Uso da bolsa canguru em bebês a termo saudáveis: a relação com a amamentação e a percepção materna
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2017-04-25
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Universidade Federal de Goiás
Resumo
Early skin-to-skin contact up to one hour after birth for every unborn child is associated
with early initiation of breastfeeding, success at first feeding, cardiorespiratory stability,
and blood glucose. However, this contact is usually not maintained in rooming-in care
or at home, in term infants. We believe that the proximity between mother and baby
through the use of kangaroo bag may also benefit healthy term infants. The objective
of this study was to identify the benefits to breastfeeding of prolonged maternal contact
in a healthy term baby, through the use of the kangaroo bag in rooming-in care and at
home, and the maternal perception of this experience. This study was carried out in
two stages. Stage 1, with a quantitative approach, of transversal descriptive type and
stage 2 had a qualitative approach, based on the methodological framework of
appreciative investigation. The sample initially consisted of 98 mothers who accepted
to use the kangaroo bag and answered a phone call between the first and second
month of the baby's life (29-81 days) to verify the frequency of use of the kangaroo
bag, to apply the Breastfeeding Self-Efficacy Scale/Short Form (BSES-SF) and to
obtain breastfeeding data. We performed quantitative analysis by means of absolute
frequency, mean and standard deviation; and tests of association between variables.
Qualitative data were obtained through a home visit to 23 mothers, with three guiding
questions and were analyzed according to content analysis, thematic modality, and
anchored in the principles of appreciative investigation. All mothers used the kangaroo
bag at rooming-in care, however, at home 39.8% used three or more times per week.
The BSES-SF score of all mothers was classified as high. 70.4% of the infants
remained in exclusive breastfeeding (EBF). We identified the association between EBF
and the use of the kangaroo bag at home, using at least one time after discharge (pvalue
= 0.014). The mothers reported that the kangaroo position promoted
improvement in mother-infant contact; a greater autonomy and maternal
independence; the baby stays calmer and safer; a reduction of colic; improvement of
sleep; approximation of the baby to family members; besides the need to disseminate
the knowledge and adaptation of the mothers regarding the use of the kangaroo bag.
The results suggest benefits of the kangaroo bag for breastfeeding for healthy term
infants in the sample studied. Thus, the use of the kangaroo bag is a new form of
maternal, contributing to the development of the baby and improving the maternal and
family relationship.
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SOUZA, R. R. G. Uso da bolsa canguru em bebês a termo saudáveis: a relação com a amamentação e a percepção materna. 2017. 128 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.