POR QUE PROMOVER A AMAMENTAÇÃO NOS PROGRAMAS DE CONTROLE DE DIARRÉIA

Autores

  • lsabelle de ZOYSA Organização Mundial de Saúde
  • Marina REA Organização Mundial de Saúde
  • José MARTINES Organização Mundial de Saúde

Palavras-chave:

aleitamento materno, diarréia, programas controlados de cuidados de saúde, morbidade, leite humano

Resumo

A melhoria na prática de manejo de caso clinico é o que de mais importante foi alcançado pelos programas nacionais de controle de diarréia, podendo levar a rápida redução da mortalidade por esta causa. Existe entretanto, crescente interesse no desenvolvimento de ações que possam reduzir a morbidade por diarréia, especialmente naqueles países em que as atividades de manejo de caso clínico já se encontram bem estabelecidas. O Programa de Controle de Doenças Diarréicas da OMS recomenda que a amamentação seja promovida como uma das mais importantes medidas para prevenir diarréia. Existem hoje evidências claras de que a amamentação confere proteção significativa contra doenças e morte associadas a diarréia, e diminui seus efeitos nutricionais adversos. Já se demonstrou que a promoção da amamentação é uma medida eficiente para prevenir diarréia, além de trazer muitos outros benefícios sociais, econômicos e à saúde. Este artigo resume tais evidências e descreve as atividades planejadas eem andamento do Programa, no seu esforço em promover a amamentação

 

Referências

AKRE, J. lnfant feeding: the physiological basis. Bulletin of the World Health Organization, Geneva, v. 67, p.1-108, 1989. (suppl.)

ALMROTH, S. G. Water requeriments of breastfed infants in a hot climate. American Journal of Clin_ical Nutrition, Bethesda, V. 31, p.1154-1157, 1978.

ALMROTH, S. & BIDINGER, P.D. No need for supplementary water for exclusively breasfed infants under hot and arid conditions. Transactions of the Royal Society of Tropical Medicine and Hygiene, London, v.84, p.602-604, 1990.

ARMELINI P. A. & GONZALEZ, C.F. Breastfeeding and fluid intake in a hot climate. Clinicai Pediatrics, Cleveland, v.18, p. 424-425, 1979.

BARRELL, R. A. E. & ROWLAND, M. G. M. lnfant food as a potential source of diarrhoeal illness in rural West Africa. Transactions of the Royal Society ofTropical Medicine and Hygiene, London, V. 73, p. 85-90, 1979.

BENTLEY, M.E. et ai. Maternal feeding behavior and child accept­ ance of food during diarrhea, convalescence, and health in the Central Sierra of Peru. American Journal of Public Health, Washington, DC, v. 81, p. 43-47, 1991.

BLACK, R.E. et ai. Contamination ofweaning foods and transmission of enterotoxigenic Escherichia coli diarrhoea in children in rural Bangladesh. Transactions of the Royal Society of Tropical Medicine and Hygiene, London, v. 76, p. 259-264, 1982.

_______et ai. lncidence and etiology of infantile diarrhea and major routes of transmission in Huascar, Peru. American Journal of Epidemiology, Baltimore, v.129, p. 785-799, 1989.

______.Would control of childhood infectious diseases reduce malnutrition? Acta Paediatrica Scandinavica, Stock­ holm. [ln press).

BRIEND, A.; WOJTYNIAK, B. & ROWLAND, M. G. M. Breastfeeding, nutritional state, and child survival in rural Bangladesh. British Medical Journal, London, v. 296, p. 879-882, 1988.

BROWN, K. H. et ai. Effects of season and illness on the dietary intake of weanlings during longitudinal studies in rural Bangladesh, American Journal of Clinica! Nutrition, Bethesda, v. 41, p. 343-355, 1985.

______ . Milk consumption and hydration status of ex­ clusively breastfed infants ina warm climate. Journal of Pediatrics, St. Louis, v. 108, p. 677-680, 1986.

_____ . lnfant feeding practices and their relationship with diarrheal and other diseases in Huascar (lima), Peru. Pediatrics, Evanston, li., v. 83, p. 31-40, 1989.

_____ Effects of common illnesses on infants'. energy intakes from breast milk and other foods during londitudinal community-based stydies in Huascar (lima), Peru. American Journal of Clinica! Nutrition, Bethesda, v. 52, p. 1005-1113,

CLAESON M. & MERSON, M.H. Global progress in the control of diarrheal diseases. Pediatric lnfectious Diseases Journal, Bal­ timore, v. 9, p. 345-355, 1990.

CLEMENS, J. D. et ai. Breastfeeding as a determinant of severity in shigellosis: evidence for protection throughout the first three years of life in Bangladesh children. American Journal of Epi­ demiology, Baltimore, v. 123, p. 710-720, 1986.

_______.Breastfeeding and the risk of severe cholera in rural Bangladesh children. American Journal of Epidemiology, Baltimore, v. 131, p. 400-411, 1990.

CONSENSUS STATEMENT. Breastfeeding as a family planning method. Lancet, London, v. 2, p. 1204-1205, 1988.

DICKIN, K.L. et ai. Effect of diarrhoea on dietary intake by infants and young children in rural villages of Kwara State, Nigeria. European Journal of Clinicai Nutrition, London, v. 44, p. 307-317, 1990.

FEACHEM, R. G. lnterventions for the contrai of diarrhoeal diseases among young children: supplementary feeding programmes. Bulletin ofthe World Health Organization, Geneva, v. 61, p. 967-979, 1983.

________ & KOBLINSKY, M. A. lnterventions for the con­ trai of diarrhoeal diseases among young children: promotion of breastfeeding. Bulletin of the World Health Organization, Ge­ neva, v.62, p.271-291, 1984.

_______ . Preventing diarrhoea: what are the policy options? Health Policy and Planning, v. 1, p. 109-117, mas.

GONZALES, R.B. A large scale rooming-in program in a developing country: the Dr. Jose Fabella Memorial Hospital experience. lnternational Journal of Gynecology and Obstetrics, Limerick, v. 31, p. 31-4, 1990. (suppl. 1).

GREINER, T. et ai. The economic value of breastfeeding (with results from research conducted in Ghana and the lvory Coast). lthaca : Cornell University, 1979. (Cornell lnternational Nutrition Monograph Series, n. 6).

HABICHT, J. P. et ai. Mother's milk and sewage: their interactive effects on infant mortality. Pediatrics, Evanston, 11., v. 81, p. 456-461, 1988.

HENRY, F. J. et ai. Bacterial contamination of wearing foods and drinking water in rural Bangladesh. Epidemiology and lnfection, Cambridge, Engl., v.104, p.79-85, 1990.

HOWIE, P.W. et ai. Protective effect of breastfeeding against infec­ tion. British Medical Journal, London, v. 300, p.11-16, 1990.

HOYLE, B. et ai. Breastfeeding and food intake among children with acute diarrheal disease. American Journal of Clinica! Nutrition, Bethesda, v. 33, p. 2365-2371, 1980.

HUFFMAN, S. L. & COMBEST, C. Role of breastfeeding in the prevention and treatment of diarrhoea. Journal of Diarrhoeal Diseases Research, Dhaka, v.8, p.68-81, 1990.

JELLIFFE, D. B. &JELLIFFE, E. F. P.(ed.) Programmesto promote breastfeeding. Oxford : Medical Publications, 1988.

KHIN-MAUNG, U. et ai. Effect on clinica! outcome of breastfeeding during acute diarrhoea. British Medical Journal, London, v. 290, p. 587-589, 1985.

LABBOK, M. & KRASOVEC, K. Towardsconsistency in breastfeeding definitions. Studies in Family Planning, New York, NY, v. 21, p. 221-230, 1990.

LEVINE, R. & HUFFMAN, S. L. The economic value of breastfeeding:the national, public sector, hospital and household levels. Bethesda: Centerto Prevent Childhood Malnutrition, 1990.

MAHMOOD, D. A. et ai. lnfant feeding and risk to severe diarrhoea in Basrah city, lraq: a case control study. Bulletin of the World Health Organization, Geneva, v. 67, p. 701-706, 1989.

MATA, L. et ai. Promotion of breastfeeding, health and growth among hospital-bom neonates, and among infants of a rural area of Costa Rica. ln: CHEN, L. C. & SCRIMSHAW, N. S. (ed.) Diarrhoea and malnutrition: interactions, mechanisms and interventions. New York : Plenum Press, 1981. p.177-202.

MONTEIRO, C.A. et ai. Can infant mortality be reduced by promoting breastfeeding? Evidence from São Paulo City. Health Policy and Planning, v. 5, p. 23-29, 1990.

PHILLIPS, M. A. etal. Options for diarrhoea control: the cost and cost-effectiveness of selected interventions for the presention of diarrhoea. London : School of Hygiene and Tropical Medicine, 1987. (EPC Publication, n.13).

POPKIN, B. M. et ai. Breastfeeding and diarrhoeal morbidity. Pediatrics, Evanston, li., v. 86, p. 874-882, 1990.

ROWLAND, M. G. M. The weanling's dilemma: are we making progress? Acta Paediatrica Scandinavica, Stockholm, v. 323, p. 33-42, 1986. (suppl.).

_______ et ai. lmpact of infection on the growth of children from O to 2 years in an urban West African community. American Journal ofClinical Nutrition, Bethesda, v. 47, p.134-138, 1988.

SEWARD, J. F. & SERDULA, M. K. lnfant feeding and infant growth. Pediatrics, Evanston, li., v. 74, p. 728-762, 1984.

SHEPARD, D. S. & BRENZEL, L. E. Cost-effectiveness ofthe mass media and health practices project: a report from Stanford Univer­ sity to USAID prepared by Applied Communication Technology, 1985.

THAPA, S. et ai. Breastfeeding: birth spacing and their effects on child survival. Nature, London, v. 335, p. 679-682. 1988.

VICTORA, e. G. et ai. Evidence for protection by breastfeeding against infant death from infectious diseases in Brazil. Lancet, London, v. 2, p. 319-322, 1987.

______ . lnfant: feeding and deaths dueto diarrhea: a case-control study. American Journal of Epidemiology, Balti­ more, v.129, p.1032-1041, 1989.

WATKINSON, M. Delayed onset of weanling diarrhoea associated with high breast milk intake. Transactions of the Royal Society of Tropical Medicine and Hygiene, London, v.75, p.432-435, 1981.

WHITEHEAD, R. G. & PAUL, A. A. Growth charts and the assessment of infant feeding practices in the western world and in developing 1. de ZOYSA et ai. • countries. Early Human Development, Limerick, v. 9, p. 187-207, 1984.

WORLD HEALTHORGANIZATION/UNITED NATIONS CHILDREN'S FUNDATION. Protecting, promoting and supporting breastfeeding:the special rol of maternity services. A joint WHO/ UNICEF statement, Geneva, 1989.

_______.Breastfeeding in the 1990s: review and impli­ cations for a global strategy, Geneva, 1990.

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Publicado

25-06-1995

Como Citar

de ZOYSA, lsabelle ., REA, M. ., & MARTINES, J. . (1995). POR QUE PROMOVER A AMAMENTAÇÃO NOS PROGRAMAS DE CONTROLE DE DIARRÉIA. Revista De Nutrição, 8(1). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/9896

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ARTIGOS ORIGINAIS