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Healthcare quality in breastfeeding: implementation of the nipple trauma index
Michelli Oliveira Vani Cirico1, Gilcéria Tochika Shimoda1, Rebeca Nunes Guedes de Oliveira2
1Universidade de São Paulo (USP), Hospital Universitário, Departamento de Enfermagem. São Paulo, São Paulo, Brasil.
Objective:
assess the efficacy of the Nipple Trauma Indicator Instrument implemented in the rooming-in facility t of a university teaching hospital as a healthcare quality indicator.
Method:
exploratory, descriptive, retrospective study, with analysis of the Nipple Trauma Indicator tool of 1,691 mothers admitted in rooming-In from June to November 2012. Data were presented as absolute frequencies and percentages and statistical tests were administered.
Results:
the mean rate of nipple trauma was 55.5%. The most frequent trauma was excoriation (62,2%) and the main cause was incorrect attachment of the newborn (44%). Maternal and neonatal factors associated with nipple trauma are also presented.
Conclusion:
the Nipple Trauma Indicator provides a picture of breastfeeding healthcare, contributing to the construction of this quality indicator.
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