Abstract
Objective: To assess the amount of breast milk collected and destined for the Neonatal Intensive Care Unit (ICU) at a baby-friendly hospital in the South of Brazil. Methods: An analytical, observational cross-sectional study, carried out in the milk dispensary of Caxias do Sul General Hospital, in the period from July to December 2016. Data on the amount of breast milk was collected, considering: total intake for all hospital units, entry and exit of milk destined for the Neonatal ICU, and discarded amounts due to discharge/death, expired thaw and expired validity. Categorical variables are presented in absolute numbers and percentages and continuous variables as mean ± standard deviation. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS), version 20.0, considering p<0.05 as statistical significance level. Results: The total milk intake to the milk dispensary was 177,053 mL; the breast milk entry to the Neonatal ICU was 153,898 mL, and 87.21% of this volume was used. The disposal figures due to discharge/death, thaw and validity represented 4.04, 1.14 and 0.55%, respectively. The mean daily milk expression in the semester for the Neonatal ICU was 836.40 ± 382.67 mL, and the mean daily consumption of human milk for the Neonatal ICU was 729.44 ± 341.54 mL. Conclusion: The milk dispensary presented a high percentage of human milk expresstion and consumption and a low disposal, demonstrating a good storage control and its value within the baby-friendly hospital.
Highlights
Na maioria dos países de alta renda, a prevalência é inferior a 20%, tendo uma diferença importante entre o Reino Unido (
Nas salas de apoio à amamentação, onde o hospital geral se enquadra, a coleta e o armazenamento do leite materno se destina exclusivamente para alimentação do próprio filho, diferente do processo de pasteurização que ocorre nos Bancos de Leite Humano(14), que permite a utilização de LM de qualquer mãe para todos os bebês
Use of donor milk in the neonatal intensive care unit
Summary
Objetivo: Avaliar a quantidade de leite materno coletado e com destino à Unidade de Terapia Intensiva (UTI) Neonatal, em um hospital amigo da criança, no Sul do Brasil. Foram coletados dados da quantidade de leite materno, considerando: entrada total para todos os setores, entrada e saída com destino à UTI Neonatal, desprezos por alta/óbito, degelo vencido e validade expirada. Resultados: O valor de entrada total no lactário foi de 177.053 mL, a entrada de leite materno para a UTI Neonatal apresentou-se em 153.898 mL, e teve como saída 87,21% desse volume. Os números de desprezo representaram 4,04, 1,14 e 0,55%, respectivamente, sendo por alta/óbito, degelo e validade. Conclusão: O lactário apresentou alta porcentagem de esgota e utilização de leite materno e baixo desprezo, demonstrando bom controle de armazenamento e sua importância dentro do hospital amigo da criança. Descritores: Leite Humano; Unidades de Terapia Intensiva Neonatal; Bancos de Leite; Extração de Leite
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