Amamentação no alojamento conjunto.

AMAMENTAÇÃO NO ALOJAMENTO CONJUNTO

Maternal breastfeeding in rooming-in

Maria Cecilia dos Santos Marques_{, Adriana de Medeiros Melo}

RESUMO

Objetivo: CXCNKCT C COCOGPVCÁºQ GO DGDÄU FQ #NQLCOGPVQ %QPLWPVQ KFGPVKſECT G CXCNKCT CU FKſ

-EWNFCFGUPQKPÈEKQFQCNGKVCOGPVQOCVGTPQMétodos:GUVWFQVTCPUXGTUCNFGUETKVKXQ#COQUVTCHQK EQPUVKVWÈFCFGDKPÏOKQUOºGTGEÃOPCUEKFQUGOOCVGTPKFCFGRÕDNKECGUVCFWCN SWGCVGPFGCQ RCTVQFGCNVQTKUEQRGNQ5KUVGOC­PKEQFG5CÕFG7VKNK\CPFQRTQVQEQNQFQ(WPFQFCU0CÁÐGU7PKFCU RCTC+PH¸PEKCRCTCQDUGTXCÁºQGCXCNKCÁºQFCOCOCFCHQTCOTGIKUVTCFQUQUEQORQTVCOGPVQUFG ECFCFWRNCEQORWVCPFQUGCHTGS×ÄPEKCFGEQORQTVCOGPVQUFGUHCXQT¶XGKUCQCNGKVCOGPVQOCVGTPQ GZENWUKXQ#NÃOFKUUQHQTCOEQNGVCFQUFCFQUPQRTQPVW¶TKQFQDGDÄGCRNKECFQWOSWGUVKQP¶TKQEQO CUOºGUResultados:CHTGS×ÄPEKCFGDKPÏOKQUSWGCRTGUGPVCTCOEQORQTVCOGPVQUUWIGUVKXQUFG UÃTKCUFKſEWNFCFGUGUEQTGTWKOEQOQKPKEKQFQCNGKVCOGPVQOCVGTPQXCTKQWGPVTGGEQP

-HQTOGQCURGEVQFCOCOCFCCXCNKCFC#UFKſEWNFCFGUGPEQPVTCFCUHQTCOCFGSWCÁºQFCUWEÁºQ O¶ RQUKÁºQ EQTRQTCN FC OºG G FQ DGDÄ FWTCPVG C OCOCFC Q CURGEVQ FC CPCVQOKC FCU OCOCU TGURQUVCUFCFWRNCGCHGVKXKFCFG'UVCUFKſEWNFCFGUHQTCOOCKUUKIPKſECPVGUSWCPFQQRCTVQHQKEKTÕT

-IKEQRGCOºGPºQTGEGDGWQTKGPVCÁÐGUUQDTGCNGKVCOGPVQOCVGTPQR%QPENWUºQ HQKGPEQPVTCFQITCPFGPÕOGTQFGDKPÏOKQUOºGDGDÄEQOEQORQTVCOGPVQUWIGUVKXQFGFKſEWNFC

-FGUKPKEKCKUPCCOCOGPVCÁºQ6CODÃOHQKQDUGTXCFCCPGEGUUKFCFGFCTGCNK\CÁºQFGWOVTCDCNJQ FGQTKGPVCÁºQLWPVQ´UOºGUQSWCPVQCPVGUCſOFGSWGGUVCUCFSWKTCOWOCVÃEPKECEQTTGVCFG COCOGPVCÁºQ

DESCRITORES:#NQLCOGPVQ%QPLWPVQ#NGKVCOGPVQ/CVGTPQ%QORQTVCOGPVQ/CVGTPQ

_{#ECFÄOKEC FQ EWTUQ FG (QPQCWFKQNQIKC FC 7PKXGTUKFCFG}

'UVCFWCNFG%KÄPEKCUFC5CÕFGFG#NCIQCU

_{)RQRDXGLyORJD'RFHQWHGD)DFXOGDGHGH)RQRDXGLRORJLD}

GD 8QLYHUVLGDGH (VWDGXDO GH &LrQFLDV GD 6D~GH GH$OD JRDV0HVWUDQGDHP6D~GHGD&ULDQoDHGR$GROHVFHQWH SHOD8QLYHUVLGDGH)HGHUDOGH3HUQDPEXFR

INTRODUÇÃO

#COCOGPVCÁºQÃQCEQPVGEKOGPVQOCKUKORQT

-VCPVG FQU RTKOGKTQU OGUGU FG XKFC FQ DGDÄ GNC TGHQTÁC Q XKPEWNQ GPVTG OºG G ſNJQ RTQOQXG Q CWOGPVQFQUCPVKEQTRQUGQICPJQFGRGUQCUUKO EQOQ CLWFC PQ FGUGPXQNXKOGPVQ FCU GUVTWVWTCU QTCKUEQOQN¶DKQUNÈPIWCDQEJGEJCURCNCVQFWTQG OQNGTGURQPU¶XGKURGNQHWPEKQPCOGPVQCFGSWCFQ FCU HWPÁÐGU FG TGURKTCÁºQ UWEÁºQ FGINWVKÁºQ OCUVKICÁºQ G HQPQCTVKEWNCÁºQ G RTQRKEKC Q RCFTºQ PCUCNFGTGURKTCÁºQ_{œCKPFCCRTKPEKRCNCNVGTPCVKXC} PWVTKEKQPCN RCTC C ETKCPÁC SWG CUUQEKC GNGOGPVQU HWPFCOGPVCKUFCPWVTKÁºQEQTTGVCCNKOGPVQUCÕFGG EWKFCFQUGRTGXKPGCFGUPWVTKÁºQ_#NÃOFGUUGU CURGEVQUQWUQFQNGKVGOCVGTPQVCODÃORTGXKPGC EQPVTCÁºQ FG FQGPÁCU KPHGEEKQUCU RTKPEKRCNOGPVG

Ŷ

-UCU FG OQTVCNKFCFG KPHCPVKN _{%QPVTKDWK VCODÃO} RCTC C GUVTWVWTCÁºQ RUKEQGOQEKQPCN FC ETKCPÁC 2CTCCOºGHCXQTGEGCRGTFCFGRGUQCFSWKTKFQPC IGUVCÁºQCWZKNKCPQRTQEGUUQFGKPXQNWÁºQWVGTKPC EQOTGFWÁºQFGRGTFCFGUCPIWGGFKOKPWKCRTQ

-DCDKNKFCFGFCQEQTTÄPEKCFGE¸PEGTFGOCOC 2QT FGUEQPJGEKOGPVQ FC KORQTV¸PEKC FC COC

-OGPVCÁºQ FGUFG Q RTÃPCVCN CNÃO FQU HCVQTGU FG QTFGO DKQNÎIKEC RUKEQNÎIKEC G UÎEKQEWNVWTCKU Q DGDÄRQFGHC\GTWOCRGICKPEQTTGVCPQRGKVQQEQT

-TGPFQWOCQTFGPJCKPGſEKGPVG_2QTKUUQWOFQU KPVGTGUUGU FC (QPQCWFKQNQIKC à SWG GUVC HWPÁºQ UGLCTGCNK\CFCCUUKOSWGQDGDÄPCUEGFGOQFQ GſEKGPVG G RTC\GTQUQ RCTC Q DKPÏOKQ OºGDGDÄ FGUVCHQTOCHCEKNKVCCCFGSWCÁºQFCUHWPÁÐGUQTCKU CWZKNKCPFQPCRTGXGPÁºQFCUCNVGTCÁÐGUFGNKPIWC

-IGOGFCUGUVTWVWTCUQTQHCEKCKU

)TCEG 0GY *CXGP *QURKVCN HQK KPCWIWTCFC C RTK

-OGKTCőTQQOKPIKPWPKVŒEQONGKVQUGDGTÁQU₁ #NQLCOGPVQ%QPLWPVQ#%EQPUKUVGPQUKUVGOCJQU

-RKVCNCTGOSWGQTGEÃOPCUEKFQ40UCFKQRGTOC

-PGEG CQ NCFQ FC OºG FWTCPVG UWC JQURKVCNK\CÁºQ RÎURCTVQ SWCPFQ NJGU UGTºQ RTGUVCFQU VQFQU QU EWKFCFQUCUUKUVGPEKCKUGFGQTKGPVCÁºQPGEGUU¶TKQU ´UCÕFGFGUUGDKPÏOKQOºGſNJQ

'OPQ*QURKVCN&KUVTKVCNFG$TCUÈNKCQRTQ

-HGUUQT'TPGUVQ5KNXCKORNCPVQWCRTKOGKTCGZRGTKÄP

-EKCFGWVKNK\CÁºQFG#%PQ$TCUKN'OPC8 4GWPKºQFG2GTKPCVQNQIKCFQ/KPKUVÃTKQFC5CÕFG HQKTGEQOGPFCFQSWGQUTGEÃOPCUEKFQUUGOTKUEQ FGXGUUGOſECTCQNCFQFCUOºGUGPºQOCKUGO DGTÁ¶TKQU_{'OHQKGUVCDGNGEKFQRGNQ/KPKU} -VÃTKQFC5CÕFGQ2TQITCOC0CEKQPCNFG+PEGPVKXQ CQ #NGKVCOGPVQ /CVGTPQ 20+#/ SWG WVKNK\QW C OÈFKCRCTCFKXWNICÁºQFQUDGPGHÈEKQUFCCOCOGP

-VCÁºQ&QKUCPQUFGRQKUGOC1TICPK\CÁºQ /WPFKCNFG5CÕFG1/5GQ(WPFQFCU0CÁÐGU 7PKFCURCTC+PH¸PEKC70+%'(GNCDQTCTCOQUőFG\ RCUUQU RCTC Q UWEGUUQ FQ CNGKVCOGPVQ OCVGTPQŒ EQO C ETKCÁºQ FC ő+PKEKCVKXC *QURKVCN #OKIQ FC %TKCPÁCŒ +*#% VÈVWNQ SWG HCEKNKVC C XGTDC RCTC QUJQURKVCKUSWGUGIWGOTKIQTQUCOGPVGGUVGRTQ

-ITCOCSWGRTQOQXGRTQVGIGGKPEGPVKXCQFKTGKVQ ´COCOGPVCÁºQCſOFGTGFW\KTQFGUOCOGRTG

-EQEGGUWCUEQPUGS×ÄPEKCUUQDTGCOQTDKOQTVCNK

-FCFGKPHCPVKN

#+*#%RTQRÐGCQJQURKVCNFGſPKTWOCPQTOCFG CNGKVCOGPVQOCVGTPQPºQWVKNK\CÁºQFGDKEQUCTVKſ

-EKCKUQWEJWRGVCUVTGKPCOGPVQFCGSWKRGFGUCÕFG SWGRTGUVCCUUKUVÄPEKC´UOºGUGDGDÄUQTKGPVCÁºQ GCRQKQ´UIGUVCPVGUGCKORNCPVCÁºQFQCNQLCOGPVQ EQPLWPVQ_{&GPVTGCUCÁÐGUCQCNGKVCOGPVQOCVGTPQ} TGEQOGPFCFCUGPEQPVTCUGCQDUGTXCÁºQFGECFC FWRNCOºGPGQPCVQFWTCPVGWOCOCOCFC_'UUC CVKXKFCFGVGOUKFQRTQRQUVCEQOQHQTOCFGKFGPVK

-ſECTOºGUGDGDÄUSWGPGEGUUKVCOFGCRQKQGZVTC VGPFQUKFQRTQRQUVQRGNQ70+%'(WORTQVQEQNQRCTC QTKGPVCTGUUCCVKXKFCFGGOSWGUºQCRTGUGPVCFQU QUEQORQTVCOGPVQUOCVGTPQUGFQTGEÃOPCUEKFQ FGUGL¶XGKU G QWVTQU KPFKECVKXQU FG RTQDNGOCU 5GIWPFQFCFQUFQ70+%'(PQ$TCUKNGO#NCIQCU GZKUVGO CRGPCU *QURKVCKU ő#OKIQ FC %TKCPÁCŒ UGPFQSWGPQOWPKEÈRKQFG/CEGKÎEQPVCEQOCRG

-PCUWOJQURKVCNSWGTGEGDGGUUGVKVWNQ

0CUECRKVCKUDTCUKNGKTCUCOGFKCPCFGCOCOGP

-VCÁºQÃFGOGUGU0QGPVCPVQCOGFKCPCFGCOC

-OGPVCÁºQGZENWUKXCÃFGCRGPCUFKCUJCXGPFQ XCTKCÁÐGUTGIKQPCKUQSWGFGOQPUVTCECTCEVGTÈUVKEC KORQTVCPVG FG RTQDNGOC FG UCÕFG RÕDNKEC œ KPVGTGUUCPVG TGUUCNVCT SWG Q CNGKVCOGPVQ à WOC GUVTCVÃIKC HWPFCOGPVCN RCTC C TGFWÁºQ FC OQTVC

-NKFCFG KPHCPVKN G RCTC C OGNJQTKC FC SWC-NKFCFG FC UCÕFGFCRQRWNCÁºQCNÃOFGPºQVGTEWUVQURCTC

C HCOÈNKC _{0Q GUVWFQ TGCNK\CFQ RGNQ 5KUVGOC FG} +PHQTOCÁºQFC#VGPÁºQ$¶UKEC5+#$GOPQ $TCUKNFCUETKCPÁCUCVÃOGUGUVGOCNGKVC

-OGPVQOCVGTPQGZENWUKXQGPQGUVCFQFG#NCIQCU GUUGPÕOGTQECKRCTC

&KCPVGFQDCKZQÈPFKEGFGCNGKVCOGPVQOCVGTPQ GZENWUKXQ PQ 'UVCFQ FG #NCIQCU G FC KORQTV¸PEKC FCTGCNK\CÁºQFGWOGUVWFQSWGRQUUCKFGPVKſECTQU HCVQTGUSWGNGXCOCGUUCUKVWCÁºQGUVGVTCDCNJQVGO EQOQQDLGVKXQCXCNKCTCCOCOGPVCÁºQFGDGDÄUPQ #NQLCOGPVQ%QPLWPVQPC/CVGTPKFCFG'UEQNC5CPVC /ÏPKEC/'5/RCTCKFGPVKſECTGCXCNKCTCUFKſEWN

-FCFGURTGUGPVGUPQKPÈEKQFQCNGKVCOGPVQOCVGTPQ

MÉTODOS

'UVGÃWOGUVWFQCPCNÈVKEQEQOEQTVGVTCPUXGT

-UCNGSWCPVKVCVKXQTGCNK\CFQPQRGTÈQFQFGLCPGKTQC OCKQFGPC/CVGTPKFCFG'UEQNC5CPVC/ÏPKEC NQECNK\CFC PC EKFCFG FG /CEGKÎ#. KPUVKVWKÁºQ FG TGHGTÄPEKC RCTC VQFQ Q 'UVCFQ XKUVQ SWG CVGPFG IGUVCPVGU FG CNVQ TKUEQ RGNQ 5KUVGOC ­PKEQ FG 5CÕFG5751#NQLCOGPVQ%QPLWPVQÃEQORQUVQ RQTFWCUGPHGTOCTKCU'PHGTOCTKC+G++CODCUEQO EKPEQSWCTVQU#SWCPVKFCFGFGNGKVQUXCTKCFGSWC

-VTQCUGVGRQTSWCTVQ

# COQUVTC HQK EQPUVKVWÈFC RQT DKPÏOKQU OºGUTGEÃOPCUEKFQU(QTCOCFQVCFQUQUUGIWKP

-VGUETKVÃTKQUFGKPENWUºQTGEÃOPCUEKFQUUCWF¶XGKU PºQIGOGNCTGUGEQORGUQFGPCUEKOGPVQKIWCNQW OCKQTSWGI,¶QUETKVÃTKQUFGGZENWUºQHQTCO TGEÃOPCUEKFQURTGOCVWTQU

1RVQWUG RQT TGCNK\CT VQFCU CU GPVTGXKUVCU G QDUGTXCÁÐGU PC 'PHGTOCTKC ++ WOC XG\ SWG PC 'PHGTOCTKC+GPEQPVTCXCOUGOWKVQUDKPÏOKQUHQTC FQUETKVÃTKQUFGKPENWUºQ

# EQORCTCÁºQ FG ECTCEVGTÈUVKECU FC COQUVTC EQO C RQRWNCÁºQ CUUKUVKFC PC OCVGTPKFCFG GO CPQOCKURTÎZKOQFCEQNGVCFGFCFQUFGUVG GUVWFQ RCTC Q SWCN GZKUVGO FCFQU PQ 0*'2 Ō 0ÕENGQ FG 'RKFGOKQNQIKC *QURKVCNCT FC /CVGTPK

-FCFG'UEQNC5CPVC/ÏPKECŌKPFKEQWSWGGUVCRQFG UGTEQPUKFGTCFCTGRTGUGPVCVKXC#OÃFKCFGKFCFG FCUOºGUPCCOQUVTCGPCRQRWNCÁºQ CRTQRQTÁºQFGRCTVQUEGUCTKCPQUGGQ RGUQOÃFKQFCUETKCPÁCUIGIHQTCO UGOGNJCPVGU

+PKEKCNOGPVG Q VGTOQ FG EQPUGPVKOGPVQ NKXTG G GUENCTGEKFQ HQK NKFQ GZRNKECFQ XGTDCNOGPVG G CUUK

-PCFQRGNQURCTVKEKRCPVGUFQGUVWFQ2QUVGTKQTOGPVG HQTCORGUSWKUCFQUFCFQUPQRTQPVW¶TKQFQUTGEÃO PCUEKFQU G EQNJKFCU KPHQTOCÁÐGU HQTPGEKFCU RGNCU OºGUCEGTECFGQTKGPVCÁÐGUTGEGDKFCUPQRTÃPCVCN GQWPQ#NQLCOGPVQ%QPLWPVQCPVGEGFGPVGUIGUVC

CRWÃTRGTC2CTCXGTKſECTSWCKUDKPÏOKQUGUVCXCO FGPVTQ FQU ETKVÃTKQU FG KPENWUºQ CU KPHQTOCÁÐGU HQTCO EQNJKFCU FWTCPVG XKUKVCU TGCNK\CFCU GO FKCU FCUGOCPCGRGTÈQFQUXCTKCFQUFGCEQTFQEQOC FKURQPKDKNKFCFGFGWOCFCURGUSWKUCFQTCU

2CTCIWKCTCQDUGTXCÁºQFKTGVCFQHGPÏOGPQFG KPVGTGUUG EQORQTVCOGPVQU FC FWRNC OºGTGEÃO PCUEKFQFWTCPVGCOCOCFCGCXCNKCTCUTGURQUVCU OCVGTPCUGFQUPGQPCVQUQRVQWUGRGNCWVKNK\CÁºQ FGWOHQTOWN¶TKQQſEKCNRTQRQUVQRGNQ70+%'( 'UVGHQKCFCRVCFQRQT%CTXCNJCTGU_GEQPVÃOWOC UÃTKGFGTGCÁÐGUENCUUKſECFCUGOHCXQT¶XGKU´COC

-OGPVCÁºQQWUWIGUVKXCUFGFKſEWNFCFGUTGHGTGPVGU ´RQUKÁºQEQTRQTCNFCOºGGFQPGQPCVQFWTCPVGC COCOGPVCÁºQ´UTGURQUVCUFQDKPÏOKQCQKPKEKC

-TGOCOCOCFC´GſEKÄPEKCFCUWEÁºQCQGPXQNXK

-OGPVQCHGVKXQGPVTGOºGGſNJQG´UECTCEVGTÈUVKECU CPCVÏOKECU FC OCOC 'UVG RTQVQEQNQ GPEQPVTCUG PC(KIWTC

%QPUKFGTQWUGEQOQOCOCFCQGRKUÎFKQEQO

-RNGVQKUVQÃFGUFGCFGEKUºQFCOºGFGEQNQECTQ TGEÃOPCUEKFQPQUGKQCVÃQUGWGPEGTTCOGPVQ 6QFQU QU DKPÏOKQU HQTCO QDUGTXCFQU PQ RGTÈQFQ FG CVÃ JQTCU CRÎU C CFOKUUºQ PQ #NQLCOGPVQ %QPLWPVQ

1RTQVQEQNQFGUVCRGUSWKUCHQKCRTQXCFQGO FG UGVGODTQ FG RGNC EQOKUUºQ FG ÃVKEC FQ PÕENGQFGGPUKPQGRGUSWKUCFC/CVGTPKFCFG'UEQNC 5CPVC/ÏPKECGRGNQ%QOKVÄFGœVKECGO2GUSWKUC FC7PKXGTUKFCFG'UVCFWCNFG%KÄPEKCUFC5CÕFGFG #NCIQCUŌ70%+5#.EQORTQVQEQNQPuGO FGFG\GODTQFG

1UFCFQUHQTCOVCDWNCFQUPQRTQITCOCMicro

UQHV1HſEG'ZEGN_{4GCNK\QWUGKPKEKCNOGPVGC} ECTCEVGTK\CÁºQFCUOºGUFGUGWUſNJQUGFCURT¶

-VKECUCUUKUVGPEKCKUCGNGUFKTKIKFCUPCOCVGTPKFCFG 2QUVGTKQTOGPVG HQK EQORWVCFC C HTGS×ÄPEKC FG EQORQTVCOGPVQUFGUHCXQT¶XGKURCTCECFCCURGEVQ FCOCOCFCKPXGUVKICFCGFGCEQTFQEQOQPÕOGTQ FG EQORQTVCOGPVQU PGICVKXQU QDUGTXCFQU HQTCO ETKCFQU GUEQTGU FG CXCNKCÁºQ 0C 6CDGNC UºQ

CRTGUGPVCFQU QU ETKVÃTKQU GORTGICFQU PC ENCUUKſ

-ECÁºQFGUVGUGUEQTGUDQOTGIWNCTGTWKO 1U FCFQU HQTCO RTQEGUUCFQU RGNQ CRNKECVKXQ RCTC OKETQEQORWVCFQT5VCVKUVKECN 2CEMCIG HQT VJG 5QEKCN5EKGPEG5255_{XGTUºQ#RNKEQWUG} VGUVGU FG GUVCVÈUVKEC FGUETKVKXC OCKU GURGEKſEC

-OGPVG C FKUVTKDWKÁºQ FCU HTGS×ÄPEKCU G FCU RGT

-EGPVCIGPU TGNCVKXCU FG ECFC FCFQ QDUGTXCFQ 'O TGNCÁºQ´CUUQEKCÁºQGPVTGCUXCTK¶XGKUGUVWFCFCU HQTCOWVKNK\CFQUQUUGIWKPVGUVGUVGUVGUVG3WK3WC

-FTCFQEQOPÈXGNFGUKIPKſE¸PEKCFGRŭG QVGUVGFG%QTTGNCÁºQ$KXCTKCFCEQOQITCWFGEQT

-TGNCEKQPCOGPVQNKPGCTFG5RGCTOCP4WVKNK\CPFQ QPÈXGNFGUKIPKſE¸PEKCFGRŭ

RESULTADOS

#KFCFGOCVGTPCXCTKQWFGCCPQUEQO OÃFKC FG G FGUXKQ RCFTºQ FG CPQU XKXKCO EQO EQORCPJGKTQ VKPJCO GPUKPQHWPFCOGPVCNKPEQORNGVQCRTGUGP

-VCTCOTGPFCHCOKNKCTOGPUCNFGWOUCN¶TKQOÈPKOQ 0Q SWG FK\ TGURGKVQ ´ IGUVCÁºQ GTCO RTKOÈRCTCUVKXGTCOFGSWCVTQCUGKUEQP

-UWNVCU RTÃPCVCKU TGHGTKTCO VGT TGEGDKFQ QTKGPVCÁÐGU UQDTG COCOGPVCÁºQ PQ CNQLCOGPVQ EQPLWPVQQWPQRTÃPCVCNFQURCTVQUHQTCO EGU¶TGQU

1UTGEÃOPCUEKFQUVKPJCOGPVTGCJQTCU FG XKFC G CRTGUGPVCTCO CQ UGTGO CFOKVKFQU PQ #NQLCOGPVQ %QPLWPVQ RGUQ OÃFKQ FG I EQO FGUXKQRCFTºQFGIGKFCFGIGUVCEKQPCNOÃFKC FGUGOCPCUEQOFGUXKQRCFTºQFG#KPFC PC CFOKUUºQ FQU DGDÄU CRTGUGPVCXCO CNGKVCOGPVQ OCVGTPQ GZENWUKXQ G CQ TGEGDGTGO CNVCFQUDGDÄUCRTGUGPVCXCOGUUGVKRQ FG CNGKVCOGPVQ 1 VGORQ OÃFKQ FG RGTOCPÄPEKC PQCNQLCOGPVQEQPLWPVQHQKFGFKCUEQOFGUXKQ RCFTºQFGFKCU

1UTGUWNVCFQUFCCXCNKCÁºQFQUEQORQTVCOGPVQU FCOºGGFQTGEÃOPCUEKFQPCOCOCFCEQPUVCO

Ŷ

Aspectos avaliados _{negativos investigados} Nº de comportamentos

Comportamentos negativos observados/ Classificação dos escores

Bom Regular Ruim Posição mãe/criança

Respostas da dupla Adequação da sucção Anatomia das mamas Afetividade

05 06 06 04 03

0-1 2-3 4-5 0-1 2-3 4-6 0-1 2-3 4-6 0 1 2-4 0 1 2-3

6CDGNCŌ%TKVÃTKQURCTCENCUUKſECÁºQFQUGUEQTGUGORTGICFQUPCCXCNKCÁºQFCOCOCFCUGIWPFQ cada aspecto avaliado

Comportamentos favoráveis Comportamentos indicativos de dificuldades Posição

/ºGTGNCZCFCGEQPHQTV¶XGN

%QTRQGECDGÁCFQDGDÄVQECPFQQRGKVQ 3WGKZQFQDGDÄVQECPFQQRGKVQ

0¶FGICUFQDGDÄCRQKCFCU 'UEQTGRQUKÁºQ

Respostas

1DGDÄRTQEWTCQRGKVQSWCPFQUGPVGHQOG 1DGDÄTQFCGDWUECQRGKVQ

1DGDÄGZRNQTCQRGKVQEQOCNÈPIWC $GDÄECNOQGCNGTVCCQRGKVQ $GDÄOCPVÃOCRGICFCCTÃQNC

5KPCKUFGGLGÁºQFGNGKVGXC\COGPVQEÎNKECU WVGTKPCUHKUICFCU

'UEQTGTGURQUVC

Estabelecimento de laços afetivos

/ºGUGIWTCQDGDÄPQEQNQEQOHKTOG\C /ºGGDGDÄOCPVÃOEQPVCVQXKUWCN )TCPFGSWCPVKFCFGFGVQSWGUOºGHKNJQ 'UEQTGCHGVKXQ

Anatomia

/COCUOCEKCUGEJGKCUCPVGUFCOCOCFC /COKNQURTQLGVCPFQUGRCTCHQTC

6GEKFQOCO¶TKQEQOCRCTÄPEKCUCWF¶XGN /COCUEQOCRCTÄPEKCCTTGFQPFCFC 'UEQTGCPCVQOKC

Sucção

$QECDGOCDGTVC

.¶DKQKPHGTKQTRTQLGVCUGRCTCHQTC

.ÈPIWCFQDGDÄCUUWOGCHQTOCFGWOE¶NKEG CQTGFQTFQDKEQFQRGKVQ

$QEJGEJCUFGCRCTÄPEKCCTTGFQPFCFC 5WEÁºQNGPVCGRTQHWPFCEQORGTÈQFQUFG

CVKXKFCFGGRCWUC

œRQUUÈXGNXGTGQWQWXKTCFGINWVKÁºQ 'UEQTGUWEÁºQ

/ºGEQOQODTQUVGPUQUGKPENKPCFC UQDTGQDGDÄ

%QTRQFQDGDÄFKUVCPVGFQFCOºG 1DGDÄGUV¶EQOQRGUEQÁQXKTCFQ 1SWGKZQFQDGDÄPºQVQECQRGKVQ 5ÎQODTQUECDGÁCCRQKCFQU 'UEQTGRQUKÁºQ

0GPJWOCTGURQUVCCQRGKVQ 0GPJWOCDWUECQDUGTXCFC

1DGDÄPºQGUV¶KPVGTGUUCFQPQRGKVQ $GDÄKTTGSWKGVQQWEJQTCPFQ

$GDÄPºQOCPVÃOCRGICFCCTÃQNC 0GPJWOUKPCNFGGLGÁºQFGNGKVG 'UEQTGTGURQUVC

/ºGUGIWTCQDGDÄPGTXQUCOGPVG UCEWFKPFQQVTGOGPFQQWHTCECOGPVG 0GPJWOEQPVCVQQEWNCTOºGHKNJQ /ºGGDGDÄSWCUGPºQUGVQECO 'UEQTGCHGVKXQ

/COCUKPIWTIKVCFCUGFWTCU /COKNQURNCPQUQWKPXGTVKFQU

6GEKFQOCO¶TKQEQOGUEQTKCÁÐGUHKUUWTCU XGTOGNJKFºQ

/COCUGUVKECFCUQWECÈFCU 'UEQTGCPCVQOKC

$QECSWCUGHGEJCFCHC\GPFQWODKEQRCTCC HTGPVG

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Escores Tipo de parto (%)

Vaginal Cesariana Posição*

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CONCLUSÃO

1 KPUVTWOGPVQ FG CXCNKCÁºQ FCU OCOCFCU HQK ÕVKNRCTCKFGPVKſECTCUFKſEWNFCFGUKPKEKCUQDUGTXC

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AGRADECIMENTOS

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REFERÊNCIAS

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