PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE
ABSTRACT Objective: To describe the structure and the processes of care for pregnant women/newborn infants, including the Essential Newborn Care (ENC), in maternity hospitals in Sergipe State, Brazil. Methods: A cross-sectional study carried out between June 2015 and April 2016 in all maternity...
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| Format: | Article |
| Language: | English |
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Sociedade de Pediatria de São Paulo
2019-02-01
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| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019005004101&lng=en&tlng=en |
| _version_ | 1811273530970472448 |
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| author | Felipa Daiana Bezerra Maria Alexsandra da Silva Menezes Rosemar Barbosa Mendes José Marcos de Jesus Santos Débora Cristina Fontes Leite Samir Buainain Kassar Ricardo Queiroz Gurgel |
| author_facet | Felipa Daiana Bezerra Maria Alexsandra da Silva Menezes Rosemar Barbosa Mendes José Marcos de Jesus Santos Débora Cristina Fontes Leite Samir Buainain Kassar Ricardo Queiroz Gurgel |
| author_sort | Felipa Daiana Bezerra |
| collection | DOAJ |
| description | ABSTRACT Objective: To describe the structure and the processes of care for pregnant women/newborn infants, including the Essential Newborn Care (ENC), in maternity hospitals in Sergipe State, Brazil. Methods: A cross-sectional study carried out between June 2015 and April 2016 in all maternity hospitals of Sergipe with more than 500 deliveries/year (n=11). A questionnaire on the existing structure and work processes was administered to the managers. Subsequently, a representative number of postpartum women from these hospitals were interviewed (n=768). Their medical records, as well as newborn infants’ records, were also analyzed. Results: Sergipe has 78 beds of Neonatal Intensive Care Unit (NICU) and 90 beds of Intermediate Care Unit (IMCU) to meet spontaneous and programmed demand. Only six maternity hospitals (54.5%) performed the risk classification, and four (36.3%) had protocols for high-risk parturient care. Regarding the ENC components, only 41% (n=315) of the women had early skin-to-skin contact with their babies, 33.1% (n=254) breastfed in the first hour of life, and 18% (n=138) had a companion always during birth. Conclusions: The distribution of NICU beds between capital city and other cities of the State is adequate, considering Brazilian guidelines. However, there was a low adherence to the protocols for hypertensive and hemorrhagic emergencies, and a low coverage of humanization policies, pregnancy risk classification and ENC practices, especially breastfeeding in the first hour of life, and companion always during birth. |
| first_indexed | 2024-04-12T23:00:55Z |
| format | Article |
| id | doaj.art-23e181cbf69b4d0ea0825566d76aef50 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-04-12T23:00:55Z |
| publishDate | 2019-02-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-23e181cbf69b4d0ea0825566d76aef502022-12-22T03:13:03ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622019-02-01010.1590/1984-0462/;2019;37;2;00003S0103-05822019005004101PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CAREFelipa Daiana BezerraMaria Alexsandra da Silva MenezesRosemar Barbosa MendesJosé Marcos de Jesus SantosDébora Cristina Fontes LeiteSamir Buainain KassarRicardo Queiroz GurgelABSTRACT Objective: To describe the structure and the processes of care for pregnant women/newborn infants, including the Essential Newborn Care (ENC), in maternity hospitals in Sergipe State, Brazil. Methods: A cross-sectional study carried out between June 2015 and April 2016 in all maternity hospitals of Sergipe with more than 500 deliveries/year (n=11). A questionnaire on the existing structure and work processes was administered to the managers. Subsequently, a representative number of postpartum women from these hospitals were interviewed (n=768). Their medical records, as well as newborn infants’ records, were also analyzed. Results: Sergipe has 78 beds of Neonatal Intensive Care Unit (NICU) and 90 beds of Intermediate Care Unit (IMCU) to meet spontaneous and programmed demand. Only six maternity hospitals (54.5%) performed the risk classification, and four (36.3%) had protocols for high-risk parturient care. Regarding the ENC components, only 41% (n=315) of the women had early skin-to-skin contact with their babies, 33.1% (n=254) breastfed in the first hour of life, and 18% (n=138) had a companion always during birth. Conclusions: The distribution of NICU beds between capital city and other cities of the State is adequate, considering Brazilian guidelines. However, there was a low adherence to the protocols for hypertensive and hemorrhagic emergencies, and a low coverage of humanization policies, pregnancy risk classification and ENC practices, especially breastfeeding in the first hour of life, and companion always during birth.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019005004101&lng=en&tlng=enAssistência perinatalRecém-nascidoServiços de saúde da criançaTerapia intensiva neonatal |
| spellingShingle | Felipa Daiana Bezerra Maria Alexsandra da Silva Menezes Rosemar Barbosa Mendes José Marcos de Jesus Santos Débora Cristina Fontes Leite Samir Buainain Kassar Ricardo Queiroz Gurgel PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE Revista Paulista de Pediatria Assistência perinatal Recém-nascido Serviços de saúde da criança Terapia intensiva neonatal |
| title | PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE |
| title_full | PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE |
| title_fullStr | PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE |
| title_full_unstemmed | PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE |
| title_short | PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE |
| title_sort | perinatal care in a northeastern brazilian state structure work processes and evaluation of the components of essential newborn care |
| topic | Assistência perinatal Recém-nascido Serviços de saúde da criança Terapia intensiva neonatal |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019005004101&lng=en&tlng=en |
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