RESUMO
OBJECTIVE: To asses the performance of the Ten Steps to Successful Breastfeeding in an university hospital. METHODS: Descriptive and quantitative research, in which 103 people were interviewed in the outpatient prenatal clinic, in the maternity-ward and in the Neonatal Intensive Care Unit of a university hospital in Vitória, Southeast Brazil. The "Institutional Self-Evaluation Questionnaire" of the Baby Friendly Hospital Initiative was applied. Using this tool, the outcome was measured by the concordance index (CI) proposed by the World Health Organization and by the United Nations Children's Fund. RESULTS: Although the hospital does not have a policy that addresses promotion, protection and support for breastfeeding, 93.3% of the mothers had contact with their babies immediately after birth (step 4), 83.3% of the professionals guided mothers how to breastfeed (step 5), 86.6% of the neonates did not receive any food or drink other than breast milk (step 6), 100% of babies were housed together with their mothers (step 7), 83.3% of the women were encouraged for breastfeeding on demand (step 8) and 100% of the infants did not use bottles or pacifiers (step 9). CONCLUSIONS: 60% of the steps were completed by the hospital. The greatest difficulty was to inform pregnant women about the importance and the management of breastfeeding (step 3). Therefore, visits to pregnant women are recommended, in order to prepare them for breastfeeding and to explain about the infants' healthy feeding habits. .
OBJETIVO: Realizar la autoevaluación de un hospital universitario sobre los Diez Pasos para el Éxito de la Lactancia Materna. MÉTODOS: Investigación descriptiva y cuantitativa. Se entrevistaron 103 personas en el ambulatorio de prenatal, en la maternidad y en la Unidad de Terapia Intensiva Neonatal de un hospital universitario de Vitória, Espírito Santo (Brasil). Se utilizó el "Cuestionario de Autoevaluación de los Hospitales" de la Iniciativa Hospital Amigo del Niño y el resultado fue computado por el índice de concordancia (IC) propuesto por la Organización Mundial de la Salud y por el Fondo de las Naciones Unidas para la Infancia. RESULTADOS: A pesar que el hospital no tiene una política que contemple la promoción, la protección y el apoyo a la amamantación, el 93,3% de las madres tuvo contacto con sus bebés inmediatamente después del parto (paso 4); el 83,3% de los profesionales mostró a las madres cómo amamantar (paso 5); el 86,6% de los neonatos no recibió alimento o bebida que no la leche humana (paso 6); el 100% de los bebés estaba alojado conjuntamente con sus madres (paso 7); el 83,3% de las mujeres recibió el incentivo de la lactancia bajo libre demanda (paso 8); y el 100% de los recién nacidos recibió cuidados sin el uso de biberones y chupetes (paso 9). CONCLUSIONES: El hospital cumplió con 60% de los pasos. La dificultad más grande fue informar a las gestantes sobre la importancia y el manejo de la amamantación (paso 3). Luego, se recomiendan discusiones con las gestantes a fin de prepararlas para amamantar, elucidando los aspectos de una alimentación sana para sus hijos. La ausencia de entrenamiento para los profesionales y de una política que defienda la lactancia se refleja en la carencia de orientaciones sobre la amamantación, influenciando el destete temprano. .
OBJETIVO: Realizar a autoavaliação de um hospital universitário sobre os Dez Passos para o Sucesso do Aleitamento Materno. MÉTODOS: Pesquisa descritiva e quantitativa. Entrevistaram-se 103 pessoas no ambulatório de pré-natal, na maternidade e na Unidade de Terapia Intensiva Neonatal de um hospital universitário de Vitória, Espírito Santo. Utilizou-se o "Questionário de Autoavaliação dos Hospitais" da Iniciativa Hospital Amigo da Criança e o resultado foi computado pelo índice de concordância (IC) proposto pela Organização Mundial da Saúde e pelo Fundo das Nações Unidas para a Infância. RESULTADOS: Apesar de o hospital não ter uma política que contemple a promoção, a proteção e o apoio à amamentação, 93,3% das mães tiveram contato com seus bebês imediatamente após o parto (passo 4); 83,3% dos profissionais mostraram às mães como amamentar (passo 5); 86,6% dos neonatos não receberam alimento ou bebida além do leite humano (passo 6), 100% dos bebês estavam alojados conjuntamente com suas mães (passo 7); 83,3% das mulheres receberam o incentivo do aleitamento sob livre demanda (passo 8) e 100% dos recém-nascidos receberam cuidados sem o uso de mamadeiras e chupetas (passo 9). CONCLUSÕES: 60% dos passos foram cumpridos pelo hospital. A maior dificuldade foi informar as gestantes sobre a importância e o manejo da amamentação (passo 3). Logo, recomendam-se discussões com as gestantes a fim de prepará-las para amamentar, elucidando os aspectos de uma alimentação saudável para seus filhos. .
Assuntos
Humanos , Recém-Nascido , Aleitamento Materno , Promoção da Saúde , Centros de Saúde Materno-Infantil , Hospitais Universitários , Guias de Prática Clínica como AssuntoRESUMO
OBJECTIVE: To asses the performance of the Ten Steps to Successful Breastfeeding in an university hospital. METHODS: Descriptive and quantitative research, in which 103 people were interviewed in the outpatient prenatal clinic, in the maternity-ward and in the Neonatal Intensive Care Unit of a university hospital in Vitória, Southeast Brazil. The "Institutional Self-Evaluation Questionnaire" of the Baby Friendly Hospital Initiative was applied. Using this tool, the outcome was measured by the concordance index (CI) proposed by the World Health Organization and by the United Nations Children's Fund. RESULTS: Although the hospital does not have a policy that addresses promotion, protection and support for breastfeeding, 93.3% of the mothers had contact with their babies immediately after birth (step 4), 83.3% of the professionals guided mothers how to breastfeed (step 5), 86.6% of the neonates did not receive any food or drink other than breast milk (step 6), 100% of babies were housed together with their mothers (step 7), 83.3% of the women were encouraged for breastfeeding on demand (step 8) and 100% of the infants did not use bottles or pacifiers (step 9). CONCLUSIONS: 60% of the steps were completed by the hospital. The greatest difficulty was to inform pregnant women about the importance and the management of breastfeeding (step 3). Therefore, visits to pregnant women are recommended, in order to prepare them for breastfeeding and to explain about the infants' healthy feeding habits.
