Recém-nascidos prematuros assistidos pelo método canguru: seguimento de uma coorte do nascimento aos seis meses

Detalhes bibliográficos
Ano de defesa: 2013
Autor(a) principal: Menezes, Maria Alexsandra da Silva lattes
Orientador(a): Cipolotti, Rosana lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Sergipe
Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
Departamento: Não Informado pela instituição
País: BR
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://ri.ufs.br/handle/riufs/3856
Resumo: Premature birth is a frequent occurrence even in developed countries. Technological advances have increased survival rates even for very premature. Prematurity is a risk factor for much morbidity, including developmental delay, deficits in somatic growth and difficulty of affectionate bonds with family. The Kangaroo Mother Care (KMC) has emerged as an alternative treatment of low birth weight infants, being part of the national policy of humanization in health, aiming higher attachment, breastfeeding promotion, improved development and security, including how to handle the baby and family relationships. This research aimed to evaluate the evolution of premature assisted by KMC from birth to six months of age, including weight gain, frequency of breastfeeding, duration of hospitalization and development at six months. This is an observational and prospective cohort study of preterm babies at KMC, born between July 2011 and January 2012 in a terciary public maternity with birth weight less than 1750 g and in clinical conditions required for application of the method. The sample consisted of 137 newborns, with a mean birth weight of 1.365±283 g, mean gestational age of 32±3 weeks and 26,2% adequate for gestacional age. They were admitted to the Kangaroo Ward at 19±18 days, weighing 1.430±167g on average, and at this time 57.7% were underweight. They were discharged after 36.8±21.8 days, weighing 1.780±165g and 67.9% were underweight. Those who had apnea in the neonatal intensive care unit, who used vasoactive agents or third-line antibiotics and diagnosed with bronchopulmonary dysplasia had a greater length of stay in hospital (p <0.001). At 6 months (n = 76) had an average weight of 5.954±971g and 68.4% were with weight percentiles between 3 and 97. Denver Developmental Screening Test II was considered suspect at 17.1% of them. The variables strongly associated with this outcome were: peri-intraventricular hemorrhage, bronchopulmonary dysplasia and weight below the 3rd percentile at six months of age. Exclusive breastfeeding rate at discharge was 56.2% and at 6 months was 14.4%. Conclusions: In this sample, children assisted by KMC had adequated weight recovery in the first six months of life, as well as low frequency of developmental delay. At six months, the exclusive breastfeeding rate was low.