Dificuldades no processo de desmame em bebês não disfágicos: efeitos da atuação fonoaudiológica

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Costa, Emelie Villela da lattes
Orientador(a): Cunha, Maria Claudia
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica de São Paulo
Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Fonoaudiologia
Departamento: Faculdade de Ciências Humanas e da Saúde
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede2.pucsp.br/handle/handle/19122
Resumo: Introduction: Weaning from breastfeeding has an important role in the biopsychic structure of a baby. A speech-language pathologist working in the swallowing area has to investigate the relation between the baby and the mother in such phase. Failures in the baby’s bond with its caretaker may result in feeding disorder and/or language problems. Objective: To describe the effects resulting from speech-language pathological procedures while facing the difficulties in weaning from breastfeeding in babies without dysphagia. Method: quanti-qualitative case studies carried out by the Einstein Program in Paraisópolis’s Community. Casuistry: Five mother/baby dyads, babies from both genders over 5 months old showing weaning from breastfeeding difficulties to pasty food and without any diagnosis of either mechanical or neurogenic oropharyngeal dysphagia. The sampling was obtained by convenience. Procedures: mother/baby dyads complaining about difficulties in accepting food were invited to take part in this survey by either the researcher or the multidisciplinary team. First Meeting: participants signed the Term of Consent. Babies were evaluated on their swallowing dynamics (Instrument 1) with a view to discarding dysphagia. Not detecting that, we followed with collecting their eating habits and clinical history (Instrument 2). Second Meeting: a “Weaning Plan” (Instrument 3) was applied as well as observing babies’ dynamics in swallowing pasty food during home visit. Third Meeting: speech-language pathological orientation was submitted based on what had been observed previously. Fourth Meeting: follow up observation after 15 of pasty food use, reapplication of Instrument 3 and case feedback. Results: There was a statistically significant difference in the results from the application of Instrument 3 before and after speech-language pathological interference. Initially, the average was 16,0 points (dp=1,0), raising to 21,2 points (dp=0,8) after speech-language pathological interference (p=0,001). Conclusion: Speech-language pathological interference in difficulties during weaning was effective in all cases