medigraphic.com
ISSN 2448-8747 (Print)
Publicación cuatrimestral editada por la Secretaría de Salud Jalisco

2022, Number Esp

<< Back Next >>

Sal Jal 2022; 9 (Esp)

Apoyo a la lactancia materna mediante la tele salud, una experiencia al inicio de la pandemia por COVID-19

Marín-Acosta ME, Sampieri-Ramírez CL, García-Román R, Cuevas-Córdoba B, Arroyo-Helguera O, Gutiérrez-Fragoso K

Language: Spanish
References: 25
Page: 25-33
PDF size: 333.75 Kb.


ABSTRACT

Objective: to assess the effect of a telehealth breastfeeding support program on breastfeeding technique, perception, and exclusivity of breastfeeding at the start of the COVID-19 pandemic. Material y methods: pre-experimental study with a mixed design and convenience sampling that recruited mothers through Facebook in the first postpartum month to provide them with breastfeeding support for 29-30 days. Support was provided through phone calls and the Zoom and WhatsApp platforms. Breastfeeding technique and the perception of the effectiveness of breastfeeding were determined in two moments with the LATCH tool and the Initial Breastfeeding Survey Cumulative (BBSC), respectively. A descriptive analysis of the data and analysis of the conversations held by WhatsApp were carried out using the MAXQDA version 20.4.0 program. Results: four participants maintained the practice of breastfeeding during the follow-up period. After providing the support, the average LATCH score, and the perception of the effectiveness of breastfeeding increased 1.5 and 11.3 points, respectively; the size of the sample did not allow to determine statistical differences of these measurements. Different barriers and factors favoring breastfeeding were identified. All participants reported being satisfied with the support and accompaniment provided by telehealth. Conclusion: the development of interventions that support breastfeeding through telehealth in contingency situations, such as the COVID-19 pandemic, can be an effective public health strategy to overcome the barriers to breastfeeding.


REFERENCES

  1. Organización Mundial de la salud. Organización Panamericanade la Salud. La alimentación del lactante y del niño pequeño.OPS, editor. Washington, D.C.; 2010. p. 120.

  2. Brown A, Shenker N. Experiences of breastfeeding duringCOVID-19: Lessons for future practical and emotional support.Matern Child Nutr. 2021;17:1–15.

  3. Galindo-Sevilla NDC, Contreras-Carreto NA, Rojas-Bernabé A,Mancilla-Ramírez J. Lactancia materna y COVID-19. Gac MedMex. 2021;157:201–8.

  4. INEGI, Instituto Nacional de Salud Pública, Secretaría de Salud.Encuesta Nacional de Salud y Nutrición 2018-19. Inst. Nac. SaludPública. México; 2019.

  5. Consejo Internacional de Examinadores de Consultores deLactancia. Análisis internacional de las prácticas de Consultores/as Internacionales Certifi cados/as en Lactancia (IBCLC). 2021.

  6. International Board of Lactation Consultant Examiners (IBLCE).Opinió n consultiva sobre telesalud del IBLCE. 2020.

  7. Lau Y, Htun TP, Tam WSW, Klainin-Yobas P. Effi cacy ofe-technologies in improving breastfeeding outcomes amongperinatal women: a meta-analysis. Matern Child Nutr.2016;12:381–401.

  8. Mannel R. Defi ning lactation acuity to improve patient safety andoutcomes. J Hum Lact. 2011;27:163–70.

  9. Saus-Ortega C, Oliver-Roig A, Richart-Martínez M, MulderP, Cabrero-García J. Validation of the Spanish Version of theBeginning Breastfeeding Survey-Cumulative: A Follow-up Study.J Hum Lact. 2019;35:672–82.

  10. León CB, Contreras RB, Sequeros EM, Ayuso ML del P, CondeAIS, Hormigos CV. Validación al castellano de una escala deevaluación de la lactancia materna: el LATCH. Análisis defi abilidad. Index de enfermería [Internet]. 2008;17. Recuperadoa partir de: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962008000300012&lang=es

  11. Organización Mundial de la Salud. Organización Mundial de laSalud [Internet]. 2022. Recuperado a partir de: https://www.who.int/es

  12. Arenas AB, Rowlerson FLT, González W, Tequeanes ALL, CasasRA, García IB. Lactancia materna en México. En: Martínez TG deC, Cordero SH, editores. Lact Matern en México. Primera. México:Academia Nacional de Medicina de México; 2016. p. 346–7.

  13. OMS. Lactancia materna y COVID-19 Para trabajadores dela salud. Organ Mund la Salud [Internet]. 2020;6. Recuperadoa partir de: fi le:///C:/Users/USUARIO/Desktop/Obstetricia/7Septimo Ciclo 2021 - I/Búsquedas avanzadas de fuentesbibliográfi cas/LM & COVID - OMS.pdf

  14. Ferraz Dos Santos L, Borges RF, de Azambuja DA. Telehealthand Breastfeeding: An Integrative Review. Telemed J E Health.2020;26:837–46.

  15. International Board of Lactation Consultant Examiners.Updated Interim Guidance on the Use of Technology to MeetPathways 1, 2, and 3 Clinical Practise Requirements [Internet].2020. Recuperado a partir de: https://iblce.org/wp-content/uploads/2020/05/2020_May_14_Interim_Guidance_FINAL.pdf

  16. Centro Nacional de Excelencia Tecnológica en Salud. Cédula deInstrumentos Jurídicos aplicables a la práctica de la Telesaluden México. [Internet]. Cent. Nac. Excel. Tecnol. en Salud.México; 2019. Recuperado a partir de: https://www.gob.mx/salud/cenetec/documentos/cedula-de-instrumentos-juridicosaplicables-a-la-practica-de-la-telesalud-en-mexico

  17. Rojjanasrirat W, Nelson EL, Wambach KA. A pilot study ofhome-based videoconferencing for breastfeeding support. J HumLact. 2012;28:464–7.

  18. Uscher-Pines L, Ghosh-Dastidar B, Bogen DL, Ray KN, DemirciJR, Mehrotra A, et al. Feasibility and Eff ectiveness of TelelactationAmong Rural Breastfeeding Women. Acad Pediatr [Internet].Elsevier Inc.; 2020;20:652–9. Recuperado a partir de: https://doi.org/10.1016/j.acap.2019.10.008

  19. Regan S, Brown A. Experiences of online breastfeeding support:Support and reassurance versus judgement and misinformation.Matern Child Nutr. 2019;15.

  20. Zenobi C, Noble L. Improving Breastfeeding by Increasing LATCHScores – Effi cacy of a Resident Initiative. Pediatrics [Internet].2018;142:673 LP – 673. Recuperado a partir de: http://pediatrics.aappublications.org/content/142/1_MeetingAbstract/673.abstract

  21. Tan KL. Factors associated with exclusive breastfeeding amonginfants under six months of age in peninsular malaysia. IntBreastfeed J. 2011;6:1–7.

  22. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes:national implementation of the international code, status report2020. Who. 2020.

  23. UNICEF México. Semana de la Lactancia Materna: En el contextode COVID-19, conferencias virtuales de UNICEF promuevenel fortalecimiento inmunológico de los bebés [Internet]. 2020.Recuperado a partir de: https://www.unicef.org/mexico/comunicados-prensa/semana-de-la-lactancia-materna-en-elcontexto-de-covid-19-conferencias-virtuales

  24. Teich AS, Barnett J, Bonuck K. Women’s perceptions ofbreastfeeding barriers in early postpartum period: A qualitativeanalysis nested in two randomized controlled trials. BreastfeedMed. 2014;9:9–15.

  25. Gianni ML, Bettinelli ME, Manfra P, Sorrentino G, Bezze E,Plevani L, et al. Breastfeeding diffi culties and risk for earlybreastfeeding cessation. Nutrients. 2019;11:1–10.




2020     |     www.medigraphic.com