Breastfeeding based on the experience of mothers of tracheostomized children and the use of the Passy-Muir® valvea
Lactancia materna desde la experiencia de madres de niños traqueostomizados y uso de la válvula Passy-Muir®
Aleitamento materno na experiência de mães de crianças traqueostomizadas e o uso da válvula Passy-Muir®
Janaina Adriana da Cunha de Lima; Neusa Collet; Maria Aparecida Baggio; Ana Maria de Almeida
Abstract
Objective: To understand the experience of mothers of tracheostomized children between 0 and 24 months old, who resumed breastfeeding with the use of the Passy-Muir® deglutition valve.
Method: A descriptive study with a qualitative approach and semistructured interviews conducted from June to August 2017 in which the participants were 11 mothers of tracheostomized children, by follow-up in a rehabilitation and logopedia center, which adapted the Passy-Muir® deglutition valve. The analysis was based on the assumptions of thematic content analysis.
Results: the mothers' experience, after the child's tracheostomy, the use of the Passy-Muir® swallowing valve minimized the difficulties in breastfeeding. Once the valve adaptation process was overcome, its benefits were realized. The mothers' feelings in the process of adapting the valve are described, their expectations with the use of the valve and pleasure and fullness for the woman in the return of breastfeeding.
Conclusions and implications for practice: Safety during breastfeeding, reduction in the production of secretions, and reductions in the number of airway aspirations were observed, noticing improvements in the respiratory pattern, in the vocalizations (mumbling and crying), and in the child's sleep quality. Further research is needed to address breastfeeding of tracheostomized children to deepen knowledge in this area.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: compreender a experiência de mães de crianças traqueostomizadas, entre 0 e 24 meses de idade, que retomaram o aleitamento materno com o uso de válvula de deglutição Passy-Muir®.
Método: pesquisa descritiva, de natureza qualitativa, com 11 mães de crianças traqueostomizadas que adaptaram a válvula de deglutição Passy-Muir®, acompanhadas em um centro de reabilitação e fonoaudiologia, mediante entrevistas semiestruturadas, nos meses de junho a agosto de 2017. A análise foi fundamentada nos pressupostos da análise de conteúdo temática.
Resultados: na experiência das mães, após a traqueostomia da criança, o uso da válvula de deglutição Passy-Muir® minimizou as dificuldades no aleitamento materno. Superado o processo de adaptação da válvula, foram percebidos seus benefícios. São descritos os sentimentos das mães nesse processo, suas expectativas quanto ao uso do dispositivo e o prazer e plenitude para a mulher no retorno do aleitamento materno.
Conclusões e implicações para a prática: observaram-se segurança ao aleitar, menor produção de secreção, reduções no número de aspirações de vias áreas, melhora no padrão respiratório, vocalizações (balbucios e choro), melhora na qualidade do sono da criança. Novas pesquisas que abordem o aleitamento materno de crianças traqueostomizadas são necessárias para aprofundar conhecimentos nesta área.
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References
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Submitted date:
08/06/2020
Accepted date:
11/18/2020
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