Abstract

Objective: To analyze the axiological value of nurturing women regarding the clinical management of breastfeeding. Methods: This is a phenomenological qualitative study based on the theory of Max Scheler's values, conducted between May and June 2014 in the joint quarters of two university hospitals in Niteroi/RJ and Santa Maria/RS. Twenty nursing mothers participated in the study and The data was organized, subjected to the comprehensive analysis technique and was interpreted according to the value theory and the specific policies of breastfeeding. Results: Two thematic units emerged in the study: breastfeeding clinical management and its vital value and the health network to support breastfeeding care: a utility value. Conclusion: The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer. This perception provides a reframing that is centered in the care provided to women, children and the family.

Highlights

  • Public health policies in the fields of children's and women's health related to breastfeeding establish care actions of support, articulated with the primary and hospital care networks, which present important strategies for the initiation and maintenance of breastfeeding[1,2]

  • The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer

  • It needs to enable the expansion of assistance, making it qualified and, above all, individualized[5,6]. This is the relevance of the subject addressed, which leads to infer that it is essential to have knowledge in terms of the values expressed by nursing mothers, which should be combined with the professional skills to support the management of the various stages of lactation in health services in order to enable each woman to decide for breastfeeding initiation, maintenance and coping with possible problems in her path[7,8]

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Summary

Introduction

Public health policies in the fields of children's and women's health related to breastfeeding establish care actions of support, articulated with the primary and hospital care networks, which present important strategies for the initiation and maintenance of breastfeeding[1,2]. There is consensus among the theme of scholars that global rates are stagnating in relation to the breastfeeding practice, emphasizing that, in the last decade, among the 106 million babies born each year, only 50 million (37%) practiced exclusive breastfeeding for six months[1,4] This finding points to the need to expand the skills to support the management of breastfeeding by nursing and health professionals along with the lactating women, even in the delivery room, not just in the first hour of the baby's life, but continually[4,5], specially because the breastfeeding routine is configured differently for each woman, making necessary a careful look in terms of the values they engendered in relation to this practice. This is the relevance of the subject addressed, which leads to infer that it is essential to have knowledge in terms of the values expressed by nursing mothers, which should be combined with the professional skills to support the management of the various stages of lactation in health services in order to enable each woman to decide for breastfeeding initiation, maintenance and coping with possible problems in her path[7,8]

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