Elaboração de Procedimento Operacional Padrão relativo ao manejo clínico do aleitamento para um Banco de Leite Humano

Abstract

The Human Milk Bank (BLH) is a specialized service necessarily linked to a maternal and/or child care hospital. The BLH is responsible for carrying out activities to collect lactic acid production from nursing mothers. Thus, it becomes a strong instrument based on actions that guarantee the promotion, protection and support of breastfeeding, impacting on a lower probability of early weaning and consequently, contributing positively to the health of the mother-child binomial in the present and in the future, having considering that exclusive breastfeeding (EBF) is of great importance in the first 6 months of a child's life. Therefore, the objective is to develop and validate a Standard Operating Procedure for the clinical management of breastfeeding for a Human Milk Bank located at the Dr. Mariano Coelho Regional Hospital, located in the municipality of Currais Novos, in the interior of the state of Rio Grande do Norte. To achieve the objective of this work, the research was developed in 5 phases: identification of the object of study; pop elaboration; appreciation of the prototype by professionals (validation stage); data analysis and finally, the preparation of the final version. The validation stage consisted of the evaluation of the POP content by expert judges based on a questionnaire containing closed questions and scoring according to a 4-point Likert scale. In addition, the questionnaire had a space forthe judges' comments. For data analysis, the Content Validity Index (CVI) was used, which evaluates the proportion or percentage of judges who are in agreement on aspects of the protocol. A CVI was considered below expectations of 0.8. The CVI obtained for all assessment items was equal to 100%, that is, there was total approval on the SOP topics for the clinical management of breastfeeding, therefore guaranteeing its legitimacy and applicability. It is considered that the purpose of creating the POP is that it is an instrument to reduce existing deficiencies in assistance aimed at managing breastfeeding. To this end, the importance of carrying out training with professionals involved in this area of activity is highlighted.