Avaliação da dor, do choro e do comportamento de bebês durante o procedimento de frenotomia lingual e a percepção das mães

Abstract

Pain is a subjective experience and the study of instruments for to evaluate it is of great importance. Therefore, the objectives of this study were to evaluate the pain, crying, behavior of the infants during the lingual frenotomy and the perception of the mothers. This study included 17 mothers and their infants and was performed in the period between June and October of 2017. Data were collected through the evaluation protocol of the language frenulum with scores for infants, two scales, an app, and a questionnaire. Of the 17 protocols evaluated, the frenotomy was performed in (29.4%) infants. Considering pain assessment, 100% of the infants presented pain; the most frequent types of crying were: hungry (60%) and nuisance (20%); the most observed behaviors were: crying without interruption movements (60%) and crying with interruption movements (40%); as for anxiety, 40% of the mothers felt calm, 20% uncomfortable, 20% anxious or fearful and 20% concerned; 80% of the mothers reported improvement in breastfeeding after the frenotomy: decrease of pain (38%), improved suction (25%), decreased snaps (13%) and decreased baby fatigue (13%); in perception of pain, 60% of the mothers indicated moderate pain and 40% indicated mild pain. It is concluded that prospective studies are needed to better evaluate the components that are objectified.