Amamentação de prematuros com menos de 1500 gramas: funcionamento motor-oral e apego

Abstract

Breastfeeding of premature babies. To describe breastfeeding in premature babies with very low birth weight (VLBW) and its association with the oral motor system (OMS) and with maternal-child bonding. A cross-sectional study with 48 VLBW premature babies. An interview with the mothers, as well as the evaluation of the newborns' OMS and signs of attachment was performed. Data was submitted to a descriptive analysis and to the Fischer Test. Variables that showed statistical association with nutritive sucking were: child's position at breast; nipple grasping; sucking coordination between sucking, breathing and swallowing; strength and maintenance; rhythm, and level of conscious. Twelve pair situations presented signs possible bonding problems. Components of OMS are associated to the quality of feeding of premature babies. This fact suggests that the early evaluation of breastfeeding can detect difficulties that could jeopardize adequate nutrition.