Análise de prontuários de uma Unidade de Terapia Intensiva Neonatal no Leste de Minas Gerais, Brasil
DOI:
https://doi.org/10.34019/1982-8047.2022.v48.38257Keywords:
Epidemiology; Newborn; Neonatal Intensive Care Units.Abstract
Introduction: Newborns (NB) are vulnerable to several risk factors at birth, and the main causes of neonatal death are prematurity, low birth weight and congenital sepsis. Research on the characteristics and health profile of newborns hospitalized in the Neonatal Intensive Care Unit (NICU) in the east of the state of Minas Gerais is still poorly documented. The knowledge and analysis of these characteristics may enable future research projects and planning of health actions that can improve the neonatal care provided. Objectives: To describe and analyze the maternal characteristics, birth, and period of hospitalization of newborns hospitalized in the NICU in the east of the state of Minas Gerais. Methods: A descriptive study with analysis of medical records of NBs admitted and hospitalized in the NICU of a public hospital in Governador Valadares, Minas Gerais, with data recording using a standardized form. Data were analyzed using descriptive measures. Results: It was observed that 66.1% of deliveries were cesarean and 56.1% of women were married; 63.7% of the newborns had a diagnosis of prematurity and respiratory distress, 56.9% were male, with a median gestational age of 35 weeks (23-42, min-max); 61.5% had adequate weight for gestational age; 77.9% of the NB used non-invasive ventilation (NIV), 81.4% were discharged. Conclusion: Most mothers whose newborns were hospitalized in the NICU were married and the most common type of delivery was cesarean. The NBs were characterized as being primarily male, with adequate birth weight, with the most common hospitalization diagnosis of prematurity and respiratory distress. Most newborns required NIV support. Knowledge of these characteristics can provide the development of future research, and improvements in the management and evaluation of health actions to improve the quality of health care provided in the perinatal and neonatal period.
Downloads
References
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Atenção à saúde do recém-nascido: guia para os profissionais da saúde [Internet]. [citado em 2019 jun 20]. Brasília: Ministério da Saúde; 2014. Acesso em: http://bvsms.saude.gov.br/bvs/publicacoes/atencao_saude_recem_nascido_v1.pdf.
Orsido TT, Asselfa NA. Predictors of neonatal mortality in neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study. BMC Pregnancy Childbirth. 2019; 5:1-9. doi: 10.1186/s12884-019-2227-5.
World Health Organization. United Nations Children’s Fund. World Bank Group. United Nations Inter-agency Group for Child Mortality Estimation. Levels e trends in child mortality: report 2018 [Internet]. [citado em 2022 ago 22]. Genebra: World Health Organization; 2018. Acesso em: https://www.unicef.org/reports/levels-and-trends-childmortality-report-2018
Adaji SE, Jimoh A, Bawa U, Ibrahim HI, Olorukooba AA, Adelaiye H et al. Women’s experience with group prenatal care in a rural community in northern Nigeria. Int J Gynecol Obstet. 2019; 145:164-9. doi: 10.1002/ijgo.12788.
Lehtonen L, Gimeno A, Parra-Llorca A, Vento M. Early neonatal death: a challenge worldwide. Semin Fetal Neonatal Med. 2017; 22:153-60.
Prezotto KH, Oliveira RR, Pelloso SM, Fernandes CAM. Tendência da mortalidade neonatal evitável nos estados do Brasil. Rev Bras Saúde Mater Infant. 2021; 21(1):301-9.
Saltarelli RMF, Prado RR do, Monteiro RA, Malta DC. Tendência da mortalidade por causas evitáveis na infância: contribuições para a avaliação de desempenho dos serviços públicos de saúde da região Sudeste do Brasil. Rev Bras Epidemiol. 2019; 22:e190020.
Fanelli S, Zangrandi A. Assessment for improving the performance of NICUs: the Italian experience. Health Serv Manage Res. 2017; 30:168-78. doi: 10.1177/0951484817710856.
Doubova SV, Josefa-Garcia H, Coronado-Zarco IA, Carrera-Muiños S, Cordero-Gonzales G, Cruz-Reynoso L et al. Evaluating the quality of the process of care and clinical outcomes of premature newborns admitted to neonatal intensive care units in Mexico. Int J Qual Health Care. 2018; 30:608-17. doi: 10.1093/intqhc/mzy061.
Melo CB, Santos AF, Queiroz TCN, Silva NLC, Alves HJ. Telemonitoring of neonatal intensive care units: preliminary experience in the state of Minas Gerais, Brazil. Am J Perinatol. 2019; 36:393-8. doi: 10.1055/s-0038-1668558.
Prefeitura Municipal de Governador Valadares (BR). Federalização do hospital municipal: mais uma conquista [Internet]. [citado em 2019 jun 27]. Governador Valadares: Brasil; 2015. Acesso em: http://www.valadares,mg.gov.br/detalhe-da-materia/info/federalização-do-hospital-municipal-mais-uma-conquista/22213.
Hidalgo-Lopezosa P, Jiménez-Ruz A, Carmona-Torres JM, Hidalgo-Maestre M, Rodríguez-Borrego MA, López-Soto PJ. Sociodemographic factors associated with preterm birth and low birth weight: a cross-sectional study. Women Birth. 2019; 32(6):e538-e543. doi: 10.1016/j.wombi.2019.03.014.
Veloso FCS, Kassar L de ML, Oliveira MJC, Lima THB, Bueno NB, Gurgel RQ et al. Analysis of neonatal mortality risk factors in Brazil: a systematic review and meta-analysis of observational studies. J Pediatr. 2019; 797:1-12. doi: 10.1016/j.jpedp.2019.05.020.
Govender D, Naidoo S, Taylor M. Scoping review of risk factors of and interventions for adolescente repeat pregnancies: a public health perspective. Afr J Prm Health Care Fam Med. 2018; 10:1-10. doi: 10.4102/phcfm.v10i1.1685.
Tomasi E, Agner P, Fernandes A, Fischer T, Carlos F, Siqueira V et al. Qualidade da atenção pré-natal na rede básica de saúde do Brasil: indicadores e desigualdades sociais. Cad Saude Publica. 2017; 33:1-11. doi: 10.1590/0102-311X00195815.
Aldrighi JD, Ribeiro SDS, Wall ML, Züge SS, Souza SRRK, Piler AA. Perfil sociodemográfico e obstétrico de mulheres em idade materna avançada. Rev Enferm UFSM. 2018; 8:423-37. doi: 10.5902/2179769225922.
Mensch BS, Chuang EK, Melnikas AJ, Psaki SR. Evidence for causal links between education and maternal and child health: systematic review. Trop Med Int Health. 2019; 24:504-22. doi: 10.1111/tmi.13218.
Nguefack CT, Ebongue CO, Chokotheu CN, Ewougo CE, Njamen TN, Mboudou E. Clinical presentation, risk factors and pathogens involved in bacteriuria of pregnant women attending antenatal clinico of 3 hospitals in developing country: a cross sectional analytic study. BMC Pregnancy Childbirth. 2019; 19:1-6. doi: 10.1186/s12884-019-2290-y.
Kaduma J, Seni J, Chuma C, Kirita R, Mujuni F, Mushi MF et al. Urinary tract infections and preeclampsia among pregnant women attending two hospitals in Mwanza City, Tanzania: A 1:2 matched case-control study. Biomed Res Int. 2019; 2019:1-8. doi: 10.1155/2019/3937812.
Briscoe K, Haas D. Developing a core outcome set for cesarean delivery maternal infections morbidity outcomes. Am J Perinatol. 2019; doi: 10.1055/s-0039-1681095.
Chen H, Tan D. Cesarean section or natural childbirth? Cesarean birth may damage your health. Front Psychol. 2019; 10:1-7; doi: 10.3389/fpsyg.2019.00351.
Quaresma ME, Almeida AC, Méio MDB, Lopes JMA, Peixoto MVM. Factors associated with hospitalization during neonatal period. J Pediatr. 2018; 94:390-8; doi: 10.1016/j.jpedp.2017.10.003.
Mohammed K, Shaban I, Al-Akour N, Kassab M, Creedy D. Low birth weight in Jordan: a hospital-based study. J Matern Fetal Neonatal Med. 2019; doi: 10.1080/14767058.2019.1567707.
Marcuatú A, Malvera S. Perfil de recém-nascidos prematuros de muito baixo peso hospitalizados em unidade de cuidados intensivos neonatais. Rev Bras Ciênc Saúde. 2017; 21:5-10.
Silva LV, De Araújo LB, De Oliveira Azevedo VMG. Assessment of the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia. Rev Bras Ter Intensiva. 2018; 30:174-80. doi: 10.5935/0103-507X.20180023.
Álvares-Fuente M, Arruza L, Muro M, Zozaya C, Avila A, López-Ortego P et al. The economic impacto f prematurity and bronchopulmonary dysplasia. Eur J Pediatr. 2017; 176:1587-93. doi: 10.1007/s00431-017-3009-6.
Fonseca LT, Senna DC, Silveira RC, Procianoy RS. Association between breast milk and brochopulmonary dysplasia: a single center observational study. Am J Perinatol. 2017; 34:264-9; doi: 10.1055/s-0036-1586503.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Marissa Rocha Santos, Eliane Moreira Garcia da Silva, Maiane Fernandes Ferreira, Débora Souza de Paula, Arinês de Oliveira Santos, Ester Cardoso Alves, Cristino Carneiro Oliveira, Laura Alves Cabral
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.
