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Outcomes of newborns admitted in the intensive care unit at a public hospital

TORIGOSHI, Marcia Fujiko; ABREU, Luiz Carlos de; VALENTI, Vitor E.; REIS, Alberto O. A.; LEONE, Claudio; SIQUEIRA, Arnaldo A. F.
Fonte: DRUNPP-SARAJEVO Publicador: DRUNPP-SARAJEVO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.28%
Background: We evaluated the outcome of newborns admitted in the neonatal Intensive Care Unit (ICU) in Diadema, Brazil. Methods: We evaluated 72 newborns, data were extracted from research forms, newborns` hospital records, mothers interviews, domiciliary inquiry made with the responsible for the newborn care, and paediatric accompaniment cards. Results: 48.93% presented low birth weight, 48% were considered to have normal birth weight and 2% had a birth weight higher than 4000g. Concerning gestational age, 57.44% were younger than 37 weeks old. During hospitalisation, newborn had appointments with doctors from other specialties (inter-appointments), around 40% were cardiologists. After hospital discharge 82.98% were referred to local primary health care units, and the main specialities were cardiology and neurology. Among the newborns evaluated 85.11% were accompanied by paediatric health care units. Conclusion: The implementation of a specialised newborn health accompaniment program in Brazil after ICU discharge is important for positive outcomes regarding newborns growth and development.; Faculdade de Medicina da Universidade de Sao Paulo (USP)

O papel da assistência hospitalar ao recém-nascido na mortalidade neonatal precoce na Região Sul do município de São Paulo: estudo caso-controle; The role of hospital care for the newborn in early neonatal death in the South Region of the city of São Paulo: a case control study

Araújo, Norma Suely de Almeida
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/02/2007 PT
Relevância na Pesquisa
46.31%
O objetivo deste estudo foi construir uma variável para representar a qualidade da assistência ao recém-nascido em estudos populacionais a partir da definição de critérios para as etapas assistenciais visando elaboração de um algoritmo para categorização de condição clínica e identificação de cuidados assistenciais mínimos ou básicos para aquela condição. Realizada revisão da literatura sobre diretrizes para atenção ao recém-nascido foram definidas condições clínicas que se diferenciam pelos procedimentos assistenciais básicos que necessitam receber e foi elaborado um tutorial para a composição da variável assistência ao recém-nascido e que permitisse a aplicação de um algoritmo. Foram criados critérios para definição de quatro etapas assistenciais e verificação da adequação/inadequação em cada uma delas, assim como o peso entre elas para composição da variável síntese. O algoritmo foi aplicado aos dados coletados em prontuários médicos em dois estudos de mortalidade neonatal precoce, um de tipo caso controle e outro uma coorte de recém-nascidos com peso < 1500 g, parte de projeto de pesquisa de mortalidade perinatal, desenvolvido na Região Sul do Município de São Paulo, referente ao período de agosto 2000 a fevereiro 2001. Na primeira etapa assistencial denominada manejo e reanimação na sala de parto encontrou-se para a coorte percentual de adequação para os óbitos e para os sobreviventes acima de 75%. No estudo caso-controle o percentual de adequação ficou próximo a 80% entre os casos e entre os controles foi de 98...

A vivência da puérpera-adolescente com o recém-nascido, no domicílio; The adolescent mother´s experience with the newborn, at home

Bergamaschi, Suzete de Fatima Ferraz
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 25/05/2007 PT
Relevância na Pesquisa
46.39%
Este estudo qualitativo foi motivado pela carência de pesquisas com enfoque na maternidade na adolescência e no período puerperal. Teve como objetivo compreender a vivência da puérpera-adolescente sobre o cuidado do recém-nascido, em domicílio. Adotou-se o conceito de Maternidade como referencial de análise e o método do Discurso do Sujeito Coletivo (DSC) no tratamento dos dados. O projeto foi aprovado pela Comissão de Ensino e Pesquisa, e pelo Comitê de Ética em Pesquisa do Hospital Universitário da USP. Participaram do estudo 15 puérperas-adolescentes, primíparas, que ficaram internadas na unidade de Alojamento Conjunto do HU-USP, juntamente com o recém-nascido. Os dados foram coletados em 2006, por meio de entrevista realizada com as puérperas após o mínimo de 30 e o máximo de 40 dias, no domicílio. As respostas da questão aberta, “conte-me como está sendo em casa com seu bebê ?” possibilitaram a elaboração de 17 DSC apresentados em dois blocos, segundo os temas centrais que emergiram: “cuidados do recém-nascido” e “contexto sociocultural das puérperas-adolescentes”. Em relação ao primeiro bloco, os discursos mostraram uma construção diária do ser mãe-adolescente e o desejo da puérpera pela maternidade e pela maternagem...

Educative practice with nurses, with a view to humanized care for the newborn in the obstetric center

Müller,Elizete Besen; Zampieri,Maria de Fátima Mota
Fonte: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Publicador: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2014 EN
Relevância na Pesquisa
46.3%
This experience report aimed to describe the development of the educational practice undertaken with nurses for the elaboration of a care proposal directed towards newborns in the obstetric center of a public hospital, based in good practices. It describes: strategies, stages of the workshops, consensuses of the care provided to the newborn, and evaluation of the process. The workshops were constituted of: embracement; interacting and raising awareness; planning, validating and defining paths; problematizing the issue; integrating; sharing and defining consensuses; and reviewing and redirecting conducts. The issues problematized were: divergences relating to skin-to-skin contact, clamping of the umbilical cord, administration of the credé method and konakion (phytomenadione), and bathing, among others. The group educational practice was an important instrument for the nurses to reflect critically on and problematize their health practices collectively, and is configured as a space for democratic relationships favorable to the socialization of knowledges, partnerships, negotiations, consensuses regarding the care and continuous education, allowing the creation and re-creation of knowledges, with a view to transforming and innovating the care for the newborn.

Newborn Aides: An Innovative Approach in Sick Newborn Care at a District-level Special Care Unit

Sen, Amitava; Mahalanabis, Dilip; Singh, Arun K.; Som, Tapas K.; Bandyopadhyay, Sudipta; Roy, Sutirtha
Fonte: International Centre for Diarrhoeal Disease Research, Bangladesh Publicador: International Centre for Diarrhoeal Disease Research, Bangladesh
Tipo: Artigo de Revista Científica
Publicado em /12/2007 EN
Relevância na Pesquisa
46.32%
A Sick Newborn Care Unit (SNCU), established in a district hospital in India, substantially reduced the neonatal mortality rate in the district; it, however, suffered from a dearth of trained nurses. Local girls with 10-12 years of school education underwent structured and hands-on training for six months, followed by a six-month internship at the SNCU and were assigned to it as stipendiary ‘Newborn Aides’. Based on the results of formal examinations, internal on-the-job assessment and interview of doctors, nurses, and parents and their technical skills and motivation were rated very high. Although the incremental cost of training is small, the cost of sustaining them, i.e. stipend and replacing attrition, needs to be addressed. Trained Newborn Aides may substantially alleviate human-resource constraint for SNCUs and Sick Newborn Stabilization units in smaller peripheral hospitals for care of sick newborns at an affordable cost.

Review of Domiciliary Newborn-care Practices in Bangladesh

Darmstadt, Gary L.; Syed, Uzma; Patel, Zohra; Kabir, Nazma
Fonte: International Centre for Diarrhoeal Disease Research, Bangladesh Publicador: International Centre for Diarrhoeal Disease Research, Bangladesh
Tipo: Artigo de Revista Científica
Publicado em /12/2006 EN
Relevância na Pesquisa
56.15%
In Bangladesh, high proportions of infant deaths (two-thirds) and deaths among children aged less than five years (38%) occur in the neonatal period. Although most of these deaths occur at home due to preventable causes, little is known about routine domiciliary newborn-care practices and care-seeking for neonatal illness. As an initial step in strategic planning for the implementation of interventions in Bangladesh to improve neonatal outcomes, a review of the literature of antenatal, intrapartum, and postpartum care practices for mothers and newborns in Bangladeshi communities and homes was conducted. A dearth of information was found and summarized, and priority areas for future formative research were identified. The information gained from this review was used for informing development of a guide to formative research on maternal and neonatal care practices in developing-country communities and forms a cornerstone for formulation of behaviour change-communication strategies and messages to advance neonatal health and survival in Bangladesh.

Maternal and Newborn-care Practices during Pregnancy, Childbirth, and the Postnatal Period: A Comparison in Three Rural Districts in Bangladesh

Barnett, S.; Azad, K.; Barua, S.; Mridha, M.; Abrar, M.; Rego, A.; Khan, A.; Flatman, D.; Costello, A.
Fonte: International Centre for Diarrhoeal Disease Research, Bangladesh Publicador: International Centre for Diarrhoeal Disease Research, Bangladesh
Tipo: Artigo de Revista Científica
Publicado em /12/2006 EN
Relevância na Pesquisa
56.28%
The aim of this study was to examine the prevalence of maternal and newborn-care practices among women reporting a birth in the previous year in three districts in different divisions of Bangladesh. In 2003, 6,785 women, who had delivered a newborn infant in the previous year, across three districts in Bangladesh, were interviewed. Overall, less than half of the women received any antenatal care, and 11% received a minimum of four check-ups. Only 18% took iron tablets for at least four months during pregnancy. Over 90% of the 6,785 deliveries took place at home, and only 11% were attended either by a doctor or by a nurse. The mothers reported three key hygienic practices in 54% of deliveries: attendants washing their hands with soap and boiling cord-tie and blade for cutting the cord. Forty-four percent of the 6,785 infants were bathed immediately after delivery, and 42% were given colostrum as their first food. The results suggest that maternal and newborn-care remains a cause of concern in rural Bangladesh. Short-term policies to promote healthy behaviour in the home are needed, in addition to the long-term goal of skilled birth attendance.

A Survey of Home Delivery and Newborn Care Practices among Women in a Suburban Area of Western Nigeria

Adelaja, Lamina Mustafa
Fonte: International Scholarly Research Network Publicador: International Scholarly Research Network
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.26%
Context. Information about reasons for delivering at home and newborn care practices in suburban areas of Western Nigeria is lacking, and such information will be useful for policy makers. Objectives. To describe the home delivery and newborn care practices and to assess the reasons for delivering at home. Study Design, Setting, and Subjects. A cross-sectional survey was carried out in the immunization clinics of Sagamu local government, Western part of Nigeria during January and February 2008. Two trained health workers administered a semistructured questionnaire to the mothers who had delivered at home. Main Outcome Measures. Planned or unplanned home delivery, reasons for delivering at home, the details of events that took place at home from the onset of labour pains till delivery and after birth till initiation of breast-feeding, attendance at delivery, cleanliness and hygiene practices during delivery, thermal control, and infant feeding. Results. A total of 300 mothers were interviewed. Planned home deliveries were 200 (66.7%) and 100 (33.3%) were unplanned. Only 13.4% of deliveries had a skilled birth attendant present, and 47 (15.7%) mothers gave birth alone. Only 51 (16.2%) women had used a clean home delivery surface. Majority (98.2%) of the newborns were given a bath soon after birth. Initiation rates of breast-feeding were 65.3% within one hour and 95.7% within 24 hours. Conclusion. High-risk home delivery and newborn care practices are common in semiurban population also. Community-based interventions are required to improve the number of families coming to health facilities and engaging a skilled attendant and hygiene during delivery.

Assessment of Essential Newborn Care Services in Secondary-level Facilities from Two Districts of India

Malhotra, Sumit; Zodpey, Sanjay P.; Vidyasagaran, Aishwarya L.; Sharma, Kavya; Raj, Sunil S.; Neogi, Sutapa B.; Pathak, Garima; Saraf, Abhay
Fonte: International Centre for Diarrhoeal Disease Research, Bangladesh Publicador: International Centre for Diarrhoeal Disease Research, Bangladesh
Tipo: Artigo de Revista Científica
Publicado em /03/2014 EN
Relevância na Pesquisa
46.39%
India faces a formidable burden of neonatal deaths, and quality newborn care is essential for reducing the high neonatal mortality rate. We examined newborn care services, with a focus on essential newborn care (ENC) in two districts, one each from two states in India. Nagaur district in Rajasthan and Chhatarpur district in Madhya Pradesh were included. Six secondary-level facilities from the districts─two district hospitals (DHs) and four community health centres (CHCs) were evaluated, where maximum institutional births within districts were taking place. The assessment included record review, facility observation, and competency assessment of service providers, using structured checklists and sets of questionnaire. The domains assessed for competency were: resuscitation, provision of warmth, breastfeeding, kangaroo mother care, and infection prevention. Our assessments showed that no inpatient care was being rendered at the CHCs while, at DHs, neonates with sepsis, asphyxia, and prematurity/low birthweight were managed. Newborn care corners existed within or adjacent to the labour room in all the facilities and were largely unutilized spaces in most of the facilities. Resuscitation bags and masks were available in four out of six facilities...

Improvements in newborn care and newborn resuscitation following a quality improvement program at scale: results from a before and after study in Tanzania

Makene, Christina Lulu; Plotkin, Marya; Currie, Sheena; Bishanga, Dunstan; Ugwi, Patience; Louis, Henry; Winani, Kiholeth; Nelson, Brett D
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
66.54%
Background: Every year, more than a million of the world’s newborns die on their first day of life; as many as two-thirds of these deaths could be saved with essential care at birth and the early newborn period. Simple interventions to improve the quality of essential newborn care in health facilities – for example, improving steps to help newborns breathe at birth – have demonstrated up to 47% reduction in newborn mortality in health facilities in Tanzania. We conducted an evaluation of the effects of a large-scale maternal-newborn quality improvement intervention in Tanzania that assessed the quality of provision of essential newborn care and newborn resuscitation. Methods: Cross-sectional health facility surveys were conducted pre-intervention (2010) and post intervention (2012) in 52 health facilities in the program implementation area. Essential newborn care provided by health care providers immediately following birth was observed for 489 newborns in 2010 and 560 in 2012; actual management of newborns with trouble breathing were observed in 2010 (n = 18) and 2012 (n = 40). Assessments of health worker knowledge were conducted with case studies (2010, n = 206; 2012, n = 217) and a simulated resuscitation using a newborn mannequin (2010...

Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial

Crotty, M.; Whitehead, C.; Wundke, R.; Giles, L.; Ben-Tovim, D.; Phillips, P.
Fonte: British Med Journal Publ Group Publicador: British Med Journal Publ Group
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
46.32%
Objective: To determine the costs and benefits of interventions for maternal and newborn health to assess the appropriateness of current strategies and guide future plans to attain the millennium development goals. Design: Cost effectiveness analysis. Setting: Two regions classified by the World Health Organization according to their epidemiological grouping: Afr-E, those countries in sub-Saharan Africa with very high adult and high child mortality, and Sear-D, comprising countries in South East Asia with high adult and high child mortality. Data: sources Effectiveness data from several sources, including trials, observational studies, and expert opinion. For resource inputs, quantities came from WHO guidelines, literature, and expert opinion, and prices from the WHO choosing interventions that are cost effective database. Main outcome measures: Cost per disability adjusted life year (DALY) averted in year 2000 international dollars. Results: The most cost effective mix of interventions was similar in Afr-E and Sear-D. These were the community based newborn care package, followed by antenatal care (tetanus toxoid, screening for pre-eclampsia, screening and treatment of asymptomatic bacteriuria and syphilis); skilled attendance at birth...

Approaches to improve the quality of maternal and newborn health care: an overview of the evidence

Austin, A.; Langer, A.; Salam, R.A.; Lassi, Z.S.; Das, J.K.; Bhutta, Z.A.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.37%
Despite progress in recent years, an estimated 273,500 women died as a result of maternal causes in 2010. The burden of these deaths is disproportionately bourne by women who reside in low income countries or belong to the poorest sectors of the population of middle or high income ones, and it is particularly acute in regions where access to and utilization of facility-based services for childbirth and newborn care is lowest. Evidence has shown that poor quality of facility-based care for these women and newborns is one of the major contributing factors for their elevated rates of morbidity and mortality. In addition, women who perceive the quality of facilty-based care to be poor,may choose to avoid facility-based deliveries, where life-saving interventions could be availble. In this context, understanding the underlying factors that impact the quality of facility-based services and assessing the effectiveness of interventions to improve the quality of care represent critical inputs for the improvement of maternal and newborn health. This series of five papers assesses and summarizes information from relevant systematic reviews on the impact of various approaches to improve the quality of care for women and newborns. The first paper outlines the conceptual framework that guided this study and the methodology used for selecting the reviews and for the analysis. The results are described in the following three papers...

Determinants of maternal and newborn health and survival in three rural areas of Bangladesh

Barua, Shampa
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Thesis (PhD); Doctor of Philosophy (PhD)
EN_AU
Relevância na Pesquisa
46.45%
Bangladesh has achieved impressive reductions in maternal deaths during the past two decades, but has not shown much progress in the use of skilled providers at childbirth or in postnatal care from trained providers. Both the Government and NGOs were implementing various interventions aimed at improving the health of mothers and newborns in the study area for this thesis. An in-depth knowledge of existing maternal and newborn care practices, and of related beliefs, is essential to assessing the success of such maternal and newborn care interventions, and to understanding the challenge improving the situation presents. Fieldwork was carried out in three unions of Ramu upazila in rural Bangladesh -Khuniapalong, Joarianala and Fatehkharkul. A total of 1,326 interviews were conducted, with data weighted to reflect the 1,783 women who were eligible to be interviewed. In addition, 40 in-depth interviews were conducted with different stakeholders. Women in Khuniapalong were appreciably poorer and less educated than those in Joarianala, who in turn were poorer and less educated than those in Fatehkharkul. Although most women had sought antenatal care (ANC), little more than a quarter of deliveries had been attended by skilled personnel. Women with higher secondary or higher education...

Consulting with Caregivers : Using Formative Research to Improve Maternal and Newborn Care and Infant and Young Child Feeding in the Lao People's Democratic Republic

Gillespie, Anna; Creed-Kanashiro, Hilary; Sirivongsa, Deuanesay; Sayakoummane, Deuan; Galloway, Rae
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
56.24%
Improving maternal and newborn care and young child feeding will decrease under five mortality and malnutrition in developing countries. To help design interventions in these areas, a study was conducted in the Lao PDR. The study found that washing newborns after delivery and delaying breastfeeding for 1-3 days are common practices that may expose newborns to hypothermia. Few caregivers practice clean cord care and exclusive breastfeeding for the first six months, increasing the risk of infection. Most women deliver at home without assistance from a trained provider. They also restrict what they eat based on traditional beliefs about foods thought to affect mothers' health or breastmilk. Traditional beliefs also determine how young children are fed. Most caregivers, when asked to try four feeding recommendations for young children (add or give more animal food, increase the amount of food, number of feedings, and vegetables and fruits), were willing to try and continue them. Many caregivers were surprised about how much and what types of foods children can consume...

Introduction of Newborn Care within Integrated Community Case Management in Uganda

Kayemba, Christine Nalwadda; Sengendo, Hanifah Naamala; Ssekitooleko, James; Kerber, Kate; Källander, Karin; Waiswa, Peter; Aliganyira, Patrick; Guenther, Tanya; Gamache, Nathalie; Strachan, Clare; Ocan, Charles; Magumba, Godfrey; Counihan, Helen; Mbonye
Fonte: The American Society of Tropical Medicine and Hygiene Publicador: The American Society of Tropical Medicine and Hygiene
Tipo: Artigo de Revista Científica
Publicado em 07/11/2012 EN
Relevância na Pesquisa
46.29%
Uganda's Ministry of Health, together with partners, has introduced integrated community case management (iCCM) for children under 5 years. We assessed how the iCCM program addresses newborn care in three midwestern districts through document reviews, structured interviews, and focus group discussions with village health team (VHT) members trained in iCCM, caregivers, and other stakeholders. Almost all VHT members reported that they refer sick newborns to facilities and could identify at least three newborn danger signs. However, they did not identify the most important clinical indicators of severe illness. The extent of compliance with newborn referral and quality of care for newborns at facilities is not clear. Overall iCCM is perceived as beneficial, but caregivers, VHTs, and health workers want to do more for sick babies at facilities and in communities. Additional research is needed to assess the ability of VHTs to identify newborn danger signs, referral compliance, and quality of newborn treatment at facilities.

Essential interventions: implementation strategies and proposed packages of care

Lassi, Z.S.; Kumar, R.; Mansoor, T.; Salam, R.A.; Das, J.K.; Bhutta, Z.A.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.38%
In an effort to accelerate progress towards achieving Millennium Development Goal (MDG) 4 and 5, provision of essential reproductive, maternal, newborn and child health (RMNCH) interventions is being considered. Not only should a state-of-the-art approach be taken for services delivered to the mother, neonate and to the child, but services must also be deployed across the household to hospital continuum of care approach and in the form of packages. The paper proposed several packages for improved maternal, newborn and child health that can be delivered across RMNCH continuum of care. These packages include: supportive care package for women to promote awareness related to healthy pre-pregnancy and pregnancy interventions; nutritional support package for mother to improve supplementation of essential nutrients and micronutrients; antenatal care package to detect, treat and manage infectious and noninfectious diseases and promote immunization; high risk care package to manage preeclampsia and eclampsia in pregnancy; childbirth package to promote support during labor and importance of skilled birth attendance during labor; essential newborn care package to support healthy newborn care practices; and child health care package to prevent and manage infections. This paper further discussed the implementation strategies for employing these interventions at scale.; Zohra S Lassi...

A organização do trabalho na assistência ao recém-nascido em berçários da regional de Ribeirão Preto-SP. Brasil-1992; La organización del trabajo en la asistencia al recién-nacido en guarderías de la región de Ribeirão Preto-SP. Brasil-1992; The organization of newborn care in nurseries in the region of Ribeirão Preto-SP. Brasil-1992

Scochi, Carmen Gracinda Silvan; Angerami, Emília Luigia Saporiti; Rocha, Semiramis Melani Melo; Lima, Regina Aparecida Garcia de
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/01/1997 POR
Relevância na Pesquisa
56.13%
O estudo analisa a organização da assistência ao recém-nascido em berçários da regional de Ribeirão Preto e a participação da enfermagem neste trabalho. Através de observação e entrevistas em quatro berçários, constata-se que a organização do trabalho diferencia-se pelo porte e complexidade do hospital. A ação está centrada na criança e nos casos mais complexos prioriza -se a patologia e a assistência clínica. Percebe-se também, algumas ações mais amplas, apreendendo o binômio mãe-filho e a família. O nível de atenção é resultado de uma complexa combinação dos recursos humanos, materiais e área física. A instituição de maior porte e complexidade apresenta diversidade de agentes, trabalho mais burocratizado e hierarquizado, sistema de informação e tecnologias complexas, procedimentos rotinizados mediados por normas escritas e aparelhos sofisticados. O objeto de ação está centrado na criança, mas há práticas cujo objeto é ampliado para o binômio mãe-filho e familiares.; Las autoras analizaron la organización de la asistencia al recién-nacido en guarderías de la región de Ribeirão Preto y cómo la enfermería participa de este trabajo. A través de observación y citas en cuatro guarderías...

O CUIDAR EM UNIDADES DE CUIDADOS INTENSIVOS NEONATAIS: EM BUSCA DE UM CUIDADO ÉTICO E HUMANIZADO; Care in neonatal intensive care units: searching for an ethical and humanized care; El cuidar en unidades de cuidados intensivos neonatales: en busca de un cuidado ético y humanizado

Gaiva, Maria Aparecida Munhoz
Fonte: Universidade Federal do Paraná Publicador: Universidade Federal do Paraná
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; Formato: application/pdf
Publicado em 14/09/2006 POR
Relevância na Pesquisa
46.33%
Este artigo propõe uma reflexão sobre o cuidado ao recém-nascido internado em Unidade de Cuidado Intensivo Neonatal (UCIN), a partir da análise dos efeitos dos avanços tecnológicos e das relações bioéticas envolvidas no processo de cuidar do neonato. Argumenta-se em prol da re-organização do processo de trabalho na assistência neonatal, da valorização da dimensão subjetiva no cuidado, do respeito à autonomia dos familiares e da incorporação de outros instrumentais de trabalho como a sensibilidade, o diálogo e a solidariedade humana.; Este artículo propone una reflexión acerca del cuidado del recién nacido internado en Unidade de Cuidado Intensivo Neonatal (UCIN), por medio del análisis de los efectos de los avances tecnológicos y las relaciones bioéticas que están en el proceso de cuidar del neonato. Se argumenta a favor de la reorganización del proceso de trabajo en la asistencia neonatal, la valorización de la dimensión subjetiva en el cuidado, el respecto a autonomía de los familiares y la incorporación de otros instrumentales de trabajo, como la sensibilidad, el diálogo y la solidaridad humana.; The present article proposes a discussion about the newborn care delivered in intensive care units (ICUS)...

Assessment of provider competence and quality of maternal/newborn care in selected Latin American and Caribbean countries

Thompson,Joyce E; Land,Sandra; Camacho-Hubner,Alma Virginia; Fullerton,Judith T
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/05/2015 EN
Relevância na Pesquisa
56.43%
OBJECTIVE: To obtain a snapshot of the maternal and newborn care provided by different types of maternal and child health providers in Latin America and the Caribbean (LAC) to 1) better inform advocacy and programmatic strategies and interventions to improve the quality of those services in the region, and 2) determine the need for more rigorous study of the issues. METHODS: A rapid assessment of 83 health workers providing antepartum, intrapartum, and immediate postpartum and newborn care (within two hours of birth) in eight LAC countries was conducted in November and December of 2011. Health workers were observed by two-person expert maternal/newborn clinician teams using pretested forms based on international quality-of-care standards. A total of 105 care encounters were observed, primarily in urban, public, referral-level settings. Providers of care included obstetricians, midwives, generalist physicians, medical residents, registered nurses, auxiliary nurses, and students of medicine, midwifery, and nursing. RESULTS: Hand washing, as an indicator of quality of antepartum care, was observed in only 41% of the observed encounters. Labor management often lacked certain elements of respectful maternity care across all provider groups. Several clinical tasks of high importance in the identification and prevention of common complications of antepartum...

Comparison of two training strategies for essential newborn care in Brazil

Vidal,Suely Arruda; Ronfani,Luca; Silveira,Suzana da Mota; Mello,Maria J.; Santos,Erlene R. dos; Buzzetti,Roberto; Cattaneo,Adriano
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
56.13%
OBJECTIVE: To compare the effectiveness of two training strategies for improving essential newborn care in the state of Pernambuco, Brazil. METHODS: Eight hospitals were selected, divided into two groups of four, and paired by geographical, structural, and functional characteristics. Doctors and nurses working at hospitals in Group 1 were given a conventional 5-day training course. Those in Group 2 were given the same manual used by Group 1 but the training course was organized as self-directed learning, with the participants having 5 weeks to complete the course. Participants' knowledge was tested at baseline, immediately after the course, and 3-6 months later. Participants' practices were observed before training and 3-6 months after training during 20 births and by interviewing 20 mothers before discharge at each hospital. FINDINGS: Not all participants completed all of the tests. The scores on the tests of knowledge improved more among those in Group 2 than those in Group 1 when the answers were classified as right or wrong, but there was no difference between groups when a scoring method was used that classified answers as correct, partially correct, incorrect, or missing. Practices related to thermal control after birth improved among those in Group 2 after training but practices related to thermal control on the ward worsened. The promotion of breastfeeding improved in both groups. CONCLUSION: There was no difference between the two training strategies...