Márcia Cristina Guerreiro dos Reis

O espaço social das mulheres e a referência para o cuidado na prática da amamentação

This study aimed to identify agents or institutions taken as reference by women when breastfeeding. A qualitative study was carried out on 20 primiparous who were assisted, for reasons not related to breastfeeding, in the five health services selected by this study. Data were collected by semi-structured interviews carried out in the participants’ households and were analyzed by content analysis in the thematic mode. We identified that health professionals play a standardize role of breastfeeding based on scientific knowledge. In the daily breastfeeding routine, the family is the first reference for women, transmitting beliefs, habits and behaviors. We believe in the valorization of the family context by the health professional, in which actions and interactions in the breastfeeding issue are developed in order to constitute the foundations for a new care model in breastfeeding. This model should, therefore, consider the practice diversity, adapting actions to the multiple roles of being mother/fortress/wife/worker in the social context.

Indicadores do aleitamento materno no município de Ribeirão Preto, São Paulo

O estudo objetiva identificar a situacao do Aleitamento Materno utilizando os indicadores propostos pela OMS (1991), em criancas menores de 1 ano que compareceram a segunda etapa da campanha nacional de vacinacao em 1999, no municipio de Ribeirao Preto, SP. Do total de 7.894 criancas menores de 1 ano que compareceram a campanha de vacinacao, fizeram parte da amostra estudada 1.715 criancas (21,7%). Destas, 951 (55,5%) receberam leite materno nas ultimas 24 horas. Para o grupo menores de 4 meses (554 criancas) obtivemos os indices de 104 (18,8%) em Aleitamento Materno Exclusivo; 223 (40,3%) em Aleitamento Materno Predominante; 327 (59%) em Aleitamento Materno Completo; e 471 (85%) em Aleitamento Materno. A utilizacao de outro leite associado ao leite materno foi verificada em 144 (26%) das criancas menores de 4 meses e em 268 (31,5%) das criancas menores de 6 meses. A duracao media do aleitamento materno para o municipio foi de 6 meses. A metodologia possibilitou comparacao dos dados com aqueles obtidos para o Estado de Sao Paulo e forneceu subsidios para redirecionar e planejar acoes em aleitamento materno.

Women's social space and the reference for breastfeeding practice

This study aimed to identify agents or institutions taken as reference by women when breastfeeding. A qualitative study was carried out on 20 primiparous who were assisted, for reasons not related to breastfeeding, in the five health services selected by this study. Data were collected by semi-structured interviews carried out in the participants’ households and were analyzed by content analysis in the thematic mode. We identified that health professionals play a standardize role of breastfeeding based on scientific knowledge. In the daily breastfeeding routine, the family is the first reference for women, transmitting beliefs, habits and behaviors. We believe in the valorization of the family context by the health professional, in which actions and interactions in the breastfeeding issue are developed in order to constitute the foundations for a new care model in breastfeeding. This model should, therefore, consider the practice diversity, adapting actions to the multiple roles of being mother/fortress/wife/worker in the social context.

La prevalencia de anemia en niños de 3 a 12 meses de vida en un servicio de salud de Ribeirão Preto, SP, Brasil

Das carencias nutricionais entre criancas, a anemia ferropriva constitui-se no evento mais frequente. Este e um estudo transversal, descritivo, quantitativo, recorte de um projeto multicentrico, que verificou a prevalencia de anemia em criancas de 3 a 12 meses, em um servico de saude em Ribeirao Preto, SP. Foram realizadas entrevistas e dosagem de hemoglobina de 121 criancas que participaram do estudo. Adotaram-se dois criterios internacionais como parâmetros de anemia, de acordo com a idade da crianca. Para a analise dos dados foram utilizadas estatistica descritiva, medidas de tendencia central e associacoes. A prevalencia de anemia nas 69 criancas de 3 a 5 meses foi de 20,2% e naquelas 52, de 6 a 12 meses, foi de 48%. A prevalencia total de anemia foi de 32,2%. Encontrou-se associacao significativa entre anemia e idade da crianca e anemia e uso de leite de vaca fluido.Iron deficiency anemia is the most common nutritional deficiency among children. This cross-sectional, descriptive and quantitative study is part of a multicenter project, which verified the prevalence of anemia in children aged three to 12 months, treated by a health service unit in Ribeirão Preto, SP, Brazil. Interviews with mothers and determining hemoglobin dosage were carried out with 121 children who participated in the study. Two international criteria were adopted as parameters of anemia according to the childrens age. Descriptive statistics, measures of central tendency and associations were used for data analysis. The prevalence of anemia among 69 children aged three to 5 months was 20.2% and 48.0% among 52 children aged six to 12 months. The total prevalence of anemia was 32.2%. There was significant association between anemia and childrens age, and anemia and the consumption of liquid cows milk.

Prevalence of Anemia in Children Three to 12 Months Old in a Health Service in Ribeirão Preto, SP, Brazil

Das carencias nutricionais entre criancas, a anemia ferropriva constitui-se no evento mais frequente. Este e um estudo transversal, descritivo, quantitativo, recorte de um projeto multicentrico, que verificou a prevalencia de anemia em criancas de 3 a 12 meses, em um servico de saude em Ribeirao Preto, SP. Foram realizadas entrevistas e dosagem de hemoglobina de 121 criancas que participaram do estudo. Adotaram-se dois criterios internacionais como parâmetros de anemia, de acordo com a idade da crianca. Para a analise dos dados foram utilizadas estatistica descritiva, medidas de tendencia central e associacoes. A prevalencia de anemia nas 69 criancas de 3 a 5 meses foi de 20,2% e naquelas 52, de 6 a 12 meses, foi de 48%. A prevalencia total de anemia foi de 32,2%. Encontrou-se associacao significativa entre anemia e idade da crianca e anemia e uso de leite de vaca fluido.Iron deficiency anemia is the most common nutritional deficiency among children. This cross-sectional, descriptive and quantitative study is part of a multicenter project, which verified the prevalence of anemia in children aged three to 12 months, treated by a health service unit in Ribeirão Preto, SP, Brazil. Interviews with mothers and determining hemoglobin dosage were carried out with 121 children who participated in the study. Two international criteria were adopted as parameters of anemia according to the childrens age. Descriptive statistics, measures of central tendency and associations were used for data analysis. The prevalence of anemia among 69 children aged three to 5 months was 20.2% and 48.0% among 52 children aged six to 12 months. The total prevalence of anemia was 32.2%. There was significant association between anemia and childrens age, and anemia and the consumption of liquid cows milk.

Severe lactational mastitis: particularities from admission

OBJECTIVE to identify characteristics of women who have suffered severe lactational mastitis. METHOD a descriptive, retrospective, documentary, quantitative study was performed. Data were collected from patient records of 114 hospitalized women from January of 2009 to December of 2013. Data were analyzed by using descriptive statistics. RESULTS a higher percentage of severe lactational mastitis was found in young, primiparous women who had completed high school, who had no partner, and did not have a job; 96.5% of women had breast complications before admission and remained hospitalized an average of 4.4 days; at discharge, 23.7% of women had weaned their infants. CONCLUSION this study showed that severe lactational mastitis can cause great harm to the woman and the baby.

Prevalência de anemia em crianças de 3 a 12 meses de vida em um serviço de saúde de Ribeirão Preto, SP, Brasil

Das carencias nutricionais entre criancas, a anemia ferropriva constitui-se no evento mais frequente. Este e um estudo transversal, descritivo, quantitativo, recorte de um projeto multicentrico, que verificou a prevalencia de anemia em criancas de 3 a 12 meses, em um servico de saude em Ribeirao Preto, SP. Foram realizadas entrevistas e dosagem de hemoglobina de 121 criancas que participaram do estudo. Adotaram-se dois criterios internacionais como parâmetros de anemia, de acordo com a idade da crianca. Para a analise dos dados foram utilizadas estatistica descritiva, medidas de tendencia central e associacoes. A prevalencia de anemia nas 69 criancas de 3 a 5 meses foi de 20,2% e naquelas 52, de 6 a 12 meses, foi de 48%. A prevalencia total de anemia foi de 32,2%. Encontrou-se associacao significativa entre anemia e idade da crianca e anemia e uso de leite de vaca fluido.Iron deficiency anemia is the most common nutritional deficiency among children. This cross-sectional, descriptive and quantitative study is part of a multicenter project, which verified the prevalence of anemia in children aged three to 12 months, treated by a health service unit in Ribeirão Preto, SP, Brazil. Interviews with mothers and determining hemoglobin dosage were carried out with 121 children who participated in the study. Two international criteria were adopted as parameters of anemia according to the childrens age. Descriptive statistics, measures of central tendency and associations were used for data analysis. The prevalence of anemia among 69 children aged three to 5 months was 20.2% and 48.0% among 52 children aged six to 12 months. The total prevalence of anemia was 32.2%. There was significant association between anemia and childrens age, and anemia and the consumption of liquid cows milk.

EL ESPACIO SOCIAL DE MUJERES Y SU REFERENCIA PARA EL CUIDADO EN LA PRÁCTICA DE LA LACTANCIA

This study aimed to identify agents or institutions taken as reference by women when breastfeeding. A qualitative study was carried out on 20 primiparous who were assisted, for reasons not related to breastfeeding, in the five health services selected by this study. Data were collected by semi-structured interviews carried out in the participants’ households and were analyzed by content analysis in the thematic mode. We identified that health professionals play a standardize role of breastfeeding based on scientific knowledge. In the daily breastfeeding routine, the family is the first reference for women, transmitting beliefs, habits and behaviors. We believe in the valorization of the family context by the health professional, in which actions and interactions in the breastfeeding issue are developed in order to constitute the foundations for a new care model in breastfeeding. This model should, therefore, consider the practice diversity, adapting actions to the multiple roles of being mother/fortress/wife/worker in the social context.

Mastite lactacional grave: particularidades da internação à alta

OBJECTIVE to identify characteristics of women who have suffered severe lactational mastitis. METHOD a descriptive, retrospective, documentary, quantitative study was performed. Data were collected from patient records of 114 hospitalized women from January of 2009 to December of 2013. Data were analyzed by using descriptive statistics. RESULTS a higher percentage of severe lactational mastitis was found in young, primiparous women who had completed high school, who had no partner, and did not have a job; 96.5% of women had breast complications before admission and remained hospitalized an average of 4.4 days; at discharge, 23.7% of women had weaned their infants. CONCLUSION this study showed that severe lactational mastitis can cause great harm to the woman and the baby.

Mastitis de la lactancia severa: particularidades desde el ingreso hasta el alta

OBJECTIVE to identify characteristics of women who have suffered severe lactational mastitis. METHOD a descriptive, retrospective, documentary, quantitative study was performed. Data were collected from patient records of 114 hospitalized women from January of 2009 to December of 2013. Data were analyzed by using descriptive statistics. RESULTS a higher percentage of severe lactational mastitis was found in young, primiparous women who had completed high school, who had no partner, and did not have a job; 96.5% of women had breast complications before admission and remained hospitalized an average of 4.4 days; at discharge, 23.7% of women had weaned their infants. CONCLUSION this study showed that severe lactational mastitis can cause great harm to the woman and the baby.