Breastfeeding in primary health care: weaknesses and potentialities of nursing care

Autores

  • Gisele Basso Zanlorenzi
  • Marilene Loewen Wall
  • Marcus Vinicius da Rocha Santos da Silva
  • Bruna Piahui dos Santos
  • Jaqueline Alves Soares Varjão
  • Evelin Mayara de Oliveira Silva Azevedo
  • Karin Rosa Persegona Ogradowski

DOI:

https://doi.org/10.26694/reufpi.v13i1.4092

Palavras-chave:

Breastfeeding, Maternal and Child Health, Nursing Care, Primary Health Care, Health promotion

Resumo

Objective: To identify the weaknesses and potentialities of nursing care for breastfeeding in Primary Health Care (PHC). Methods: A qualitative study developed through workshops held in September 2021 with 43 nursing professionals. Results: Two categories emerged: “Weaknesses of breastfeeding nursing care in PHC” and “Potentialities of breastfeeding nursing care in PHC”. Weaknesses permeate the discourse, which is often not in line with the reality of the postpartum period, lack of theoretical and practical knowledge, cultural influences, short maternity and paternity leave, shortage of professionals, absence of meetings, inappropriate physical space, limited time for care, failure to address the issue and lack of training. Presented as potentialities are the availability of professionals for guidance in different environments, the work of community health agents, the existence of the Women’s, Children’s and Adolescents’ Health Center, the Municipal Breastfeeding Support Network, the use of technology and encouraging the participation of partners from prenatal to postpartum. Conclusion: It is necessary to consider the weaknesses identified in order to develop improvement actions focused on increasing breastfeeding indices. As for the strengths, they reflect successful practices that can support and guide other nursing services.

Referências

Ministério da Saúde (BR). Portaria n° 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS) [Internet]. Brasília: Ministério da Saúde; 2017. Available at: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html

Organização Pan-Americana da Saúde (OPAS). Relatório 30 anos de SUS, que SUS para 2030? Brasília: OPAS; 2018. Available at: https://iris.paho.org/handle/10665.2/49663

United Nations (UN). Sustainable Development Goals [Internet]. New York: UN; 2015. Available at: https://sdgs.un.org/goals

Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, Piwoz EG, Richter LM, Victora CG. Why invest, and what it will take to improve breastfeeding practices? The Lancet [Internet]. 2016 Jan;387(10017):491–504. doi: https://doi.org/10.1016/S0140-6736(15)01044-2

Souza CB, Venancio SI, Silva RPGVC. Breastfeeding Support Rooms and Their Contribution to Sustainable Development Goals: A Qualitative Study. Front Public Health. 2021 Dec 23;9. doi: https://doi.org/10.3389/fpubh.2021.732061

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet [Internet]. 2016;387(10017):475–90. doi: https://doi.org/10.1016/S0140-6736(15)01024-7

Walters DD, Phan LTH, Mathisen R. The cost of not breastfeeding: global results from a new tool. Health Policy and Planning. 2019 Jun 24;34(6):407–17. doi: https://doi.org/10.1093/heapol/czz050

World Health Organization (WHO). Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services [Internet]. Genebra: WHO; 2017. Available at: https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf?sequence=1&isAllowed=y

Universidade Federal do Rio de Janeiro (UFRJ). Estudo Nacional de Alimentação e Nutrição Infantil – ENANI-2019: Resultados preliminares – Indicadores de aleitamento materno no Brasil. Rio de Janeiro: UFRJ, 2020. 9 p. Available at: https://enani.nutricao.ufrj.br/wp-content/uploads/2020/08/Relatoriopreliminar-AM-Site.pdf

Carvalho MJLN, Carvalho MF, Santos CR, Santos PTF. First postpartum home visit: a protective strategy for exclusive breastfeeding. Rev. paul. pediatr. 2018; 36(1): 99-73. doi: https://doi.org/10.1590/1984-0462/;2018;36;1;00001

Alves TF, Coelho AB. Infant mortality and gender in Brazil: an investigation using updated statistics. Ciênc. & Saúde Coletiva [Internet]. 2021 Apr;26(4):1259–64. doi: https://doi.org/10.1590/1413-81232021264.04022019

Costa EFG, Alves VH, Souza RMP, Rodrigues DP, Santos MV, Oliveira FL. Nursing practice in clinical management of breastfeeding: strategies for breastfeeding. J. res.: fundam. care. online. 2018 Jan 9;10(1):217–23. doi: https://doi.org/10.9789/2175-5361.2018.v10i1.217-223

Souza VR, Marziale MH, Silva GT, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. doi: http://dx.doi.org/10.37689/acta-ape/2021AO02631

Afonso, MLM. Oficinas em dinâmica de grupo na área da saúde. 2. ed. Belo Horizonte: Artesã Editora; 2019.

Creswell, J. W. Projeto de pesquisa: métodos qualitativo, quantitativo e misto. 5. ed. Porto Alegre: Penso; 2021.

Camargo BV, Justo AM. Tutorial para uso do software IRAMUTEQ. Universidade Federal de Santa Catarina (UFSC), 2021. Available at: https://drive.google.com/drive/u/1/folders/0B1sJtjYHLc94fjFPZThMMlZEZkVIQV9fdU5nLUpBQ29nYVAtUU5RSm5Hc3M2TGhHYUFLQUk?resourcekey=0-f0Qi3ujhmOhEZx3cs4nQEg

Organização Pan-Americana da Saúde (OPAS). A situação da enfermagem na Região das Américas. Brasília: OPAS; 2021. Available at: https://iris.paho.org/handle/10665.2/54504

Brasil. Conselho Federal de Enfermagem (COFEN). Enfermagem em Números [Internet]. Brasília: COFEN; 2023. Available at: http://www.cofen.gov.br/enfermagem-em-numeros

Aleixo TCSE, Carleto EC, Pires FC, Nascimento JDSG. Knowledge and analysis of the orientation process of mothers about breastfeeding. Rev. Enferm. UFSM. 2019 Nov 8;9:e59. doi: https://doi.org/10.5902/2179769236423

Pereira AOR, Ferreira RM, Silva FMR, Quadros KAN, Santos RC, Andrade SN. Factors influencing the practice of exclusive breastfeeding. Nursing (São Paulo). 2021 Mar 1;24(274):5401–18. doi: https://doi.org/10.36489/nursing.2021v24i274p5401-5418

Silva LS, Leal NPR, Pimenta CJL, Silva CRR, Frazão MCLO, Almeida FCA. Nurse’s contribution to breastfeeding in basic attention. R. pesq.: cuid. fundam. online. 2020 Jun 18;774–8. doi: https://doi.org/10.9789/2175-5361.rpcfo.v12.7180

Gastaldo D, Vieira AC. From Discredited to Heroines: COVID-19 and the year that would be Nursing Now. Esc. Anna Nery. 2020;24(spe). doi: https://doi.org/10.1590/2177-9465-ean-2020-0409

Oliveira KKD, Freitas RJM, Araújo JL, Gomes JGN. Nursing Now and the role of nursing in the context of pandemic and current work. Rev. Gaúcha Enferm. 2021;42(spe). doi: https://doi.org/10.1590/1983-1447.2021.20200120

Risson AP, Matsue RY, Lima AC. Atenção em Saúde aos Imigrantes Haitianos em Chapecó e suas Dimensões Étnico-Raciais. Soc Questão [Internet]. 2018;41:111-30. Available at: https://www.redalyc.org/journal/5522/552264297005/html/

Zanatta EA, Siega CK, Hanzen IP, Carvalho LA. Nursing Consultation in Childcare to Haitian Children: difficulties and possibilities. Rev baiana enferm. 2020 Jun;34:e35639. doi:https://doi.org/71/rbe.v34.35639

Nardi AL, Frankenberg AD, Franzosi OS, Santo LCE. Impact of institutional aspects on breastfeeding for working women: a systematic review. Ciênc. saúde coletiva. 2020 Apr;25(4):1445–62. doi: https://doi.org/10.1590/1413-81232020254.20382018

Sanna MC. Work processes in Nursing. Rev. Bras. Enferm. 2007 Apr;60(2):221–4. doi: https://doi.org/10.1590/S0034-71672007000200018

Rosa APL, Zocche DAA, Zanotelli SDS. Gestão do cuidado à mulher na atenção primária: estratégias para efetivação do processo de enfermagem. Enferm. em Foco. 2020 Jun 26;11(1). v11.n1.2670. doi: https://doi.org/10.21675/2357-707X.2020

Pozzer C, Silva AA, Ferreira CLL, Diaz C, Colomé J, Pereira ADA. Educational actions in the waiting room with pregnant woman: an alternative for health promotion. Disciplinarum Scientia 2018; 19(2):207-224. Available at: https://periodicos.ufn.edu.br/index.php/disciplinarumS/article/view/2506/2168.

Silva JPSS, Silva LF, Guerra ED, Andrade LVB, Aguiar DS, Silva AP, Silva JJS. Health education in the waiting room: experience report. Braz. J. of Develop. 2020 Jan;6(1):1057–66. doi: https://doi.org/10.34117/bjdv6n1-074

Andrade RD, Santos JS, Maia MAC, Mello DF. Factors related to women's health in puerperium and repercussions on child health. Esc. Anna Nery Rev. Enferm. [Internet]. 2015 Jan/Fev;19(1):181-6. doi: https://doi.org/10.5935/1414-8145.20150025

Karacam Z, Saglik M. Breastfeeding problems and interventions performed on problems: systematic review based on studies made in Turkey. Türk Pediatri Arşivi. 2018 Nov 15;53(3):134–48. doi: https://doi.org/10.5152/TurkPediatriArs.2018.6350

Garcia ESGF, Bonelli MCP, Oliveira AN, Clapis MJ, Leite EPRC. The Nursing Care Actions Toward the Pregnant women: Challenging the Primary Health Care. J. res.: fundam. care. online [Internet]. 2018 Jul 1;10(3):863. doi: https://doi.org/10.9789/2175-5361.2018.v10i3.863-870

Piro SS, Ahmed HM. Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: an experimental study. BMC Pregnancy and Childbirth. 2020 Jan 6;20(1). doi: https://doi.org/10.1186/s12884-019-2701-0

Moreira MJB, Bastos ACT, Flores ESL, Gonsalves JDP, Monteiro MM, Oliveira UA, Moreira, DC. Experience report in Health Education for pregnant women in the COVID-19 pandemic: use of virtual technologies to promote autonomy and disease prevention. Brazilian Medical Students. 2022 Apr 12;5(8). doi: https://doi.org/10.53843/bms.v5i8.251

Silva NVN, Pontes CM, Sousa NFC, Vasconcelos MGL. Health Technologies and their contributions to the promotion of breastfeeding: an integrative review of the literature. Ciênc. saúde colet. 2019 Feb;24(2):589–602. doi: https://doi.org/10.1590/1413-81232018242.03022017

Gleeson DM, Craswell A, Jones CM. Women’s use of social networking sites related to childbearing: an integrative review. Women and Birth. 2019 Ago;32(4):294–302. doi: https://doi.org/10.1016/j.wombi.2018.10.010

Lima MM, Aranha MEP, Leal CA, Costa R, Zampieri MFM, Custódio ZO. Group of pregnant women and pregnant couples: health education in pandemic times. Revista Eletrônica de Extensão. 2021 Ago 26;18(39):197–208. doi: https://doi.org/10.5007/1807-0221.2021.e76818

Sari C, Altay N. Effects of providing nursing care with web‐based program on maternal self‐efficacy and infant health. Public Health Nursing. 2020 Fev 4; doi: https://doi.org/10.1111/phn.12712

Nóbrega VCF, Melo RHV, Diniz ALTM, Vilar RLA. Social support networks for Breastfeeding: an action-research. Saúde debate. 2019 Abr;43(121):429–40. https://doi.org/10.1590/0103-1104201912111

Silva WC, Wanderley RR, Markus GWS, Pereira RA, Couto GBF, Dias AK. Pré-natal do parceiro: desafios para o enfermeiro. Revista Extensão. 2020 Out, 4(2): 127-37. Available at: https://revista.unitins.br/index.php/extensao/article/view/4211.

Rêgo RMV, Souza ÂMA, Rocha TNA, Alves MDS. Paternity and breastfeeding: mediation of nurses. Acta Paul Enferm. 2016 Ago;29(4):374–80. doi: https://doi.org/10.1590/1982-0194201600052

Monezi NS, Jesus MVN, Oliveira L, Silva EM, Vilela MFG, Santos DS, Marques D. Historical and social construction of the practices of auxiliary nurses and nurse technicians in Primary Care. Rev Bras Enferm. 2021;74(2). doi: https://doi.org/10.1590/0034-7167-2020-1012.40

Lima SP, Santos EK, Erdmann AL, Farias PH, Aires J, Nascimento VF. Perception of women regarding the practice of breastfeeding: an integrative review. J. res.: fundam. care. online. 2019 Jan 1;11(1):248–54. doi: https://doi.org10.9789/2175-5361.2019.v11i1.248-54

Publicado

2024-04-05

Como Citar

1.
Zanlorenzi GB, Wall M, Silva MV da RS da, Santos BP dos, Varjão JAS, Azevedo EM de OS, et al. Breastfeeding in primary health care: weaknesses and potentialities of nursing care . Rev Enferm UFPI [Internet]. 5º de abril de 2024 [citado 13º de outubro de 2024];13(1). Disponível em: https://periodicos.ufpi.br/index.php/reufpi/article/view/4092

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