Amamentação do recém-nascido sob fototerapia

Abstract

Objective: To analyze breastfeeding in newborns (NB) under phototherapy. Methods: This was a descriptive and exploratory quantitative study conducted in a hospital in Pernambuco. Data collection occurred over eight months, in 2021 and 2022, from Monday to Friday, mornings and afternoons, focusing on the breastfeeding routines of NBs under phototherapy. There were two data collection stages: characterization of the mother-child dyad (socioeconomic, educational, and clinical aspects) and description of breastfeeding and phototherapy factors in NB. Data were recorded in Microsoft Office Excel 2010, and the results were discussed based on related literature. Results: Fifteen mother-child dyads participated in this study; 86.66% of the mothers were unmarried; 60% did not plan the pregnancy; only 20% of the NBs had late umbilical cord clamping; only 6.66% did not remove the eye protection during feeds; 6.66% rated the interaction with the baby as poor, and 20% of the dyads hardly touched each other. Regarding phototherapy factors, it was observed that all 15 NBs were in a bilibed-type device, with blue light, at a distance of less than 50 cm between the NB and the light, and in an appropriate environment. Conclusion: The study shows that NBs under phototherapy face breastfeeding challenges due to prolonged hospitalization, an unfavorable environment, and limited mother-child contact. The separation imposed by the use of phototherapy equipment affects the bond and interaction. Additionally, parents' lack of knowledge about the disease and treatment is a relevant aspect.