Experiências de mães de crianças traqueostomizadas no uso da válvula Passy-Muir e o retorno ao aleitamento materno

Abstract

Breastfeeding reinforces the bond of the mother-baby binomial and helps in the development of structures of the orofacial motor sensory system. Tracheostomized children present with a swallowing disorder, which has a significant impact on orofacial functions and may favor precocious weaning. In order to resume breastfeeding, the speech and hearing professionals can assist and promote this process with the help of devices such as the Passy Muir® Swallowing Valve. The objective of this research was to understand the experience of resumption of breastfeeding of mothers of tracheostomized children between 0 and 24 months of age using the Passy Muir® swallowing valve. This is a qualitative, descriptive and exploratory research that used as a method of data analysis, Content Analysis data were collected at the Speech and Hearing Clinic at the Medical Specialties Center in the city of Foz do Iguaçu- PR- Brazil, in the first half of 2017. Interviews were conducted with the aid of a structured questionnaire for demographic data and semi-structured script, plus search of clinical data in the tracheostomized children's charts. Eleven mothers of tracheostomized children attended the Speech Therapy Outpatient clinic participated in the study. The data were arranged in registry units and their analysis was thematic, presenting different topics for discussion: difficulty in breastfeeding after tracheostomy, adaptation and use of the Passy Muir® swallowing valve and the perceived benefits, feelings of insecurity with the use of Passy Muir® valve, expectations of mothers using Passy Muir® valve, feelings of breastfeeding, support of health professionals. The results pointed to the resumption of breastfeeding of all the children in the study, safety of breastfeeding, reduction of secretion production, daily reductions in the number of aspirations of the areas, improvement in respiratory pattern, vocalizations (babbling and crying), improvement in quality of the child's sleep, re-adaptation of swallowing and sucking, and the introduction of new foods. The results of the study indicate the importance of continuity in the research with the theme and brings contributions indicating new strategies to promote breastfeeding and improve the quality of care for tracheostomized children.