HUMAN MILK EXTRACTION AT BEDROOM IN A NEONATAL ENVIRONMENT

CHALLENGES AND STRATEGIES DEVELOPED

Abstract

Breast milk, in addition to being the best food for babies, contributes to a reduction of up to 13% in infant mortality. Among the strategies to intensify breast feeding and maintenance e of lactation is the extraction of human milk in a neonatal environment. With the pandemic, new obstacles emerged, such as the distancing of mothers in neonatal units, resulting in losses, such as the reduction in milk extraction at the bedside in the neonatal environment. The purpose of this article was to report the experience of strategies and actions that favor the maintenance of lactation in mothers of premature newborns, with emphasis on milk extraction at the bedside in neonatal units. This es an Experience Report that used the Arco de Maguerez methodology, in the neonatal units of a tertiary hospital, in Fortaleza/Ceará, from February to August 2022. Was based on strategies for maintaining lactation in mothers of premature newborns with emphasis on milk extraction at the bedside. The challenges of maintaining lactation in mothers of premature newborns stand out as interruption of milking at the bedside, absence of a defined protocol, lack of awareness of the team, overcrowding, difficulty in the mother’s free access due to the worsening of the pandemic, low adherence of professionals to training. From the identified aspects, Standard Operating Procedure and Milk Expression Flow were developed in a neonatal environment, meetings, training, and sensitization with the teams, also involving the multiprofessional residency. Good neonatal practices are still a challenge, seen more clearly in the pandemic. This experience made it possible to identify gaps. With the work, it was possible to identify gaps, develop strategies, intensify knowledge, and direct actions to improve neonatal care.