masterThesis
Fatores intervenientes no contato pele a pele entre mãe e bebê na hora dourada
Fecha
2019-12-17Registro en:
MONTEIRO, Bruna Rodrigues. Fatores intervenientes no contato pele a pele entre mãe e bebê na hora dourada. 2019. 68f. Dissertação (Mestrado em Enfermagem) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.
Autor
Monteiro, Bruna Rodrigues
Resumen
The golden hour is defined as the first after birth hour and is a crucial moment to
identify maternal and neonatal risk, as well as the implementation of evidence-based
practices for proper care, including skin-to-skin contact between mother and child.
This practice, recommended by protocols of good obstetric practice, is sometimes
considered fragmented; either by maternal or neonatal complications and above all,
by institutional routines. In this scenario, this study aimed to analyze the factors that
interfere with skin-to-skin contact between mother and child in the golden hour. This
is a cross-sectional observational study with a quantitative approach. The research
was conducted at Leide Morais Maternity Hospital and Ana Bezerra University
Hospital, both references in the usual risk delivery in the state of Rio Grande do
Norte. The sample consisted of 105 parturient admitted to the prepartum, labor and
after birth sectors, based on the following eligibility criteria: gestational age> 37
weeks; usual-risk pregnant women who were on the verge of vaginal delivery. Data
collection took place from May to July 2019, through a structured instrument based
on scientific literature and governmental recommendations, totaling 36 questions. For
analysis, data were entered into a database and analyzed quantitatively by
descriptive and inferential statistics using the Statistical Package for Social Sciences
version 18. The significance level adopted was 5% with a 95% confidence interval.
The study was approved by the Research Ethics Committee of the Federal University
of Rio Grande do Norte under number 3,187.28. The study found that, of the 63
deliveries observed at Leide Morais maternity and 42 deliveries observed at Ana
Bezerra, the beginning of immediate contact was favored by an obstetrician in 59%
(62) labors and interrupted by pediatricians in 81% (85). Regarding the factors
responsible for delayed contact, 6.7% (7) of the neonates experienced complications,
while 5.7% (6) underwent procedures before contact, and procedures/maternal
complications were absent during this period. While the factors responsible for
contact interruption were observed in 67.6% (71) of cases, due to procedures in
neonates, followed by complications in the child 15.2% (16). In the follow-up, the
result showed that the contact occurred immediately after normal delivery in 85.7%
(90) of the cases, the longest skin- to-skin contact durability was recorded between
one and five minutes of life of the newborn in 82.9% (87) and only three (2.8%)
neonates experienced the golden hour. The study identified that, in the health
services analyzed, the skin- to-skin contact between mother and baby in the golden
hour, occurred for only three binomials, unlike the others who were interrupted by
hospital conduct.