Family health nursing interventions to promote breastfeeding in the context of parenthood: scoping review
DOI:
https://doi.org/10.29352/mill0222e.43616Keywords:
family nursing; breastfeeding; primary health careAbstract
Introduction: Exclusive breastfeeding until six months of age is widely recommended by the World Health Organization. In Portugal, adherence rates are below international recommendations, reinforcing the importance of family health nurses in promoting this practice.
Objective: To map scientific evidence on family health nurse interventions promoting exclusive breastfeeding in families receiving primary health care during the first six months postpartum.
Methods: Scoping review, according to the Joanna Briggs Institute methodology and PRISMA-ScR guidelines. The search was conducted in the PubMed and CINAHL databases, and the articles were analyzed by three independent reviewers, with subsequent selection of four articles that met the inclusion criteria.
Results: Three categories of interventions were identified: structured educational interventions, based on a multidimensional community approach, including health education sessions, educational materials, and the enhancement of family and community support networks; professional capacity-building interventions through continuous training emphasizing technical, relational, and motivational skills based on evidence-based practices; and systematic follow-up interventions, ensuring regular and reliable follow-up through face-to-face consultations, telephone calls, emails, or home visits, fostering safety, trust, and family involvement in the breast feeding process.
Conclusion: Personalized nursing interventions, tailored to the needs of each family, proved to be decisive in promoting, adhering to, and sustaining exclusive breastfeeding during the first six months postpartum, reinforcing autonomy and security during the transition to parenthood.
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References
Almeida, J. M., Moreira, A. C., Resendes, M., Santos, A. P., & Tavares, M. (2025). Women’s knowledge of the impact of breastfeeding on their own health and the health of their child. Revista de Enfermagem Referência, 6(4), 1-9. https://doi.org/10.12707/RVI24.90.37512
Almeida, N. B. S. de. (2024). Avaliação da contribuição da enfermagem na manutenção do aleitamento materno na atenção primária à saúde. Brazilian Journal of Health Review, 7(9), 1-17. https://doi.org/10.34119/bjhrv7n9-496
Christoffel, M. M., Gomes, A. L. M., Julio, C. L. A., Barros, J. F. D., Rodrigues, E. D. C., Góes, F. G. B., & Linares, A. M. (2022). Aleitamento materno exclusivo e os profissionais da estratégia saúde da família. Revista Brasileira de Enfermagem, 75(3), 1-8. https://doi.org/10.1590/0034-7167-2020-0545
Couto, C., Prata, A. P., Souto, S. P., Machado, J., & Viana, C. R. (2025). Nurse and midwife interventions to protect, promote and support breastfeeding: An umbrella review. Midwifery, 114, 104337. https://doi.org/10.1016/j.midw.2025.104337
Despacho n.º 13056/2023 do Ministério da Saúde (2023). Diário da República: II Série, n.º 244/2023. https://shre.ink/AUUT
Elliott-Rudder, M., Pilotto, L., McIntyre, E., & Ramanathan, S. (2013). Motivational interviewing improves exclusive breastfeeding in an Australian randomised controlled trial. Acta Paediatrica, 103(1), e11-e16. https://doi.org/10.1111/apa.12434
Lacerda, R. V. C., & Oliveira, M. F. de. (2023). Metodologias de educação em saúde voltada ao aleitamento materno: revisão integrativa. Contribuciones a las Ciencias Sociales, 16(9), 14819–14831. https://doi.org/10.55905/revconv.16n.9-058
Leão, G. N. C., Dias, L. M., Silva, L. N. C. da., Andrade, A. M. de., & Oliveira, M. G. B. de. (2022). Fatores associados ao desmame precoce do aleitamento materno: uma revisão. Research, Society and Development, 11(7), 1-16. https://doi.org/10.33448/rsd-v11i7.27943
Lucchini-Raies, C., Marquez-Doren, F., Perez, J. C., Campos, S., Beca, P., & Lopez-Dicastillo, O. (2023). A complex intervention to support breastfeeding: A feasibility and acceptability study. International journal of nursing practice, 29(6), 1-15. https://doi.org/10.1111/ijn.13184
Mohsin, S., Muhammad Faisal Shafique, Anam Qureshi, Shafaq Batool, Fatima Noor, & Sahar Fatima. (2025). Nifty Cup versus bottles: A comparative study of feeding methods in newborns. Journal of Health, Wellness and Community Research, 3(9), e603. https://doi.org/10.61919/h3mq6w41
Monteiro, J. C. S., Dias, F. A., Stefanello, J., Reis, M. C. G., Nakano, A. M. S., & Gomes-Sponholz, F. A. (2014). Breast feeding among Brazilian adolescents: practice and needs. Midwifery, 30(3), 359-363. https://doi.org/10.1016/j.midw.2013.03.008
Nogueira, M. J., Ribeiro, S., Silva, C., Pereira, P., & Teixeira, D. (2024). Perspetiva materna sobre fatores que influenciam a amamentação do recém-nascido prematuro: scoping review. Millenium - Journal of Education, Technologies, and Health, 2(15e), e34474. https://doi.org/10.29352/mill0215e.34474
Oliveira, A. C. S., Cortez, E. M., Costa, I. A. C., Medeiros, I. C. B., & Modesto, M. C. C. (2023). The nursing professional’s role in breastfeeding: An integrative literature review. Research, Society and Development, 12(6), 1-10. https://doi.org/10.33448/rsd-v12i6.42197
Ordem dos Enfermeiros (2023). Tomada de Posição N.º 01/2023 da Mesa do Colégio da Especialidade de Enfermagem de Comunitária: Referencial em Enfermagem de Saúde Familiar. https://shre.ink/AUnv
Pacherpski, A. C., Cavalheiro, A., Wulf, C., Lemos, M. I. N. C., Jagielski, S. & Farias, P. (2025). Nutrindo laços: O papel essencial da enfermagem na promoção, incentivo e manejo do aleitamento materno. Revistaft: Ciências da Saúde, 29(144), 18-19. https://doi.org/10.69849/revistaft/dt10202503170918
Pádua, A. R., Melo, E. M., & Alvarelhão, J. J. (2022). An intervention program based on regular home visits for improving maternal Breastfeeding self-efficacy: a pilot study in Portugal. Maternal and Child Health Journal, 26(3), 575-586. https://doi.org/10.1007/s10995-021-03361-7
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372(71), 1-9. https://doi.org/10.1136/bmj.n71
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020a). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119-2126. https://doi.org/10.11124/JBIES-20-00167
Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020b). Chapter 11: Scoping reviews. Aromataris, E., & Munn, Z. (Eds.), JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/JBIMES-20-12
Regulamento n.º 428/2018. (2018). Diário da República: II Série, n.º 135. Ordem dos Enfermeiros. https://shre.ink/AUnU
Rodriguez-Garcia, R., Aumack, K. J., & Ramos, A. (1990). A community-based approach to the promotion of breastfeeding in Mexico. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 19(5), 431-438. https://doi.org/10.1111/j.1552-6909.1990.tb01662.x
Santos, A. P., Freitas, L., & Tavares, M. F. (2021). Aleitamento materno na Região Autónoma dos Açores: Estudo de incidência e prevalência até aos 12 meses de vida: Relatório de investigação. Universidade dos Açores. https://bit.ly/AleitamentomaternoRAA
Smilowitz, J. T., Allen, L. H., Dallas, D. C., McManaman, J., Raiten, D. J., Rozga, M., Sela, D. A., Seppo, A., Williams, J. E., Young, B. E., & McGuire, M. K. (2023). Ecologies, synergies, and biological systems shaping human milk composition: A report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” working group 2. The American Journal of Clinical Nutrition, 117(1), S28-S42. https://doi.org/10.1016/j.ajcnut.2022.11.027
Vakilian, K., Farahani, O. C. T., & Heidari, T. (2020). Enhancing breastfeeding - home-based education on self-efficacy: A preventive strategy. International Journal of Preventive Medicine, 11(63), 1-5. https://doi.org/10.4103/ijpvm.IJPVM_494_17
World Health Organization. (2020). Baby-friendly hospital initiative training course for maternity staff: Participant's manual. https://www.who.int/publications/i/item/9789240008953
World Health Organization. (2023a). Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1
World Health Organization. (2023b). Infant and young child feeding. https://shre.ink/AU9Z
World Health Organization. & United Nations International Children's Emergency Fund. (2023). Global breastfeeding scorecard 2023: Rates of breastfeeding increase around the world through improved protection and support. https://shre.ink/AU9C
Zanlorenzi, G. B., Wall, M. L., Aldrighi, J. D., Benedet, D. C. F., Skupien, S. V., & Souza, S. R. R. K. (2022). Fragilidades e potencialidades do cuidado de enfermagem em aleitamento materno na atenção primária: revisão integrativa. Revista De Enfermagem Da UFSM, 12(36), 1-21. https://doi.org/10.5902/2179769268253
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