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基层医疗中母乳喂养门诊作为促进母乳喂养的重要举措:经验报告。

Breastfeeding outpatient in primary care as an important action to promote breastfeeding: experience report.

机构信息

Programa de Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

出版信息

Codas. 2024 May 27;36(3):e20220234. doi: 10.1590/2317-1782/20232022234pt. eCollection 2024.

Abstract

This paper describe a successful experience of promotion, prevention and support for breastfeeding developed by professionals from a basic health unit. This is a Breastfeeding Outpatient Clinic, implemented in a health center in Belo Horizonte, in August 2019. The Outpatient Clinic was established based on the perception of the unit's team that many mothers had difficulty breastfeeding, however, due to the work overload of this team, this assistance did not occur in a timely manner, resulting in early weaning. Initially, a meeting was held to sensitize the team on the breastfeeding indicators of the unit. Based on this knowledge, the implementation of a breastfeeding Outpatient clinic was proposed, aimed not only at dyad with difficulties in managing breastfeeding, but at all postpartum women in the area covered by that health center. A flow was created, through which it was established that all postpartum women who brought their children to carry out the heel prick test at the unit would be referred to the Breastfeeding Outpatient Clinic to perform this service. With the improvement of care, the users of the health center started to breastfeed for longer, which reflected in the improvement of the unit's indicators.

摘要

本文描述了基层卫生机构专业人员在促进、保护和支持母乳喂养方面取得的成功经验。这是一家母乳喂养门诊,于 2019 年 8 月在贝洛奥里藏特的一家医疗中心实施。该门诊的设立基于该单位团队的认识,即许多母亲在母乳喂养方面存在困难,但由于该团队的工作量过大,这种帮助未能及时提供,导致早期断奶。最初,召开了一次会议,使团队对单位的母乳喂养指标有了敏感性认识。在此基础上,提出实施母乳喂养门诊,不仅针对在管理母乳喂养方面有困难的母婴对,还针对该医疗中心所覆盖的所有产后妇女。创建了一个流程,规定所有带孩子到单位进行足跟采血测试的产后妇女都将被转介到母乳喂养门诊进行这项服务。随着护理水平的提高,医疗中心的使用者开始延长母乳喂养时间,这反映在单位指标的改善上。

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