Repercussions of cow’s milk allergy from the perspective of mothers
DOI:
https://doi.org/10.15253/2175-6783.20202142929Keywords:
Milk Hypersensitivity; Maternal and Child Health; Social Support; Breast Feeding; Diet.Abstract
Objective: understanding the repercussions of cow’s milk allergy from the perspective of mothers. Methods: qualitative study, carried out with nine mothers who were found in Facebook groups. Data was collected through semi-structured interviews and submitted to content analysis. Results: three categories emerged: living with the unpreparedness of health services and professionals to diagnose and treat allergies to cow’s milk protein; social isolation: the result of fear and misunderstanding; and the mother as the central figure of care. Conclusion: the rigorous alimentary restriction that results from allergies to the protein in cow’s milk significantly reverberates in the lives of children and families, especially mothers, leading to the social isolation of the family and to insecurity in the use of health and education services, due to the lack of knowledge and preparation of the professionals.
References
Aranda CS, Cocco RR, Pierotti FF, Mallozi MC, Franco JM, Porto A, et al. Increased sensitization to several allergens over a 12-year period in Brazilian children. Pediatr Allergy Immunol. 2018; 29(3):321-4. doi: https://doi.org/10.1111/pai.12860
Ho MH, Wong WH, Chang C. Clinical spectrum of food allergies: a comprehensive review. Clinic Rev Allerg Immunol. 2014; 46(3):225-40. doi: https://doi.org/10.1007/s12016-012-8339-6
Ministério da Saúde (BR). Comissão Nacional de Incorporação de Tecnologias no SUS. Protocolo Clínico e Diretrizes Terapêuticas Alergia à Proteína do Leite de Vaca (APLV) [Internet]. 2017 [citado 2020 jan. 13]. Disponível em: http://conitec.gov.br/images/Consultas/Relatorios/2017/Relatorio_PCDT_APLV_CP68_2017.pdf.
Flom JD, Sicherer SH. Epidemiology of cow’s milk allergy. Nutrients. 2019; 11(5):1051. doi: https://doi.org/10.3390/nu11051051
Sociedade Portuguesa de Alergologia e Imunologia Clínica. Alergia alimentar: conceitos, conselhos e precauções. Portugal: Thermo Fisher; 2017.
Pensabene L, Salvatore S, D’Auria E, Parisi F, Concolino D, Borrelli O, et al. Cow ‘s milk protein allergy in infancy: a risk factor for functional gastrointestinal disorders in children? Nutrients. 2018; 10(11):1176. doi: https://doi.org/10.3390/nu10111716
Ferreira S, Pinto M, Carvalho P, Gonçalves JP, Lima R, Pereira F. Cow&s milk protein allergy with gastrointestinal manifestations. Birth Growth MJ [Internet]. 2014 [cited Jan 13, 2020]; 23(2):72-9. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/8601
Sanchez-Garcia S, Cipriani F, Ricci G. Food allergy in childhood: phenotypes, prevention and treatment. Pediatr Allerg Immunol. 2015; 26(8):711-20. doi: https://doi.org/10.1111/pai.12514
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2016.
Bousso RS. A teoria dos sistemas familiares como refe- rencial para pesquisas com famílias que experienciam a doença e a morte. Rev Min Enferm [Internet]. 2008 [ci- tado 2020 jan. 13]; 12(2):257-61. Disponível em: http://www.reme.org.br/artigo/detalhes/266
Sarinho ESC, Lins MGM. Severe forms of food allergy. J Pediatr. 2017; 93(1):53-9. doi: https://doi.org/10.1016/j.jpedp.2017.06.009
Serpa FS, Cruz AAS, Neto AC, Silva ECF, Franco JM, Mello JML, et al. O atendimento médico de pacientes com doenças imunoalérgicas no Brasil: reflexões e propostas para a melhoria. Arq Asma Alerg Imunol. 2017; 1(4). doi: http://dx.doi.org/10.5935/2526-5393.20170049
Gomes RN, Silva DR, Yonamine GH. Impacto psicossocial e comportamental da alergia alimentar em crianças, adolescentes e seus familiares: uma revisão. Braz J Allergy Immunol. 2018; 2(1):95-100. doi: http://dx.doi.org/10.5935/2526-5393.20180007
Goodwin RD, Rodgin S, Goldman R, Rodriguez J, Vos G, Serebrisky D, et al. Food allergy and anxiety and depression among ethnic minority children and their caregivers. J Pediat. 2018; 187:258-264.e1. doi: https://doi.org/10.1016/j.jpeds.2017.04.055
Brum AKR, Fernandes Filha MLFS, Rocha RM, Ferreira SCM. Management of nursing care for children with allergy to cow milk protein. Rev Enferm UFPE online [Internet]. 2016 [cited Dec 21, 2019]; 10(5):4404-7. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11191/12745
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Resolução n. 26, de 02 julho 2015. Dispõe sobre os requisitos para rotulagem obrigatória dos principais alimentos que causam alergias alimentares [Internet]. 2015 [citado 2019 dez 21]. Disponível em: http://portal.anvisa.gov.br/documents/10181/2694583/RDC_26_2015_.pdf/b0a1e89b-e23d-452f-b029-a7bea26a698c
Rajani PS, Martin H, Groetch M, Javirnen KM. Presentation and management of food allergy in breastfed infants and risks of maternal elimination diets. J Allergy Clin Immunol Pract. 2020; 8(1):52-67. doi: https://doi.org/10.1016/j.jaip.2019.11.007
Manti S, Lougaris V, Cuppari C, Tardino L, Dipasquale V, Arrigo T, et al. Breastfeeding and IL-10 levels in children affected by cow’s milk protein allergy: a restrospective study. Immunobiology. 2017; 222(2):358-62. doi: http://dx.doi.org/10.1016/j.imbio.2016.09.003
Urbanetto PDG, Gomes GC, Costa AR, Nobre CMG, Xavier DM, Silva JG. Guidelines on breastfeeding received by pregnant women during prenatal care. Cienc Cuid Saúde. 2017; 16(4). doi: https://doi.org/10.4025/cienccuidsaude.v16i4.34071
Silva MFFS, Pereira LB, Ferreira TN, Souza AAM. Breastfeeding self-efficacy and interrelated factors. Rev Rene. 2018; 19:e3175. doi: https://doi.org/10.15253/2175-6783.2018193175
