Abstract
ABSTRACT Objective: analyze the implementation process of the human milk bank of a university hospital in the state of Espírito Santo and discuss the implications of this deployment to the regional nursing practice. Method: in this historical and social search the primary sources were interviews conducted with eight nurses, and documents from the nursing section. The thematic content analysis and the theoretical framework of Pierre Bourdieu allowed mediation of the objective and subjective dimensions of the social world. Results: it was evidenced that the milk bank was designed in 1993 and implemented in 1994 by three nurses and a doctor. In its historical path, the human milk bank had the participation of nurses involved in knowledge-power relations marked by symbolic violence and resistance to the hegemonic medical power of the time. Conclusion: it was concluded that the implementation of a human milk bank did not happen as anticipated by the public policy of the time, which was the result of a complex power game involving health professionals and the institution itself.
Highlights
The object of this study was the process of implementation and consolidation of the service provided by the Human Bank Milk (HMB) of the University Hospital Cassiano Antônio de Morais (HUCAM), at the Universidade Federal do Espírito Santo (UFES)
The insertion of the nurses in the pro-breastfeeding program of the HUCAM seems to have started before the creation of the Human Milk Bank, as we can observe in the excerpts of the following reports: [...] I remember that, in the 80s, when I was reading a study of professor José Martins, I became interested in breastfeeding and I went to Campinas to see his work. [...] It was an initiative of my own because I thought I needed an update [...] (MC8); [...] I wanted to have a specialization in obstetrics and, reading a public notice, I saw the first graduation course in the IFF/RJ
This study showed that, in its journey, the HUCAM was successful in the establishment of a HMB, which is historically an important gain for the state of Espírito Santo, because the HMB reflects a public policy regarding the issues of breastfeeding, and aims to improve health conditions for mother and child
Summary
The object of this study was the process of implementation and consolidation of the service provided by the Human Bank Milk (HMB) of the University Hospital Cassiano Antônio de Morais (HUCAM), at the Universidade Federal do Espírito Santo (UFES). In Brazil, throughout the 20th century, economic transformations occurred, resulting in Brazilian society adopting an urban and industrial model, resocializing the working man, and imposing a bourgeois family model in which the woman is active part of the labor market. In this consumer society model, regarding the area of maternal and child health, breastfeeding is discouraged and the feeding bottle appears as a symbol of modernity and urbanism. In the 1990s, commercial weaning prevailed as an alternative for the infant weight gain.[1,4,5]
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