Difficulties of breastfeeding in children with Down Syndrome

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.9359

Keywords:

Down's syndrome; Child; Infant; Breastfeeding.

Abstract

Objective: To present scientific evidence based on a systematic literature review (PRISMA) on the possible difficulties of breastfeeding in children with Down Syndrome (DS). Methodology: The search for articles was carried out in the databases Scielo, Lilacs, Pubmed, Scopus, Bireme and Web Of Science, there was no restriction on location, period and language. For the selection of studies, the combination based on the Medical Subject Heading Terms (MeSH) was used. Four studies that scored ≥ 6 points according to the qualitative score protocol proposed by Pithon et al. (2015). Results: Studies show that the vast majority of mothers of babies with DS have knowledge about the benefit of exclusive breastfeeding for newborns with this type of syndrome, however some factors prevent breastfeeding, the most cited being hospitalization in neonatal unit, frustration or depression, perceived insufficiency of milk and difficulty in sucking, in addition to the lack of instruction by some health professionals. Conclusion: Children with DS are breastfed less frequently compared to children without disorders or syndromes. Therefore, active support, education and collaboration between health team members and mothers of babies with DS are essential for successful breastfeeding, revealing that health professionals have an important role in the success or failure of exclusive breastfeeding.

References

Carvalho A C A, Campos O S F, Crusoé-Rebello I. (2010). Síndrome de Down: aspectos relacionados ao sistema estomatognático. Revista de Ciências Médicas e Biológicas, 9(1), 49-52.

Colón E, Davila-Torres R R, Parrilla-Rodríguez A M, Toledo A, Gorrín-Peralta J J, & Reyes-Ortiz V E. (2009). Exploratory study: Barriers for initiation and/or discontinuation of breastfeeding in mothers of children with down syndrome. Puerto Rico Health Sciences Journal, 28(4).

Coentro V S, Geddes D T, & Perrella S L. (2020). Altered sucking dynamics in a breastfed infant with Down syndrome: a case report. International Breastfeeding Journal, 15(1), 1-6.

Cunha A M F V, Blascovi-Assis S M, & Fiamenghi Jr G A. (2010). Impacto da notícia da síndrome de Down para os pais: histórias de vida. Ciência & saúde coletiva, 15, 445-451.

Ergaz‐Shaltiel Z, Engel O, Erlichman I, NavehY, Schimmel M S, & Tenenbaum A. (2017). Neonatal characteristics and perinatal complications in neonates with Down syndrome. American Journal of Medical Genetics Part A, 173(5), 1279-86.

Evangelista L G, & Furlan R M M M. (2019). Fatores facilitadores, principais dificuldades e estratégias empregadas no aleitamento materno de bebês com síndrome de Down: uma revisão sistemática. Audiology-Communication Research, 24.

Genova L, Cerda J, Correa C, Vergara N, & Lizama M. (2018) Good health indicators in children with Down syndrome: High frequency of exclusive breastfeeding at 6 months. Revista chilena de pediatría. 2018; 89(1): 32-41.

Lawder R, Tomiasi A A, Cassol K, Romero G, Herber V, & Topanotti J. (2019). A Atuação Fonoaudiológica Na Síndrome De Down-Visão Familiar. Fag Journal Of Health, 1(2), 63-77.

Lewis E, & Kritzinger A. (2004). Parental experiences of feeding problems in their infants with Down syndrome. Down Syndrome Research and Practice, 9(2), 45-52.

Moher D, Shamseer L, & Clarke M. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev,4(1),1.

Oliveira A C, Czeresnia D, Paiva S M, Campos M R, &Ferreira E F. (2008). Uso de serviços odontológicos por pacientes com síndrome de Down. Revista de Saúde Pública, 42, 693-699.

Oliveira A C, Pordeus I A, Torres C S, Martins M T, & Paiva S M. (2010). Feeding and nonnutritive sucking habits and prevalence of open bite and crossbite in children/adolescents with Down syndrome. The Angle Orthodontist, 80(4), 748-53.

Pithon M M, Sant'anna L I D A, Baião F C S, Santos R L, Coqueiro R S, & Maia L C. (2015). Assessment of the effectiveness of mouthwashes in reducing cariogenic biofilm in orthodontic patients: a systematic review, 43,297–308.

Pisacane A, Toscano E, Pirri I, Continisio P, Andria G, & Zoli B. (2003). Down syndrome and breastfeeding. Acta Paediatrica. 2003; 92(12), 1479-81.

Rivas L A, & Smeha L N. (2017) A síndrome de Down e os profissionais da saúde: contribuições para o vínculo mãe-bebê. Disciplinarum Scientia| Saúde, 18(1), 59-72.

Saúde da criança – aleitamento materno e alimentação complementar. (2015). Departamento de Atenção Básica. Acessado em 11 Setembro, 2020, Recuperado de https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_aleitamento_materno_cab23.pdf

Silva R B, Barbieri-Figueiredo M D C, & Van M R. (2018). Breastfeeding experiences of mothers of children with down syndrome. Comprehensive Child and Adolescent Nursing, 42(4), 250-64.

Trindade A S, & Nascimento M A D. (2016). Avaliação do Desenvolvimento Motor em crianças com Síndrome de Down. Revista Brasileira de Educação Especial, 22(4), 577-88.

White, M. (2013). Providing breastfeeding support in the hospital setting for mothers who have infants with Down syndrome. ICAN: Infant, Child, & Adolescent Nutrition, 5(5), 268-270.

Wieczorkievicz A M, & Souza K V. (2009). O processo de amamentação de mulheres mães de crianças portadoras de síndrome de down. Cogitare Enfermagem, 14(3), 420-427.

Published

21/10/2020

How to Cite

GONÇALVES, L. F.; BRAZ, L. V.; HAAS, P.; BLANCO-DUTRA, A. P. Difficulties of breastfeeding in children with Down Syndrome. Research, Society and Development, [S. l.], v. 9, n. 10, p. e7569109359, 2020. DOI: 10.33448/rsd-v9i10.9359. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/9359. Acesso em: 28 jun. 2022.

Issue

Section

Review Article