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Breast surgery can be highly stressful for women due to the high symbolic value that it represents in bio-psycho-social terms. Before setting up a nurses' breast disease clinic, nurses felt that women were being discharged after surgery with excessive worries and doubts. The aim of this study was to describe the organization, structure, functions, and activities of the nurses' breast disease clinic in Hospital Palmós (Gerona, Spain) between 2002-2005, as well as to promote this kind of clinic. The clinic provides postsurgical care, health education, and psychological support, thus contributing to the integral care of women with this important health problem. The clinic is a resource for the follow-up of patients with breast disease. Moreover, it facilitates outpatient surgical treatment and early discharge and reduces mean length of hospital stay.

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La cirugía de mama puede resultar muy estresante para la mujer por la elevada carga simbólica que representa a nivel biopsicosocial. Antes de la puesta en marcha de la consulta, la enfermera tenía la sensación de que la mujer era dada de alta, después del proceso quirúrgico, con excesivas preocupaciones y dudas. El objetivo de este trabajo es presentar la organización, estructura, funciones y actividad de la consulta de enfermería de patología mamaria durante los años 2002-2005 en el Hospital de Palamós (Girona), así como promover la existencia de este tipo de consultas. En la consulta se realizan cuidados posquirúrgicos, educación sanitaria y soporte psicológico que benefician la atención integral de la mujer que presenta este importante problema de salud. La consulta es un recurso para el seguimiento de las pacientes con patología mamaria, que facilita la cirugía ambulatoria, el alta precoz y la disminución de la estancia media hospitalaria

Breast surgery can be highly stressful for women due to the high symbolic value that it represents in bio-psycho-social terms. Before setting up a nurses' breast disease clinic, nurses felt that women were being discharged after surgery with excessive worries and doubts. The aim of this study was to describe the organization, structure, functions, and activities of the nurses' breast disease clinic in Hospital Palmós (Gerona, Spain) between 2002-2005, as well as to promote this kind of clinic. The clinic provides postsurgical care, health education, and psychological support, thus contributing to the integral care of women with this important health problem. The clinic is a resource for the follow-up of patients with breast disease. Moreover, it facilitates outpatient surgical treatment and early discharge and reduces mean length of hospital stay

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OBJECTIVES: To know the prevalence of maternal breastfeeding over distinctive ages of a child's life, in our ward, and to analyze the factors which bear an influence on its start, duration and stop. MATERIAL AND METHODS: In our study, we included 549 newborns who were born in and released in good health from the Palamos Hospital between March 1999 and March 2000. We carried out telephone surveys upon release from the hospital and at ages of one, three and six months. We compiled 82 variable which we processed and analyzed on Microsoft Excel. We defined the value p < 0.05 as statistically significant. RESULTS: 90.71% of newborns breastfed upon hospital release, 78.4% at one month, 58.28% at three months, and 32.8% at six months; of the latter, 53.6% belonged to immigrant families and 29.3% to European families. 54.43% of mothers from the European families studied attended Maternal Education. 83.13% of mothers who breastfed their babies had made their decision to do so before conceiving their child. CONCLUSIONS: We consider the rate of breastfeeding mothers to be satisfactory. Its prevalence progressively decreases as the child gets older without any important changes in any period. These are factors related to a higher rate of breast-feeding: immigrant families, full term pregnancy, low educational level, Maternal Education attendance, first births, decision to breastfeed made before conception, not giving any supplements, perception of milk production before hospital release and no to use nipple-shields nor pacifiers. Hypogalactia and mothers return to work are the main reasons for stopping breastfeeding.

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Objetivos: Conocer la prevalencia de la lactancia materna (LM) a lo largo de distintas edades del niño, en nuestra área, y analizar los factores que puedan influir en su inicio, duración o abandono. Material y métodos: Incluimos 549 neonatos, nacidos y dados de alta en el Hospital de Palamós entre marzo del 1999 y marzo del 2000. Realizamos encuestas al alta, uno, tres y seis meses telefónicamente. Recogemos 82 variables procesadas y analizadas mediante Microsoft Excel. Definimos el valor p<0,05 como estadísticamente significativo. Resultados: Realizan lactancia materna el 90,71 por ciento al alta, 78,4 por ciento al mes, 58,28 por ciento a los tres meses y 32,8 por ciento a los seis meses; de estos últimos el 53,6 por ciento pertenece a población inmigrante y un 29,3 por ciento a la europea. Entre un 25 y un 30 por ciento de las madres deciden cambiar la lactancia sin consultar a los profesionales. Asisten a Educación Maternal (EM) un 54,43 por ciento de la población europea estudiada. El 83,13 por ciento de las madres que dan LM han tomado la decisión antes del embarazo. Conclusiones: Consideramos satisfactorios los índices de LM. La prevalencia disminuye progresivamente con la edad del niño sin cambios importantes en ningún período. Son factores asociados a mayor índice de LM: población inmigrante, gestación a término, nivel educativo bajo, asistencia a EM, primíparas, decidir dar LM antes del embarazo, no dar suplementos, percepción de lactopoyesis antes del alta y no uso de pezoneras o chupetes. La hipogalactia y la incorporación de las madres al trabajo son los principales motivos de abandono de la LM (AU)

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