Evaluation of preterm infants during the first offering of the maternal breastfeeding in a neonatal intensive care unit/Avaliacao de recem-nascidos prematuros durante a primeira oferta de seio materno em uma uti neonatal

Purpose: to evaluate newborn prematures during the first offering of maternal breast in a Neonatal Intensive Care Unit. Methods: 15 mother-newborn dyads were assessed during the first offering of maternal breast in the Neonatal Intensive Care Unit in Maternity Mario Totta in the Hospital Santa Clara da Irmandade Santa Casa de Misericordia de Porto Alegre. The collection occurred in three parts with each dyad: 1st) Inquiry newborn records and filling out a form. 2nd) Application a structured questionnaire to mothers. 3rd) Assessment the first offer of maternal breast applying the Speech Therapy Evaluation Form feedings. Results: 46.7% of newborn had prematurity as the sole reason for admission, 60% were already in speech therapy before initiating breastfeeding. Mean maternal age was 29.27 + /--8.058 years and 73.3% had a stable relationship with the father of the newborn. It was found that the higher the corrected gestational age of newborns, the best conditions for making the handle and milking breast, and final classification of breastfeeding. More days of life the newborn had the best handle in the maternal breast. Conclusion: prematurity was the main factor against breastfeeding, however, the positive characteristics of the mothers, a like educational level, marital status and previous experience in breastfeeding and the early onset of therapeutic sessions in most prematures may have provided good results in the first offering of the maternal breast. KEYWORDS: Breast Feeding; Infant, Premature; Intensive Care Units, Neonatal Objetivo: avaliar recem-nascidos prematuros durante a primeira oferta de seio materno em uma Unidade de Terapia Intensiva neonatal. Metodos: foram avaliadas 15 diades mae/recem-nascido durante a primeira oferta de seio materno na Unidade de Terapia Intensiva neonatal da Maternidade Mario Totta, no Hospital Santa Clara da Irmandade da Santa Casa de Misericordia de Porto Alegre. A coleta ocorreu em tres partes: 1a) Consulta ao prontuario do recem-nascido e preenchimento de um formulario. 2a) Aplicacao de um questionario estruturado as maes. 3a) Avaliacao da primeira oferta de seio materno aplicando o Formulario de Avaliacao Fonoaudiologica das mamadas. Resultados: 46,7% dos recem-nascidos apresentaram a prematuridade como unico motivo de internacao, 60% ja estavam em acompanhamento fonoaudiologico antes de iniciarem o aleitamento materno. A media de idade das maes foi 29,27 +/- 8,058 anos e 40% delas afirmou terem relacionamento estav