Incidência de aleitamento materno no momento da alta da terceira etapa do método canguru da Maternidade Ana Braga

Abstract

Low-birth weight newborns represent a high percentage in neonatal morbimortality and their feeding process is a complex one, being the kangaroo Care Method a strategy to promote breastfeeding. To determine the incidence of breastfeeding in neonates’ discharge from hospital, following Kangaroo Care Method’s third stage. A Transversal and Retrospective Epidemiological Study conducted with data obtained from newborns’ charts examined at ambulatory care facilities in Kangaroo Care Method’s third stage, at a public maternity hospital in the municipality of Manaus from January up to December, 2015. The sample comprised 550 low-birth weight newborns; 24% of who were of very low birth weight, a high-risk group for early weaning. Differently from literature, the service has a high index of breastfeeding even amongst the very low birth weight newborns. 93.1% of low birth weight babies and 91.6% of newborns weighing less than 1500g were discharged from the ambulatory care facility at Kangaroo’s 3rd stage of exclusive breastfeeding. Although newborns of low birth weight are at increased risk of early weaning, it was found in the sample a high frequency of exclusive breastfeeding at discharge, even among VLBW infants. The Kangaroo Mother care, The Baby- Friendly -Hospital, the work of the Human Milk Bank, compliance with Brazilian Law for Food Marketing Infant Formula, the appreciation of the multidisciplinary team, including composed of international consultant in lactation, are strategies associated with clinical approach to counseling, have allowed handling the difficulties of successfully breastfeeding, reducing weaning in this group of infants. Keywords: Kangaroo mother care; Preterm; Breastfeeding; Low birth weight