Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/202527410124
Revista CEFAC
Artigos Originais

The journey of mothers who experience difficulty to breastfeed

Jornada da mãe que sente dificuldade para amamentar

Giovana Miranda de Brito; Gabriele Ramos de Luccas; Roberta Lopes de Castro Martinelli; Giédre Berretin-Felix

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Abstract

Purpose: to understand the journey of mothers who face breastfeeding difficulties.

Methods: a study comprising 10 nursing mothers of full-term infants who had difficulty breastfeeding and attended the Human Milk Bank. Data were collected through the application of a semi-structured questionnaire about breastfeeding difficulties, answered through directed interviews conducted and recorded using the Google Meet platform, transcribed into a Microsoft Word document and analyzed qualitatively. For the qualitative analysis of the data, the ATLAS.ti software was used.

Results: nipple fissure was the most frequent interference (90%), 40% of the participants had problems related to latching, 20% of the infants presented alteration of the lingual frenulum, 40% of the sample reported weak/insufficient milk, and 10% had postpartum depression. Among the professionals/services consulted, maternity hospital, emergency care unit, basic health unit, Pediatrics, Gynecology, Dentistry and Breastfeeding Consultancy were cited. Six of the ten mothers were unable to maintain breastfeeding until their infants were six months old.

Conclusion: nursing mothers share similar aspects regarding the stages of difficulty emergence, problem identification, and the journey, often long, to establishing effective breastfeeding.

Keywords

Breastfeeding; Weaning; Maternal-Child Health Services

Resumo

Objetivo: descrever o percurso de nutrizes com dificuldades para amamentar.

Métodos: essa pesquisa foi realizada com 10 nutrizes de bebês a termo, que apresentaram dificuldade para amamentar e frequentaram o Banco de Leite Humano. Os elementos foram colhidos por meio da aplicação de um questionário semiestruturado sobre dificuldades de amamentação respondido em entrevista dirigida. As entrevistas foram realizadas e gravadas pela plataforma “Google Meet”, transcritas em documento do Word e analisadas de maneira qualitativa. Para a análise qualitativa dos dados, foi utilizado o software ATLAS T.I.

Resultados: a fissura mamilar foi o acometimento mais frequente; 40% das participantes tiveram problemas relacionado a pega. 20% dos lactentes apresentaram alteração de frênulo lingual; 40% da amostra relatou leite fraco/insuficiente; 10% apresentou depressão pós-parto. Dentre os profissionais/serviços consultados estiveram: hospital maternidade; unidade de pronto atendimento; unidade básica de saúde; Pediatria; Ginecologia; Odontologia e Consultoria de amamentação. Seis das 10 mães não conseguiram manter o aleitamento materno até os seis meses de vida de seu filho.

Conclusão: mães que amamentam compartilham aspectos semelhantes em relação aos estágios de surgimento de dificuldades, identificação de problemas e a jornada, muitas vezes longa, para estabelecer uma amamentação efetiva.

Palavras-chave

Aleitamento materno; Desmame; Serviços de Saúde Materno-Infantil

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Submetido em:
13/11/2024

Aceito em:
12/03/2025

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