Controle do risco de contaminação do leite doado a um banco de leite humano

Abstract

The breastfeeding contributes to the decrease of the child mortality, since it possesses the antibodies that contribute to the immunologic protection of the infant, it has vitamins, water, lipids, carbohydrates, proteins in right quantities, becoming essential for the newborn development. Also, this action strengths the bond between mother and child. It’s recommended by the world health organization (WHO) the exclusive breastfeeding during the first six months of life and the maternal breastfeeding associated with food provision it’s recommended until two years old. The human Milk Banks contribute to the exercise of breastfeeding to premature babies or debilitated who can´t receive the milk directly from the maternal breast. To sustain the milk bank the role of the milk donators is essential. By leaving the maternal breast, the human milk is free of contaminants, however improper collecting practices may cause the milk contamination, and its disposal, this way harming the milk banks supplies. This research has the objective of identifying the profile and knowledge of the human milk donators to the breast bank of the Assis Chateaubriand Maternity School (MEAC), as well as identifying the quantity of human milk disposed and the reasons for this disposal, it is an exploratory study, observational, descriptive and transversal. The population composed by 37 nursing mothers donators of human milk in may 2018, at the Assis Chateaubriand Maternity School (MEAC), located in the city of Fortaleza/ceara. A retrospective analysis of the databank of the Assis Chateaubriand Maternity School (MEAC) milk bank was carried out to verify the quantity of milk donated and disposed. Among the research participants, 30 donators (81,1%) have completed high school, 27 donators (73%) work/study outside, among them 23 (85,2%) pretend return to work/study after 4 months of leave of absence and 32 of them (100%) feel safe about the milk collection. The majority, 17 of them (46%) has family income until 2 minimum wages, 20 (54%) share the home with 3 residents and 11 (29,8%) have more than 5 rooms at home, all realized the prenatal by the public sector of healthcare. In regard to the previous experience of breastfeeding, 15 of them (40,5%) had fed other children, wherein 9 (60%) fed from 6 months to 1 year, 4 of them (26,6%) were already donators previously. All the participants of the research washed their hands in correct way and used disposable caps and masks. About the donation rate, 30 (81,1%) donated everyday of the week. Were sent to the milk bank 16,51 liters of milk from the collection room to pasteurize, weredisposed 7,23 liters, being 4,23 liters disposed at the replenishment and 3,0 liters disposed after the pasteurization and were distributed 9,28 liters of milk to the babies. Its concluded that the majority of donators has completed high school, possess average family income and all received prenatal assistance, it was verified that the donators were oriented about the procedures that must be realized before the collection and that the adherence of these guidelines were made. Even with the awareness and adherence to the guidelines, there is a considerable volume of human milk disposed, due to the fact of new donators arriving everyday and even though they present adherence to the guidelines, they don’t possess experience to realize the collection