Formação e vivências da fonoaudiologia no aleitamento materno: um estudo descritivo
Training and experiences of speech therapy in breastfeeding: a descriptive study
Marcela Suzano da Fonseca Gaigher; Cristina Ide Fujinaga; Maria Fernanda Bagarollo
Resumo
Palavras-chave
Abstract
Purpose: To investigate the training and experiences of speech therapy in breastfeeding in Brazil.
Methods: This is a qualitative descriptive study that assessed 39 speech-language pathologists through semi-structured interviews. The interviews were recorded and transcribed. Thematic content analysis was used to identify thematic axes.
Results: Professionals with experience in the field ranging from five to 28 years from six Brazilian states participated in this study. Three thematic axes were identified: “The participant’s training journey in breastfeeding,” where interviewees stated that the scientific basis provided during the speech therapy course, in all its disciplines, supports the clinical practice in the field. The integration of knowledge with the mother-infant dyad facilitates the development of a pleasant and efficient feeding process; “Workplaces in breastfeeding: reflections on the daily practice,” highlighting the role of speech-language pathologists in hospital settings with both healthy and at-risk infants, and their interactions with the multidisciplinary team; “Challenges in the practice of speech-language pathologists in breastfeeding,” which highlighted a lack of understanding about the role of speech-language pathologists in breastfeeding among parents and other healthcare professionals, delaying the start of speech-language pathologist intervention.
Conclusion: Breastfeeding training was linked to public services, the Brazilian National Health System (SUS), and graduate courses in speech therapy. The role of speech-language pathologists in breastfeeding has evolved synchronously with national public policies and the demands of the places where they work.
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References
1 Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJD, Bégin F, et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. Lancet. 2023;401(10375):472-85.
2 Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJD, Bégin F, et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. Lancet. 2023;401(10375):472-85.
3 Almeida JAG, Novak FR. Breastfeeding: a nature-culture hybrid. J Pediatr (Rio J). 2004;80(5 suppl):S119-25.
4 Bernardo GMB, Gonçalves LF, Haas P, Blanco-Dutra AP. Relationship between breastfeeding and development of the stomatognathic system: systematic review. Research Soc Dev. 2021;10(11):e499101120011.
5 Ribeiro PL, Cherubim DO, Rechia FPNS, Padoin SMM, de Paula CC. Tem steps to breastfeeding success: the influence on breastfeeding continuity. Rev Fund Care Online. 2021;13:451-9.
6 Conselho Federal de Fonoaudiologia. Resolução CFFa nº 661/ 2022. Dispõe sobre a atuação do fonoaudiólogo no aleitamento materno. Diário Oficial da União [Internet]. 14 Abr 2022 [citado em 2024 Jul 2]. Disponível em:
7 Vinuto J. A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto. Temat. 2014;22(44):203-20.
8 Minayo MCS. Técnicas de análise do material qualitativo. 14. ed. São Paulo: Hucitec; 2014. O desafio do conhecimento científico: pesquisa qualitativa em saúde; p. 303-60.
9 Sanches MTC. Manejo clínico das disfunções orais na amamentação. J Pediatr (Rio J). 2004;80(5):155-62.
10 Conselho Federal de Fonoaudiologia. Resolução CFFa nº 580/2020. Dispõe sobre a regulamentação da Telefonoaudiologia e dá outras providências. Diário Oficial da União [Internet]. 25 Ago 2020 [citado em 2024 Jul 2]. Disponível em:
11 Ribeiro FGSM. Protocolo para transição da alimentação para via oral em prematuros. In: Furkim AM, Alonso K. Disfagias nas unidades de terapia intensiva. São Paulo: Roca; 2014. p. 173-82.
12 Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Gestão e Incorporação de Tecnologias em Saúde. Diretrizes nacionais de assistência ao parto normal: versão resumida [Internet]. Brasília, DF: Ministério da Saúde; 2017 [citado em 2024 Jul 2]. Disponível em:
13 Bicalho CV, Friche AAL, Martins CD, Motta AR. Exclusive breastfeeding difficulty in rooming-in care: integrative review. Audiol Commun Res. 2021;26:e2471.
14 Souza PC, Gigoski VS, Etges CL, Barbosa LR. Findings of postoperative clinical assessment of swallowing in infants with congenital heart defect. CoDAS. 2018;30(1):e20170024.
15 Chun RYS, Nakamura HY. Cuidado na produção de saúde - questões para a Fonoaudiologia. In: Marchesan IQ, Silva HJ, Tomé MC, edtores. Tratado das especialidades em Fonoaudiologia. São Paulo: Guanabara Koogan; 2014. p. 1261-70.
16 Amorim KR, Lira KL. The benefits of speech therapy in the neonatal ICU. Research. Soc Dev. 2021;10(1):e27410111683.
17 Medeiros AMC, Santos JCJ, Santos DAR, Barreto IDC, Alves YVT. Speech-language therapy follow-up of breastfeeding in newborns in the first hours of life. Audiol Commun Res. 2017;22:e1856.
18 Leite RFP, Muniz MCMC, Andrade ISN. Maternal knowledge on Breast Feeding and speech-language therapy at rooming-in care. Rev Bras Promoç Saúde. 2009;22(1):36-40.
19 Ministério da Saúde. Portaria GM/MS nº 2.068/2016. Institui diretrizes para a organização da atenção integral e humanizada à mulher e ao recém-nascido no Alojamento Conjunto. Diário Oficial da União. 1993 Sep 1;167:13066.
20 Ministério da Saúde. Portaria GM/MS nº 930. Define as diretrizes e objetivos para a organização da atenção integral e humanizada ao recém-nascido grave ou potencialmente grave e os critérios de classificação e habilitação de leitos de Unidade Neonatal no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União. 2012.
21 Klumb MM, Milbrath VM, Gabatz RIB, Aguiar JRV, Silva LL, Vaz VG, et al. Profile of the newborn admitted to the Neonatal Intensive Care Unit: an integrative review. Research Soc Dev. 2022;11(13):e416111335799.
22 Moura LTL, Tolentino GM, Costa TLS, Aline A. Action of speech therapy on early stimulation of non-nutritive sucking in preterm newborns. Rev CEFAC. 2009;11:448-56.
23 Duarte ED, Sena RRD, Dittz EDS, Tavares TS, Silva PM, Walty CMRF. A integralidade do cuidado ao recém-nascido: articulações da gestão, ensino e assistência. Esc Anna Nery. 2013;17(4):713-20.
24 Piloni ML, Krebs JP, Silva EGD, Zilly A, Silva RMM. Guidelines performed in neonatal intensive care unit for parents. Revista Pesquisa Qualitativa. 2022;10(23):136-49.
25 Fujinaga CI, Moraes SA, Zamberlan-Amorim NE, Castral TC, Silva AA, Scochi CGS. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale. Rev Lat Am Enfermagem. 2013;21(Spec):140-5.
26 Medeiros AMC, Sá TPL, Alvelos CL, Novais DSF. Speech therapy in food transition from probe to breast in newborn in kangaroo method. Audiol Commun Res. 2014;19(1):95-103.
27 Lamounier JA, Bouzada MCF, Janneu AMS, Maranhão AGK, Araújo MFM, Vieira GO, et al. More than one decade of the Baby-Friendly Health Care Initiative in Brazil: thinking about the future. Rev Paul Pediatr. 2008;26(2):161-9.
28 Bazzarella AZ, Pereira EM, Faria ICL, Garoze GL, Pontes MB, Poton WL. Aleitamento materno: conhecimento e prática dos profissionais de saúde e atividades desenvolvidas pelas unidades da atenção primária. Brazilian Journal of Development. 2022;8(4):32453-72.
29 Almeida JM, Luz SAB, Ued FV. Support of breastfeeding by health professionals: integrative review of the literature. Rev Paul Pediatr. 2015;33(3):356-62.
Submitted date:
07/02/2024
Accepted date:
11/25/2024


