Breastfeeding scores in the rooming-in: application of the LATCH Scale
Abstract
Objective: to evaluate breastfeeding using the LATCH Scale, Brazilian version, during breastfeeding still in the rooming-in of a maternity hospital. Method: cross-sectional descriptive study, conducted in a large philanthropic maternity hospital between February and September 2019. A total of 162 puerperal women participated in the study, who were recruited by convenience, between 24, 36 and 48 hours after delivery, through observation of the feeding and interview to complete the items of the LATCH Scale. Chi-square test with significance level of 5% was used. Results: 30% of the newborns had lower LATCH scores in relation to the quality of the latch and 35.2% had spontaneous and intermittent or frequent swallowing. Of the women, 85.8% had nipple protrusion after stimulation, being the predominant type, 66% had soft breasts not painful, 69.2% did not need help to position the baby and 55.6% had scores between eight and ten in the evaluation of the scale. Free breastfeeding demand prevailed in 95.7% of postpartum women, 37% had fissure and 84.6% received guidance on latch and positioning. Conclusion: the application of the scale identified the presence of difficulties related to the management of breastfeeding, allowing the health professional to intervene, contributing to the success of breastfeeding.
Downloads
References
Rech RS, Chávez BA, Fernandez PB, Fridman CG, Faustino-Silva DD, Hilgert JB, et al. Fatores associados ao início da prática do aleitamento em uma maternidade de Lima, Peru. CoDAS. 2021;33(6):e20200173. DOI: 10.1590/2317-1782/20202020173
Silva ACG, Novais MB, Junqueira MGS, Silva MS, Costa ICP, Ribeiro PM.Caracterização das práticas e conhecimentos sobre aleitamento materno em um município do Sul de Minas Gerais, Brasil. Ciência, cuidado e saúde.2021;20:e55873. DOI: 10.4025/cienccuidsaude.v20i0.55873
Martins FA, Ramalho AA, Andrade AM, Optiz SP, Koifman RJ, Silva IF. Breastfeeding patterns and factors associated with early weaning in the Western Amazon. Rev Saude Publica. 2021;55:21. DOI https://doi.org/10.11606/s15188787.2021055002134
Macedo AB. Causas do desmame precoce em lactentes: uma revisão integrativa. Femina. 2022;50(7):435-43.
Brandt GP, Britto AMA, Leite CCP, Marin LG. Factors Associated with Exclusive Breastfeeding in a Maternity Hospital Reference in Humanized Birth. Rev. Bras. Ginecol. Obstet. 2021 Feb;43(2):91-96. DOI: 10.1055/s-0040-1718450
Martins BS, Horewicz VC, Moraes GGW, Toso BRGO, Machineski GG, Viera CS. Autoeficácia da gestante para o Aleitamento Materno: estudo transversal. Cienc. Cuid. Saúde. 2019;18(3). DOI: https://doi.org/10.4025/ciencuidsaude.v18i3.44967
Conceição CM da, Coca KP, Alves M dos R da S, Almeida F de A. Validação para língua portuguesa do instrumento de avaliação do aleitamento materno LATCH. Acta paul enferm [Internet]. 2017Mar;30(Acta paul. enferm., 2017 30(2)). Available from: https://doi.org/10.1590/1982-0194201700032
Griffin CM, Amorim MH, Almeida FA, Marcacine KO, Goldman RE, Coca KP. LATCH como ferramenta sistematizada para avaliação da técnica de amamentação na maternidade. Acta Paul. Enferm. 2022;35:eAPE03181. DOI: http://dx.doi.org/10.37689/acta-ape/2022AO03181
Valero-Chillerón MJ, Mena-Tudela D, Cervera-Gasch Á, González-Chordá VM, Soriano-Vidal FJ, Quesada JÁ, et al. Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study. Int. J. Environ. Res. Public. Health. 2022 Apr 29;19(9):5411. DOI: 10.3390/ijerph19095411.
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: aleitamento materno e alimentação complementar [internet]. 2. ed. Brasília: Ministério da Saúde; 2015 [acesso em 15 out. 2022]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_aleitamento_materno_cab23.pdf.
Lamounier JA, Chaves RG, Rego MAS, Bouzada MCF. Baby friendly hospital initiative: 25 years of experience in Brazil. Rev. Paul. Pediatr. 2019;37(4):486-493. DOI: 10.1590/1984-0462/;2019;37;4;00004.
Vieira FS, Costa ES, Sousa GC, Oliveira TMP, Neiva MJLM. Influência do parto sobre o desmame no puerpério. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online). 2019;1:425-431. DOI: http://dx.doi.org/10.9789/2175-5361.2019.v11i2.425-431.
Lima CM, Sousa LB, Costa EC, Santos MP, Cavalcanti MCSL, Maciel NS. Auto eficácia na amamentação exclusiva: avaliação dos domínios técnica e pensamentos intrapessoais em puérperas. Enferm. Foco 2019;10(3). DOI: https://doi.org/10.21675/2357-707x.2019.v10.n3.1597.
Bezerra VM, Magalhães EIS, Pereira IN, Gomes AT, Pereira Netto M, Rocha DS. Prevalência e fatores determinantes do uso de chupetas e mamadeiras: um estudo no sudoeste baiano. Rev. Bras. Saúde Mater. Infant. 2019;19(2):311-321. DOI: https://doi.org/10.1590/1806-93042019000200004
Cunha AMS, Martins VE, Lourdes ML, Paschoini MC, Parreira BDM, Ruiz MT. Prevalence of nipple traumas and related factors among post-partum women assisted in a teaching hospital. Esc. Anna Nery 2019;23(4): e20190024. DOI: http://dx.doi.org/10.1590/2177-9465-ean-2019-0024.
Oliveira ACC, Pessa LA, Oliveira DJ, Gomes T. Competência do enfermeiro frente as fissuras mamárias. Brazilian Journal of Health Review. 2021; 4(6):27522-27534. DOI:10.34119/bjhrv4n6-311.
Cáceres DDH, García JFJ, Arroyo SR, Munive MV, Miño LA. Revisión sistemática de las causas y tratamientos para las grietas en los pezones durante la lactancia materna. Entramado .2019; 15(2):218-228. DOI: http://dx.doi.org/10.18041/1900-3803/entramado.2.5739
Bandeira AK, Nery SBM, Monteiro DS, Rocha GMM, Brito MGA, Silva MA et al. Research, Society and Development. 2021; 10(12):e132101219520. DOI: https://doi.org/10.33448/rsd-v10i12.19520.
Griffin CMC, Amorim MHC, Almeida FA, Marcacine KO, Goldman RE, Coca KP. LATCH as a systematic tool for assessment of the breastfeeding technique in maternity. Acta Paul. Enferm. 2022;35:eAPE03181. DOI: 10.37689/acta-ape/2022AO03181
Alves JS, Oliveira MIC, Rito RVVF. Orientações sobre amamentação na atenção básica de saúde e associação com o aleitamento materno exclusivo. Ciênc saúde coletiva. 2018;23(4). DOI: https://doi.org/10.1590/1413-81232018234.10752016
Sowjanya SVNS, Venugopalan L. LATCH Score as a Predictor of Exclusive Breastfeeding at 6 Weeks Postpartum: A Prospective Cohort Study. Breastfeed Med. 2018;13(6):444-449. DOI: 10.1089/bfm.2017.0142.
Oliveira RC, Silva MM, Lopes BA, Brito MA, Rocha RC, Carneiro CT, et al. Avaliação do desempenho de nutrizes e recém-nascidos durante a mamada no período neonatal: estudo comparativo. Cogit. Enferm. 2021;6: e75517. DOI: http://dx.doi.org/10.5380/ce.v26i0.75517.
Barbosa GEF, Silva VB, Pereira JM, et al. Dificuldades Iniciais com a Técnica da Amamentação e Fatores Associados a Problemas com a Mama em Puérperas. Rev. Paul. Ped. 2017; 35(3): 265-272. DOI: http://dx.doi.org/10.1590/1984-0462/;2017;35;3;00004.
Tori FS, Vilagra JM, Rezende MJ, Taglietti M, Barros RCTCS, Camilo JM, et al. Characteristics of newborns with difficulty breastfeeding in a University Hospital: An epidemiological study. Res., Soc. Dev. 2022;11(3):e48911326754. DOI: 10.33448/rsd-v11i3.26754.
Codignole IF, Carvalho ACF, Rezende MM, Souza AM, Santos GB. Fatores que levam ao desmame precoce durante a amamentação. Res., Soc. Dev. 2021;10(16):e22101623085. DOI: https://doi.org/10.33448/rsd-v10i16.23085.
Copyright (c) 2023 Ciência, Cuidado e Saúde [Science, Care and Health]

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.