NDLI: Estratégias de promoção e manutenção do aleitamento materno baseadas em evidência: revisão sistemática

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Estratégias de promoção e manutenção do aleitamento materno baseadas em evidência: revisão sistemática

Content Provider	Semantic Scholar
Author	Almeida, Izadora Souza Artiaga De Pugliesi, Yasmin Rosado, Luiza Emylce Pelá
Copyright Year	2015
Abstract	Identificar estrategias desenvolvidas para melhorar os indices de aleitamento materno cuja eficacia tenha sido testada por estudos randomizados. Foi feita uma revisao sistematica da literatura, em que foram selecionados ensaios clinicos randomizados, publicados nos ultimos 15 anos, que tiveram o intuito de testar tecnicas ou estrategias de promocao e/ou manutencao da amamentacao. As bases de dados utilizadas foram: Medline-PubMed, BIREME, SciELO, Lilacs e Cochrane Library. Foram incluidos 14 artigos, com um total de 20.800 pares de maes e respectivos recem-nascidos, dos quais 3 avaliaram iniciacao e 11 estudaram iniciacao e manutencao do aleitamento materno. Estudos que tiveram como tatica suporte individualizado e mais prolongado para as pacientes e maior capacitacao da equipe de saude se mostraram mais efetivos na melhoria das taxas de amamentacao. Acoes educativas isoladas sao pouco eficazes no aumento das taxas de amamentacao. Programas que se baseiam em suporte mais amplo e aconselhamento individual se mostraram mais efetivos. To identify strategies developed to improve breastfeeding rates, whose effectiveness have been tested by randomized trials. A systematic review was made, where Randomized Controlled Trials, published in the last fifteen years, were selected if designed to test techniques or strategies for breastfeeding promotion and/or maintenance. The databases accessed were: Medline-PubMed, BIREME, SciELO, Lilacs and Cochrane Library. We included 14 articles with a total of 20800 pairs of mothers and their newborns, of which three evaluated initiation and 11 studied initiation and maintenance of breastfeeding. Studies using strategies of longer individualized support for the patients and better health staff training were more effective in improving breastfeeding rates. Isolated educational strategies are ineffective in increasing breastfeeding rates. Programs that are based on more extensive and individual counseling support proved to be more effective.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://files.bvs.br/upload/S/0100-7254/2015/v43n3/a5114.pdf
Volume Number	43
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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