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      Mitos e crenças sobre o aleitamento materno Translated title: Myths and beliefs surrounding breastfeeding

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          Abstract

          Objetivou-se analisar os principais mitos e crenças relacionados ao aleitamento materno na perspectiva teórico-prática dos diferentes estudos presentes na literatura. Os estudos foram obtidos através de revisão bibliográfica nas principais bases de dados (Medline, Lilacs, Scielo), utilizando os seguintes descritores: "Aleitamento materno", "Desmame", "Mitos" e "Crenças" (e suas versões em inglês e espanhol). Foram consultados também livros, teses, dissertações, publicações em órgãos internacionais e nacionais. Observa-se através dos séculos a existência de questionamentos quanto à forma correta de alimentação do bebê pautados em concepções que tangem o biológico e os determinantes socioculturais. Verifica-se que diversos mitos e crenças que norteiam a lactação geram na nutriz sentimentos de culpa, ansiedade, ou de confiança e apoio quanto à sua capacidade de produção láctea. Nesse sentido, faz-se necessário que os profissionais de saúde compreendam a lactação sob o olhar materno, desvendando seus mitos e crenças, mudando sua forma de atendimento, de modo a contemplar os diversos fatores presentes na lactação, atuando de modo mais eficaz para o prolongamento e a manutenção da amamentação.

          Translated abstract

          The scope of this work was to analyze the main myths and beliefs surrounding breastfeeding for the theoretical-practical perspective of the various studies extant in the literature. The studies were obtained by bibliographical surveys in the main databases (Medline, Lilacs, scielo), retrieved using the key words "Breastfeeding," "Weaning," "Myths" and "Beliefs" (and their versions in English and Spanish). Books, theories, dissertations and publications in international and national organs were also consulted. It was seen that over the centuries there have been doubts surrounding the correct form of suckling newborns based on concepts that include biological aspects and socio-cultural determinants. It was seen that various myths and beliefs surrounding suckling generate either feelings of guilt, anxiety, or feelings of trust and support in the breastfeeding mother with respect to her capacity to produce breast milk. In this respect, it is necessary for healthcare professionals to understand suckling from the maternal standpoint, dispelling myths and beliefs, altering outlooks, in such a way as to comprehend the various factors present in suckling, acting in a more effective way for prolongation and maintenance of breastfeeding.

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          Twenty years of research on the quality of medical care: 1964-1984.

          Since 1964 we have built on earlier work, with some refinements, particularly in the formulation of explicit criteria of process and outcome; the detailed standardization of case mix when outcomes signify quality; the prespecification of outcomes for follow-up, when adverse outcomes are only the occasion for later assessment of process; a greater emphasis on more subtle organizational characteristics in the study of structure; and the identification of the separate effects of structural attributes by multivariate analysis. We have also paid more systematic attention to questions of measurement, including the veracity and completeness of the record; the procedures of criteria formulation; and the reliability, validity, and screening efficiency of the criteria. A notable advance is the use of decision analysis to identify optimal strategies of care, including the introduction of patient preferences and monetary cost in the specification of such strategies, and the use of decisional algorithms to portray the criteria of quality.
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            Amamentação: como e por que promover

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              Author and article information

              Contributors
              Role: ND
              Role: ND
              Role: ND
              Journal
              csc
              Ciência & Saúde Coletiva
              Ciênc. saúde coletiva
              ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro )
              1413-8123
              May 2011
              : 16
              : 5
              : 2461-2468
              Affiliations
              [1 ] Federal de Viçosa Brazil
              Article
              S1413-81232011000500015
              10.1590/S1413-81232011000500015
              21655719
              4df84830-eb3b-4665-8c53-78b6fe186bf6

              http://creativecommons.org/licenses/by/4.0/

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              Product

              SciELO Public Health

              Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1413-8123&lng=en
              Categories
              Health Policy & Services

              Public health
              Breastfeeding,Weaning,Myths,Beliefs,Aleitamento materno,Desmame,Mitos,Crenças
              Public health
              Breastfeeding, Weaning, Myths, Beliefs, Aleitamento materno, Desmame, Mitos, Crenças

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