Alves Fernanda Nascimento, Azevedo Vivian Mara Gonçalves de Oliveira, Moura Magda Regina Silva, Ferreira Daniela Marques de Lima Mota, Araújo Cristina Guimarães Arantes, Mendes-Rodrigues Clesnan, Wolkers Paula Carolina Bejo
Ambulatório de Pediatria, Hospital de Clínicas, Universidade Federal de Uberlândia. Av. Pará 1720, Umuarama. 38400-902 Uberlândia MG Brasil.
Faculdade de Medicina, Instituto Master de Ensino Presidente Antônio Carlos (IMEPAC Araguari). Araguari MG Brasil.
Cien Saude Colet. 2020 Nov;25(11):4509-4520. doi: 10.1590/1413-812320202511.29942018. Epub 2018 Dec 29.
The scope of this integrative review of the literature was to assess if the Kangaroo-Mother Care Method as implemented in Brazil, from the first stage to outpatient follow-up, has an influence on breastfeeding. Brazilian research published in national and international journals in Portuguese, English or Spanish in the leading research databases between the years 2000 to 2017 was included, with full articles available and theme related to the scope of this study. A total of 1328 articles were located and articles not conducted in Brazil, literature review articles and themes not related to the Kangaroo-Mother Care Method were excluded, with 21 studies eventually being selected. The research results indicated a positive influence of the Kangaroo-Mother Care Method on breastfeeding and establishing a mother-child bond. However, the third stage or outpatient follow-up proved not to be effective in maintaining breastfeeding. Greater participation of primary care in home care provided to preterm newborns is necessary, with a view to promoting exclusive breastfeeding up to six months of age and extended up to two years of age.
本综合性文献综述的范围是评估在巴西实施的袋鼠式护理法，从第一阶段到门诊随访，是否对母乳喂养有影响。纳入了2000年至2017年间在主要研究数据库中以葡萄牙语、英语或西班牙语发表在国内和国际期刊上的巴西研究，文章全文可获取且主题与本研究范围相关。共检索到1328篇文章，排除了非巴西开展的研究、文献综述文章以及与袋鼠式护理法无关的主题，最终选定21项研究。研究结果表明，袋鼠式护理法对母乳喂养和建立母婴关系有积极影响。然而，第三阶段或门诊随访在维持母乳喂养方面被证明无效。初级保健需要更多地参与到为早产新生儿提供的家庭护理中，以促进纯母乳喂养至六个月龄，并延长至两岁。
