Avaliação do frênulo lingual do recém-nascido e amamentação: conhecimento da mulher que amamenta

Abstract

Ankyloglossia seems to interfere with the practice of breastfeeding, considering that Sucking and swallowing functions, which are fundamental in breastfeeding, are impaired when significant changes in the lingual frenulum are observed in the newborn. Like this in view of the importance of investigating and diagnosing possible limitations of the movements of the language and its influence on breastfeeding, it is considered of fundamental importance that puerperal women have clarification about the right and and the obligation to carry out the evaluation of the lingual frenulum in maternity wards in the first 48 hours of the patient's life. neonate. Therefore, the general objective of this study was to analyze the knowledge of puerperal women on the existence of the lingual frenulum evaluation protocol and the possible repercussion of the frenulum altered in breastfeeding. This is a descriptive, exploratory study with qualitative approach, carried out in a maternity hospital in Rio de Janeiro certified by the Hospital A Initiative children (IHCA). The study population consisted of random form from a non-probabilistic sampling, considering the saturation theoretical approach to the closure of the sample number. A questionnaire to characterize the profile of the mother/baby binomial and then a questionnaire was applied to the Semi-structured interview script to identify and analyze the knowledge of postpartum women about the protocol for evaluating the lingual frenulum and its possible repercussions on breastfeeding. For the analysis and treatment of the data to characterize the profile of the participants, it was used Descriptive statistics and qualitative responses were recorded and later transcribed in full, being the object of content analysis following Bardin's model. Or The research project was approved by the Ethics Committee of the Maternity School of UFRJ, under the CAAE No.: 58461722.0.0000.5275. A total of 10 postpartum women participated in the study. age ranged from 19 to 37 years. Regarding the aspects related to the alteration in the lingual frenulum, Only three puerperal women reported a family history of lingual frenulum alterations. The Score of the tests performed by the Bristol protocol, ranged from 2 to 5 in this study, being mostly 5 (70%). From the interviews, four analytical categories emerged: Lack of maternal knowledge about the lingual frenulum evaluation protocol and the law of Ministry of Health that deals with the obligation to perform the evaluation of the lingual frenulum in maternity wards; An inopportune time to give guidance on the evaluation of the lingual frenulum; Maternal perception of the possible relationship between the alteration in the lingual frenulum and breastfeeding difficulties; Maternal perception of breastfeeding after frenotomy. From the results obtained, it is possible to conclude the need for promote educational actions through prenatal care on neonatal screening to identify Ankyloglossia and Early Intervention