Manejo clínico do enfermeiro da atenção primária à saúde nas intercorrências da amamentação

Abstract

Objective: To identify the role of Primary Health Care nurses in the clinical management of breastfeeding complications. Method: Descriptive, exploratory research, with a quantitative approach, carried out in the Basic Health Units of the city of Pesqueira-PE, from July to September 2023. All Primary Health Care nurses participated, with at least six months in the function. An invitation to participate in the study was sent, with all information about the research. Those who accepted were sent the Free and Informed Consent Form for signature. Data collection took place through interviews via WhatsApp®, when a questionnaire was administered in the electronic format of Google Forms®. Data analysis involved organizing and tabulating data in the Microsoft Office Excel 2016 program; descriptive statistical analysis, with calculations of the absolute and relative frequencies of categorical variables, carried out in the IBM® SPSS®Statistics program, version 21; preparation of tables; discussion of results through literature. The research was submitted to the Research Ethics Committee, in accordance with Resolution No. 466/2012. Results: 19 nurses from Primary Care health services located in urban and rural areas participated. The management of breastfeeding complications related to delays in breastfeeding or “milk let-down”, flat or inverted nipples, galactocele, mastitis and breast abscess obtained percentages of satisfactory responses >80%; while complications related to non-sucking or weak sucking, breast engorgement, nipple pain/fissures, candidiasis and exaggerated milk ejection reflex had percentages of satisfactory responses <80%. The overall percentage of responses was always and almost always above 80%. Conclusion: The management of breastfeeding complications by nurses was considered adequate in its entirety; however, there are gaps that need to be reviewed in order to promote and maintain breastfeeding.