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Breastfeeding based on the experience of mothers of tracheostomized children and the use of the Passy-Muir® valvea a Article extracted from the master's thesis entitled “Experiences of mothers of tracheostomized children using the Passy-Muir® valve and the return to breastfeeding”, presented to the Public Health Graduate Program in the Border Region, State University of Western Paraná, Foz de Iguaçu, 2018, authored by Janaina Adriana da Cunha de Lima under the guidance of Ana Maria de Almeida.

Abstract

Objective

To understand the experience of mothers of tracheostomized children between 0 and 24 months old, who resumed breastfeeding with the use of the Passy-Muir® deglutition valve.

Method

A descriptive study with a qualitative approach and semistructured interviews conducted from June to August 2017 in which the participants were 11 mothers of tracheostomized children, by follow-up in a rehabilitation and logopedia center, which adapted the Passy-Muir® deglutition valve. The analysis was based on the assumptions of thematic content analysis.

Results

the mothers' experience, after the child's tracheostomy, the use of the Passy-Muir® swallowing valve minimized the difficulties in breastfeeding. Once the valve adaptation process was overcome, its benefits were realized. The mothers' feelings in the process of adapting the valve are described, their expectations with the use of the valve and pleasure and fullness for the woman in the return of breastfeeding.

Conclusions and implications for practice

Safety during breastfeeding, reduction in the production of secretions, and reductions in the number of airway aspirations were observed, noticing improvements in the respiratory pattern, in the vocalizations (mumbling and crying), and in the child's sleep quality. Further research is needed to address breastfeeding of tracheostomized children to deepen knowledge in this area.

Keywords:
Breastfeeding; Tracheostomy; Infant; Child Care; Public Health

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