Mariana Rabello Laignier

Baby-Friendly Hospital Initiative: evaluation of the Ten Steps to Successful Breastfeeding

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 Vitoria, 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.

Iniciativa Hospital Amigo da Criança: avaliação dos Dez Passos para o Sucesso do Aleitamento Materno

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 Vitoria, 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.

Iniciativa Hospital Amigo del Niño: evaluación de los Diez Pasos para el Éxito de la Lactancia Materna

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 Vitoria, 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.

With opened eyes: evaluating the visual acuity of children at an elementary school in Vitória

Resumen Este estudio analiza la agudeza visual de los niños de una escuela municipal en la ciudad de Vitória – Espírito Santo, mediante la aplicación de la prueba de agudeza visual. Basado en la escala de Snellen; y remitir para un examen especializado en la clínica de oftalmología del Hospital Universitario Cassiano Antônio Moraes a los niños con trastornos visuales. Desarrolla un estudio de enfoque cuantitativo y se analiza la agudeza visual relacionada con el género, la edad, la serie, el uso de lentes correctoras y el diagnóstico médico. De los 168 niños evaluados, mayor cantidad de las niñas exhibirán baja agudeza visual, así como los grupos de edad más jóvenes; el uso de lentes prevalece sobre las personas con reducción de la agudeza visual; y 71,4% de los niños a que se refiere el médico había cierto grado de ametropia. Se concluyó que el trabajo de la prevención es fundamental para obtener una óptima salud visual, y que el profesional de la salud es esencial en el desarrollo de proyectos destinados a la salud escolar. Palabras clave: Salud Escolar. Agudeza visual. Cuidados de Enfermería. Prevención Primaria. 1Enfermeira, Mestre em Saúde Coletiva pela UFES. Especialista em Educação Profissional na Área de Saúde: Enfermagem, pela Escola Nacional de Saúde Pública (ENSP). Professora Assistente da disciplina de Atenção à Saúde da Mulher, Criança e Adolescente da Universidade Federal do Espírito Santo. Brasil. E-mail: marianarl2000@hotmail.com, 2Enfermeira graduada pela Universidade Federal do Espírito Santo. Brasil. E-mail: maludecastro@gmail.com, 3Enfermeira graduada pela Universidade Federal do Espírito Santo. Brasil. E-mail:paulinhascs@gmail.com PESQUISA RESEARCH INVESTIGACIÓN This research evaluates the visual acuity of children at Prezideu Amorim Elementary School in the city of Vitória – Espírito Santo, based on applying the scale of Snellen; and children who had visual disorders were referred to specialist examination at the ophthalmology clinic of Antônio Cassiano Moraes University Hospital. This essay develops a study of quantitative approach and discussed visual acuity related to sex, age, grade, use of corrective lenses and medical diagnosis. The results showed that the girls present greater prevalence of low visual acuity, as well as the younger age ranks; the use of lenses prevails on those that presented reduction of the visual acuity; and the majority of the children sent to the doctor presented some degree of ametropy. It concluded that prevention in order to get an excellent visual health is a duty of the health professional and of the professor, that together, they can develop other projects in the field of school health.Esta pesquisa buscou verificar a acuidade visual dos estudantes de uma escola municipal de Vitoria Espirito Santo, por meio da aplicacao do teste de acuidade visual, baseado na Escala de Snellen; e encaminhar, para exame especializado no ambulatorio de oftalmologia do Hospital Universitario Cassiano Antonio Moraes, as criancas que apresentaram deficit visual. Foi um estudo de abordagem quantitativa que discutiu a acuidade visual relacionada ao sexo, idade, serie, uso de lentes corretoras e diagnostico medico. Das 168 criancas avaliadas, maior numero de meninas apresentou baixa acuidade visual, assim como os alunos mais jovens; o uso de lentes predominou naqueles que apresentaram reducao da acuidade visual; e 71,4% das criancas encaminhadas ao medico apresentaram algum grau de ametropia. Concluiu-se que o trabalho de prevencao e fundamental para se obter uma otima saude visual, e que o profissional de saude e fundamental no desenvolvimento de projetos voltados para a saude escolar.Este estudio analiza la agudeza visual de los ninos de una escuela municipal en la ciudad de Vitoria Espirito Santo, mediante la aplicacion de la prueba de agudeza visual. Basado en la escala de Snellen; y remitir para un examen especializado en la clinica de oftalmologia del Hospital Universitario Cassiano Antonio Moraes a los ninos con trastornos visuales. Desarrolla un estudio de enfoque cuantitativo y se analiza la agudeza visual relacionada con el genero, la edad, la serie, el uso de lentes correctoras y el diagnostico medico. De los 168 ninos evaluados, mayor cantidad de las ninas exhibiran baja agudeza visual, asi como los grupos de edad mas jovenes; el uso de lentes prevalece sobre las personas con reduccion de la agudeza visual; y 71,4% de los ninos a que se refiere el medico habia cierto grado de ametropia. Se concluyo que el trabajo de la prevencion es fundamental para obtener una optima salud visual, y que el profesional de la salud es esencial en el desarrollo de proyectos destinados a la salud escolar.

De ojos bien abiertos: investigar la agudeza visual de los alumnos de una escuela municipal en la ciudad de Vitória

Resumen Este estudio analiza la agudeza visual de los niños de una escuela municipal en la ciudad de Vitória – Espírito Santo, mediante la aplicación de la prueba de agudeza visual. Basado en la escala de Snellen; y remitir para un examen especializado en la clínica de oftalmología del Hospital Universitario Cassiano Antônio Moraes a los niños con trastornos visuales. Desarrolla un estudio de enfoque cuantitativo y se analiza la agudeza visual relacionada con el género, la edad, la serie, el uso de lentes correctoras y el diagnóstico médico. De los 168 niños evaluados, mayor cantidad de las niñas exhibirán baja agudeza visual, así como los grupos de edad más jóvenes; el uso de lentes prevalece sobre las personas con reducción de la agudeza visual; y 71,4% de los niños a que se refiere el médico había cierto grado de ametropia. Se concluyó que el trabajo de la prevención es fundamental para obtener una óptima salud visual, y que el profesional de la salud es esencial en el desarrollo de proyectos destinados a la salud escolar. Palabras clave: Salud Escolar. Agudeza visual. Cuidados de Enfermería. Prevención Primaria. 1Enfermeira, Mestre em Saúde Coletiva pela UFES. Especialista em Educação Profissional na Área de Saúde: Enfermagem, pela Escola Nacional de Saúde Pública (ENSP). Professora Assistente da disciplina de Atenção à Saúde da Mulher, Criança e Adolescente da Universidade Federal do Espírito Santo. Brasil. E-mail: marianarl2000@hotmail.com, 2Enfermeira graduada pela Universidade Federal do Espírito Santo. Brasil. E-mail: maludecastro@gmail.com, 3Enfermeira graduada pela Universidade Federal do Espírito Santo. Brasil. E-mail:paulinhascs@gmail.com PESQUISA RESEARCH INVESTIGACIÓN This research evaluates the visual acuity of children at Prezideu Amorim Elementary School in the city of Vitória – Espírito Santo, based on applying the scale of Snellen; and children who had visual disorders were referred to specialist examination at the ophthalmology clinic of Antônio Cassiano Moraes University Hospital. This essay develops a study of quantitative approach and discussed visual acuity related to sex, age, grade, use of corrective lenses and medical diagnosis. The results showed that the girls present greater prevalence of low visual acuity, as well as the younger age ranks; the use of lenses prevails on those that presented reduction of the visual acuity; and the majority of the children sent to the doctor presented some degree of ametropy. It concluded that prevention in order to get an excellent visual health is a duty of the health professional and of the professor, that together, they can develop other projects in the field of school health.Esta pesquisa buscou verificar a acuidade visual dos estudantes de uma escola municipal de Vitoria Espirito Santo, por meio da aplicacao do teste de acuidade visual, baseado na Escala de Snellen; e encaminhar, para exame especializado no ambulatorio de oftalmologia do Hospital Universitario Cassiano Antonio Moraes, as criancas que apresentaram deficit visual. Foi um estudo de abordagem quantitativa que discutiu a acuidade visual relacionada ao sexo, idade, serie, uso de lentes corretoras e diagnostico medico. Das 168 criancas avaliadas, maior numero de meninas apresentou baixa acuidade visual, assim como os alunos mais jovens; o uso de lentes predominou naqueles que apresentaram reducao da acuidade visual; e 71,4% das criancas encaminhadas ao medico apresentaram algum grau de ametropia. Concluiu-se que o trabalho de prevencao e fundamental para se obter uma otima saude visual, e que o profissional de saude e fundamental no desenvolvimento de projetos voltados para a saude escolar.Este estudio analiza la agudeza visual de los ninos de una escuela municipal en la ciudad de Vitoria Espirito Santo, mediante la aplicacion de la prueba de agudeza visual. Basado en la escala de Snellen; y remitir para un examen especializado en la clinica de oftalmologia del Hospital Universitario Cassiano Antonio Moraes a los ninos con trastornos visuales. Desarrolla un estudio de enfoque cuantitativo y se analiza la agudeza visual relacionada con el genero, la edad, la serie, el uso de lentes correctoras y el diagnostico medico. De los 168 ninos evaluados, mayor cantidad de las ninas exhibiran baja agudeza visual, asi como los grupos de edad mas jovenes; el uso de lentes prevalece sobre las personas con reduccion de la agudeza visual; y 71,4% de los ninos a que se refiere el medico habia cierto grado de ametropia. Se concluyo que el trabajo de la prevencion es fundamental para obtener una optima salud visual, y que el profesional de la salud es esencial en el desarrollo de proyectos destinados a la salud escolar.