Contribuições da enfermeira diante das dificuldades do aleitamento materno

Abstract

The practice of breastfeeding requires adequate professional support to provide the woman and the family with the necessary support for their success. In this context, the nurse assumes an important role since she has great responsibility, since she performs the prenatal consultations in Family Health Units, which have the promotion of breastfeeding as one of her focuses. Despite the benefits of breastfeeding for women, children and society, early weaning is a well-contextualized reality in Brazil and is related to the many difficulties presented by women during breastfeeding. The general objective was to describe the nurse's contributions to the difficulties presented by women in the breastfeeding process. This is a descriptive research of qualitative approach, type integrative review of the literature, performed between November / 2017 and January / 2018, through the databases LILACS, BDENF, MEDLINE and SCIELO, using the descriptors: "breastfeeding" , "Nurse" and "difficulties". Inclusion criteria: primary articles published in the years 2012 to 2017, in the languages Portuguese (Brazil), available in full for reading. Exclusion criteria: review articles, doctoral theses, case reports and articles that do not contemplate the topic addressed. We selected 12 articles and constructed three categories of analysis: the nurse and contributions in the promotion of breastfeeding; difficulties in breastfeeding; and recommendations to the nurse on the promotion of breastfeeding. Emphasis was placed on the contributions of nurses to educational actions to promote breastfeeding in addition to scientific production on the subject. On the other hand, there were few specific actions in clinical management in the difficulties of breastfeeding and dissatisfaction with the nurse in this activity. It is seen the need for greater attention of nurses in the actions of promotion of breastfeeding and implementation of actions of permanent education by the services and the academy, with the perspective of strengthening the professional formation of the nurse in the health care of the woman.