus infant formula to reduce length of stay.Downloads
References
Almeida AC, Jesus ACP, Lima PFT, Marcio FMA, Araujo TM. Fatores de risco maternos para prematuridade em uma
maternidade pública de Imperatriz-MA. Rev Gauch Enferm. 2012:33.
Cristofalo EA, Schanler RJ, Blanco CL, Sullivan S, Trawoeger R, Kiechl-Kohlendorfer U, et al. Randomized trial of
exclusive human milk versus preterm formula diets in extremely premature infants. J Pediatr. 2013;163(6):1592-95.
Mcinnes RJ, Shepherd AJ, Cheyne H, Niven C. Infant feeding in the neonatal unit. Matern Child Nutr. 2010;6(4):306-17.
Agência Nacional de Vigilância Sanitária. Banco de Leite Humano: funcionamento, prevenção e controle de riscos.
Brasília, DF; 2008.
Maayan-Metzger et al. Human milk versus formula feeding among preterm infants: short-term outcomes. American
journal of perinatology., v. 29, n. 02, p. 121-126, 2012.
Johnson, T.J. et al. Economic benefits and costs of human milk feedings: a stra- tegy to reduce the risk of prematurityrelated morbidities in very-low-birth-weight in- fants. Adv Nutr., v. 5, n. 2, p. 207-212, 2014.
Entringer AP, Gomes MASM, Pinto M, Caetano R, Magluta C, Lamy ZC. Análise de custos da atenção hospitalar a
recém-nascidos de risco: uma comparação entre unidade intermediária convencional e unidade canguru. Cad. Saúde
Pública. 2013;29(6):1205-16.
Bartick MC, Stuebe AM, Schwarz EB, Luongo C, Reinhold AG, Foster EM. Cost analysis of maternal disease associated
with suboptimal breastfeeding. Obstet Gynecol. 2013;122:111-9.
Renfrew MJ, Pokhrel S, Quigley M, McCormick F, Fox-Rushby J, Dodds R et al. Preventing disease and saving
resources: the potential contribution of increasing breastfeeding rates in the UK. London: UNICEF UK, 2012.
Brasil. Resolução RDC n. 171, de 4 de setembro de 2006. Dispõe sobre o regulamento técnico para o funcionamento
de bancos de leite humano. Diário Oficial da União. 2006.
Scochi CGS, Ferreira FY, Góes FSN, Fujinaga CI, Ferecini GM, Leite AM. Alimentação Láctea e prevalência do
aleitamento materno em prematuros durante internação em um hospital amigo da criança de Ribeirão Preto-SP, Brasil.
Ciênc. cuid. saúde. 2008;7(2):145-54
Delgado SE, Halpern R. Amamentação de prematuros com menos de 1500 gramas: funcionamento motor-oral e
apego. Pro-Fono. 2005;17(2):141-52.
Martinez FE, Camelo Júnior JSA. A alimentação do recém nascido pré-termo. J. Ped. 2001; 77(7):S32-40
Flint A, New K, Davies MW. Cup feeding versus other forms of supplemental enteral feeding for new born infants
unable to fully breastfeed. Cochrane Database Systematic Reviews. 2007.
Brasil. Secretaria de Políticas de Saúde. Área de Saúde da Criança. Atenção humanizada ao recém-nascido de
baixo-peso: método mãe-canguru: manual técnico. Brasília, DF: Ministério da Saúde; 2013.
Simpson C, Schanler RJ, Lau C. Early introduction of oral feeding in preterm infants. Pediatrics. 2002;110(3):517-22.
Pedras CTPA, Pinto EALC, Mezzacappa MA. Uso do copo e da mamadeira e o aleitamento materno em recémnascidos prematuros e a termo: uma revisão sistemática. Rev Bras Saúde Mater Infant. 2008;8(2):163-9.
Medeiros AMC, Bernardi AT. Alimentação do recém-nascido pré-termo: aleitamento materno, copo e mamadeira. Rev
Soc Bras Fonoaudiol. 2011;16(1):73-9.
Yilmaz G, Caylan N, Karacan CD, Bodur I, Gokcay G. Effect of cup feeding and bottle feeding on breastfeeding in late
preterm infants: a randomized controlled study. J Hum Lact. 2014; 30(2):174-9.
Diaz GM, Ramoz ACL, Rico SJ, Robayna CM, Alvarez AJ. Breastfeeding and length of hospitalization. Rev Enferm.
; 20:11-4.
Schanler RJ, Lau C, Hurst NM, Smith EO. Randomized trial of donor human milk versus preterm formula as substitutes
for mothers’ own milk in the feeding of extremely premature infants. Pediatrics. 2005;116(2):400-6.
Parker LA, Krueger C, Sullivan S, Kelechi T, Mueller M. Effect of breast milk on hospital costs and length of stay among
very low-birth-weight infants in the NICU. Advances in Neonatal Care. 2012;12(4):254-9.
Valete CO, Sichieri R, Peyneau DPL, Mendonça LF. Análise das práticas de alimentação de prematuros em maternidade
pública no Rio de Janeiro. Rev. Nutr. 2009;22(5):653-9.
Meier PP, BODE L. Health, nutrition, and cost outcomes of human milk feedings for very low birthweight infants. Adv.
Nutr. 2013 4:670-1.
Pokhrel S, Quigley MA, Fox-Rushby J, McCormick F, Williams A, Trueman P et al. Potential
economic impacts from improving breastfeeding rates in the UK. Arch Dis Child. 2015;100(4):334-40