RESUMO
PURPOSE: Although most anesthetic drugs are classified as compatible with breastfeeding, literature shows that anesthesia providers routinely advise patients to discard milk when receiving all types of anesthesia. The purpose of this project was to determine if a multimodal educational module and cognitive aid improved student registered nurse anesthetists' knowledge and confidence to counsel lactating patients on current anesthesia-related recommendations. DESIGN: This project used a pre-experimental one-group, pretest and post-test design. METHODS: Preintervention and postintervention surveys measured knowledge and confidence to counsel lactating patients scheduled to receive anesthesia. FINDINGS: Significant improvement in knowledge and confidence after the intervention were noted. CONCLUSIONS: A multimodal educational session and cognitive aid improved student registered nurse anesthetists' knowledge about current anesthesia-related breastfeeding recommendations and their confidence in counseling these patients. Wider use of this educational module with the cognitive aid has the potential to positively impact breastfeeding patients and their children.
Assuntos
Anestesia , Aleitamento Materno , Humanos , Aleitamento Materno/métodos , Feminino , Anestesia/métodos , Anestesia/normas , Aconselhamento/métodos , Aconselhamento/normas , Adulto , Enfermeiros Anestesistas/educação , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e QuestionáriosRESUMO
The care of breastfeeding patients who require anesthesia presents unique challenges; therefore, caregivers must be knowledgeable regarding drugs' pharmacodynamic and pharmacokinetic profiles to ensure the safety of the breastfed infant. Although most anesthetic drugs are compatible with breastfeeding, health care providers continue to advise patients to "pump and dump." This advice can lead to undesirable outcomes, including interruption or cessation of breastfeeding, creating possible physical and psychological challenges for parents and their neonates. This article outlines best practices for the care of breastfeeding patients receiving anesthesia.