Queixas de nutrizes que buscam atendimento em um banco de leite humano e fatores associados

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Lara Thaiane Souza Pereira ◽  
Taynara Cassimiro de Moura Alves ◽  
Nathalya da Silva Louro ◽  
Nayara Franklin Cesar ◽  
Juliana das Dores Ferreira ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Data Collection ◽  
Women's Health ◽  
Breast Feeding ◽  
Reliable Information ◽  
Previous Experience ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Milk Banks ◽  
Nutrient Conditions

O objetivo deste artigo é analisar as queixas de nutrizes que buscaram atendimento em um BLH e fatores associados.Trata-se de um estudo descritivo, analítico, transversal, retrospectivo, cuja população é composta por 1.709 nutrizes quebuscaram atendimento no período de Janeiro a Dezembro de 2016. Para a coleta de dados, utilizaram-se as fichas deatendimento do BLH. As principais queixas que levaram as nutrizes a buscarem atendimento no BLH relacionam-se àdificuldade com a técnica de amamentação (41,9%) e a problemas mamários, como o ingurgitamento mamário (27,1%) eo trauma mamilar (18,1%). A necessidade de auxílio na técnica de amamentação esteve associada às seguintes condiçõesrelativas à nutriz: ser procedente da capital (p=0,001), apresentar mais de oito anos de estudo (p=0,040), ter uma ocupação (p=0,010), ser primípara (p=<0,001), optar pela realização de parto cesárea (p=<0,001) e ter experiência préviacom amamentação (p=0,004). Houve associação entre ingurgitamento mamário e primiparidade (p=0,038), além do fatode a nutriz ter contado com o apoio ao aleitamento materno na maternidade (p=0,021). O estudo possibilitou verificar aimportância dos BLH no processo de lactação, um período em que as mulheres ficam ansiosas, necessitam de informaçõesconfiáveis e apresentam muitas queixas em relação à lactação.PALAVRAS-CHAVES : Aleitamento materno, Bancos de leite, Saúde da mulher. Abstract: The aim of this article is to analyze the complaints of lactating mothers who sought care in a HMB and associatedfactors. It is a descriptive, cross-sectional, retrospective study, whose population is composed of 1.709 lactating mothers whosought care in the period from January to December the 2016. For the data collection, were used the service records ofthe HMB. The main complaints that led the lactating mothers to seek care at HMB were related to the difficulty with thebreastfeeding technique (41.9%) and to breast problems, such as breast engorgement (27.1%) and nipple trauma (18,1%). Theneed for breastfeeding technique was associated to the following nutrient conditions: coming from the capital (p = 0.001),presenting more than eight years of study (p = 0.040), having an occupation (p = 0.010), being primiparous (p = <0.001), optfor cesarean (p = 0.001) and to have previous experience with breastfeeding (p = 0.004). There was an association betweenbreast engorgement and primiparity (p = 0.038), in addition to the fact that the mother had support for breastfeeding in thematernity ward (p = 0.021). The study made it possible to verify the importance of HMBs in the lactation process, a period inwhich women become anxious, require reliable information and have many complaints about lactation.Keywords: Breast feeding, Milk banks, Women’s health

scholarly journals Peran Diskusi Suami Istri terhadap Kepatuhan Kunjungan Antenatal Care (ANC)

2021 ◽  
Vol 3 (10) ◽  
pp. 814-825
Author(s):  
Fadhila Tri Cahyanti ◽  
Supriyadi Supriyadi ◽  
Ema Novita Deniati
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Health Services ◽  
Antenatal Care ◽  
Women's Health ◽  
Maternal And Child Health ◽  
Married Couples ◽  
Cross Sectional ◽  
And Child Health ◽  
Husband And Wife

Abstract: Every marriage must experience various problems that occur especially in the wrong communication between husband and wife. A true communication must be well established, especially during the wife's pregnancy, especially for the husband. The East Java Provincial Health Office stated that the K4 coverage for East Java Province was 91.15 percent. Pamekasan Regency is a Regency in East Java that has less desire for visits to pregnant women's health services is 92,75 percent, while target MSS. This study uses an observational quantitative cross-sectional approach with a sample of 112 married couples determined using the technique Accidental Sampling. Data collection using questionnaires includes two parts, namely husband's discussion and wife's discussion, based on The results show that there is an influence between husband's discussion on ANC visits and there is no influence between wife's discussion on ANC visits with the meaning that there is a role for husband and wife discussions to encourage ANC visits. the health of the wife and fetus is healthy until the delivery is smooth. And improve and develop programs related to the promotion of maternal and child health (MCH). Abstrak: Setiap pernikahan pasti mengalami berbagai masalah yang terjadi terutama pada komunikasi yang salah antara suami istri. Suatu komunikasi sejatinya harus terjalin dengan baik terutama pada masa kehamilan istri, terutama bagi suami. Dinas Kesehatan Provinsi Jawa Timur menyatakan bahwa cakupan K4 untuk Provinsi Jawa Timur sebesar 91,15. Kabupaten Pamekasan merupakan Kabupaten di Jawa Timur yang mempunyai hasrat kunjungan yang kurang terhadap pelayanan kesehatan ibu hamil adalah 92,75 persen, sedangkan sasaran SPM Penelitian ini menggunakan kuantitatif observasional pendekatan Cross Sectional dengan jumlah sampel 112 pasangan suami istri yang ditentukan dengan menggunakan teknik Accidental Sampling. Pengumpulan data menggunakan penyebaran kuesioner meliputi dua bagian yaitu diskusi suami dan diskus istri, berdasarkan hasil bahwa ada pengaruh antara diskusi suami terhadap kunjungan ANC dan tidak ada pengaruh antara diskusi istri terhadap kunjungan ANC dengan makna ada peran diskusi suami dan istri terhadap mendorong melakukan kunjungan ANC. Dan diharapkan dapat meningkatkan komunikasi dan motivasi kepada sang istri terhadap kepatuhan kunjungan ANC agar kesehatan istri dan janin sehat hingga persalinannya pun lancar. Dan meningkatkan dan mengembangkan program-program terkait promosi kesehatan Ibu dan Anak (KIA).

scholarly journals Interrelationships between maternal DHA in erythrocytes, milk and adipose tissue. Is 1 wt% DHA the optimal human milk content? Data from four Tanzanian tribes differing in lifetime stable intakes of fish

2013 ◽  
Vol 111 (5) ◽  
pp. 854-866 ◽  
Author(s):  
Martine F. Luxwolda ◽  
Remko S. Kuipers ◽  
Jan-Hein Koops ◽  
Stefan Muller ◽  
Deti de Graaf ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Arachidonic Acid ◽  
Linoleic Acid ◽  
Human Milk ◽  
Infant Formula ◽  
Breast Feeding ◽  
Mature Milk ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Lactating Mothers

Little is known about the interrelationships between maternal and infant erythrocyte-DHA, milk-DHA and maternal adipose tissue (AT)-DHA contents. We studied these relationships in four tribes in Tanzania (Maasai, Pare, Sengerema and Ukerewe) differing in their lifetime intakes of fish. Cross-sectional samples were collected at delivery and after 3 d and 3 months of exclusive breast-feeding. We found that intra-uterine biomagnification is a sign of low maternal DHA status, that genuine biomagnification occurs during lactation, that lactating mothers with low DHA status cannot augment their infants' DHA status, and that lactating mothers lose DHA independent of their DHA status. A maternal erythrocyte-DHA content of 8 wt% was found to correspond with a mature milk-DHA content of 1·0 wt% and with subcutaneous and abdominal (omentum) AT-DHA contents of about 0·39 and 0·52 wt%, respectively. Consequently, 1 wt% DHA might be a target for Western human milk and infant formula that has milk arachidonic acid, EPA and linoleic acid contents of 0·55, 0·22 and 9·32 wt%, respectively. With increasing DHA status, the erythrocyte-DHA content reaches a plateau of about 9 wt%, and it plateaus more readily than milk-DHA and AT-DHA contents. Compared with the average Tanzanian-Ukerewe woman, the average US woman has four times lower AT-DHA content (0·4 v. 0·1 wt%) and five times lower mature milk-DHA output (301 v. 60 mg/d), which contrasts with her estimated 1·8–2·6 times lower mobilisable AT-DHA content (19 v. 35–50 g).

scholarly journals Common problems Encountered during Lactation and their Management in a Lactation Management Center

2020 ◽  
Vol 33 (1) ◽  
pp. 36-39
Author(s):  
Sabiha Shimul ◽  
Sameena Chowdhury ◽  
Mahe Jabeen ◽  
Ummay Salma ◽  
Mahbuba Akter ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Cross Sectional Study ◽  
Inverted Nipple ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Breast Feed ◽  
Feeding Technique ◽  
The Common ◽  
Common Problems ◽  
Breast Fed

Background: Breastfeeding is widely known to be beneficial for infants and the mothersand also economically advantageous for the community. Objective: The principal purpose of this study was to explore the common problemsencountered during lactation and their management in a lactation management center. Method: A cross sectional study was conducted at lactation management center of Instituteof Child and Maternal Health (ICMH), Dhaka. A total of 100 lactating mothers were recruitedconsecutively during the period of August 2008 to October 2008. Data was collected byhistory taking and required examination. Result: In this study, 46.0% mothers complained of poor milk secretion, 13.0% had breastengorgement, 9.0% had cracked nipple, 3.0% had inverted nipple, 2.0% had nipple infection,2.0% had flat nipple, 1.0% had sore nipple, 1.0% had breast abscess and in 23% casesthere was no reasonable cause. During interview twenty seven percent of the mothers wereadvised to start nursing as soon as possible; 45.0% mothers breast fed on demand, 75.0%mothers demonstrated proper breast feeding technique, 36.0% mothers avoided use ofartificial milk, 10.0% mothers applied last part of milk on nipple, then dry by exposing to air,12.0% mothers manually express milk from the areola before breast feed if it is engorgedand 1.0% advised to slip the index or little finger into the infant’s mouth between his/hergums before the infant is taken off of the breast, to break suction. Conclusion: Almost half of the mothers complained of less milk production. Apart from this13.0% mothers had breast engorgement, 9.0% mothers had cracked nipple and no reasonablecause for lactation problem was found in 23.0% cases. More than half of the mothers hadincorrect knowledge and skill of breast feeding. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 36-39

scholarly journals Breastfeeding technique and associated factors among lactating mothers visiting Gondar town health facilities, Northwest Ethiopia: observational method

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Boko Loka Safayi ◽  
Nega Tezera Assimamaw ◽  
Destaye Guadie Kassie
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Health Facilities ◽  
Age Group ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Feeding Technique ◽  
Gondar Town

Abstract Background The breastfeeding technique is explained positioning, attachment, and suckling during breastfeeding. Ineffective breast feeding technique is one of the factors leading to premature discontinuation of breastfeeding and malnutrition. There is a limited study on the assessments of BFT and associated factors among lactating mothers in the study area. Therefore, the study aimed to assess breastfeeding technique and the associated factors among lactating mothers visiting Gondar town health facilities, Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted from February 20 to March 20, 2020. An observational checklist and structured interviewer-administered questionnaire were applied to collect the data. The data were entered into Epi-Data 4.6 version and transferred to analyzed using SPSS version 20. Bi-variable and multivariable logistic regressions were performed to identify the association. The strength of association was identified using odds ratio with a 95% confidence interval (), and a p-value of 0.05 was declare as statistically significant. Results The proportion of effective BFT was 48% (95%, CI: 43.0–53.0%). The likelihood of applying proper BFT among age group of 18–20 years was 70% lower than (AOR = 0.3; 95% CI: 0.11–0.83) age group > 30 years. The odds of effective BFT in primipara mothers were 49% (AOR = 0.51; 95% CI: 0.32–0.82) lower compared to multiparous mothers. Likewise, the provability of effective BFT was 55% (AOR = 0.45; 95% CI: 0.29–0.70) times lower in women who had no counseling immediately after delivery compared to their counterparts. Moreover, effective breast feeding technique mothers who have breast problem was 78% lower than (AOR = 0.22; 95% CI: 0.07–0.68) mothers who have no breast problem. And mothers who had counselling of BFT during ANC follow up was 55% (AOR = 0.45; 95% CI: 0.29, 0.70) lower than mothers who had no counseling. Conclusion Just under half of the women in the study area applied proper breast feeding technique Younger and primipara mothers poorly performed to effective BFT. But women having counseling during antenatal care follow-up and immediately after delivery and not having breast problems applied BFT effectively. Hence, special emphasis have to give for younger and primipara mothers. Besides, educate the mother for preventing breast problems and working on enhancing counseling at postnatal clinic.

scholarly journals Breast Feeding Practice: Positioning and Attachment during Breast Feeding among Lactating Mothers Visiting Health Facility in Areka Town, Southern Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Nega Degefa ◽  
Befikadu Tariku ◽  
Takalign Bancha ◽  
Gizachew Amana ◽  
Abdo Hajo ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Formal Education ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
World Health ◽  
Southern Ethiopia ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Lactating Mothers

Background. Breastfeeding is the act of milk conveyance from the mother to the infant. Adequate nutrition during infancy and early childhood are mandatory to ensure growth, health, and development of children to their maximum potential. The positioning of the baby’s body is important for maintaining good attachment and successful breastfeeding. Most difficulties of breastfeeding can be avoided altogether if good attachment and positioning can be achieved at the first and early feeds. Plenty of studies have been conducted to explore factors affecting breastfeeding practice in general; however, there is a meagerness of evidence that assesses factors affecting attachment and positioning during breastfeeding specifically. Therefore, the current study was aimed to assess positioning and attachment during breastfeeding among lactating mothers visiting health facilities of Areka town. Methods. an institution-based cross-sectional study was conducted by using observational checklist adopted from the World Health Organization breastfeeding observation form. Maternal-related characteristics were collected by using a structured and pretested questionnaire. The study was conducted from April to June 2017. Respondents were selected by using a systematic random sampling technique. Descriptive summaries were done to present pertinent findings and a chi-square test was used to check association between variables. Result. There was poorer positioning among primipara mothers (47.1%) than multipara mothers (28.7%). A poor attachment was also more apparent among primipara mothers which were more (31.1%) than the multipara (27.1%) mothers. Conclusion. Younger mothers (<20 years old), the primipara, and those who have no formal education deserve more attention, support, and direction to make sure that they can achieve proper positioning and attachment during breastfeeding at the first and early feeds.

scholarly journals Exclusive Breastfeeding Practice Among Lactating Mothers Infected with HIV in Southern Highlands of Tanzania, Assessing the Prevalence and Factors Associated with the Practice; An Analytical Cross-Sectional Study

2021 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Rose Faustine
Keyword(s):  
Data Collection ◽  
Exclusive Breastfeeding ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Positive Perception ◽  
Cross Sectional ◽  
Factors Associated ◽  
Adequate Knowledge ◽  
Lactating Mothers

Abstract Background: There is no other better way proven to safeguard an infant's health in the first six months of life than Exclusive Breast Feeding (EBF). Mother's breast milk is valuable in all aspects of an infant's physical and mental growth as well as immune development. The study aimed at assessing the prevalence and factors associated with EBF practice among lactating HIV-infected mothers in the Southern Highlands of Tanzania. Method: A hospital-based analytical cross-sectional study was conducted among lactating HIV-infected mothers. A random sampling procedure was used to obtain 372 HIV-infected mothers of infants of 6 to 12 months who were still breastfeeding at the time of data collection. An interviewer-administered structured questionnaire was used for data collection. Bivariate and multivariate logistic regression was used to assess factors associated with EBF practice. Statistical package for social science (SPSS v.20) software was used for data entry and analysis. Results: The prevalence of EBF practice was 58.1% at 95% Confidence Interval of 52.9% to 63.1%. More than half of the respondents 199(53.5%) had adequate knowledge while 173(46.5%) had inadequate knowledge on EBF. After adjusted for confounders, factors associated with EBF practice were knowledge on EBF [Adequate knowledge (AOR=5.114 at 95% CI= 3.2-8.172, p<0.001)], ANC visit [ Adequate (AOR=1.756 at 95% CI=1.094-2.817, p=0.002)], Income per day [1 0r more USD (AOR=1.828 at 95% CI=1.136-2.943, p=0.013)], perception towards EBF [ positive perception (AOR=3.506 at 95% CI=2.248-5.468, p<0.001) and ever experienced breast problem AOR=3.908 at 95% CI=1.891-8.075, p<0.001 Conclusion: More than half of interviewed mothers practiced EBF. The EBF practice among HIV lactating mothers was significant influenced by adequate knowledge on EBF, positive perception toward EBF, adequate ANC visits, and having never experienced breast problems. Strengthening adherence to ANC routine visits, counseling on breastfeeding, and improving mother's knowledge of exclusive breastfeeding would contribute to the enhancement of EBF practice in this region. An innovative interventional study is recommended to come up with an effective strategy to improve EBF knowledge among HIV-infected mothers.

Hubungan Antara Menyusui Dengan Involusi Uterus Pada Ibu Nifas Fisiologis Di RSIA Aura Syifa Kabupaten Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani
Keyword(s):  
Breast Feeding ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Fisher Test ◽  
Key Word ◽  
Chi Square Test ◽  
The Moment

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution

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