Moderate and late previous pregnant baby health accidents in the neonatal period

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4156

Keywords:

Premature newborns; Acute disease; Epidemiology; Neonatal nursing.

Abstract

Objective: To analyze the development of acute health problems in moderate and late premature babies in the first month of life. Method: Cross-sectional / epidemiological study with a quantitative approach with 123 moderate and late preterm newborns (NB) in a hospital in southern Brazil. Obstetric, neonatal and socioeconomic variables were collected during hospitalization, while the instrument on acute health problems was applied at the end of the first month of life by telephone contact. For the analysis, tests were used to compare the frequency between the dependent variables and the outcome (Chi-Square and Fisher). A p-value less than or equal to 5% (p≤0.05) was considered a significant statistical association. Results: From the data analysis of 123 newborns, the occurrence of at least one health problem was identified in 96.7% of premature infants. Vomiting was the most frequent health problem. The development of acute health problems, mainly respiratory, at the end of the neonatal period was associated with: birth weight, Apgar 1st min <7 and Apgar 5th min <7, need for neonatal resuscitation, hospitalization in intensive care, type of diet, in addition to associations with the patients' socioeconomic characteristics. Conclusion: Neonatal risk and vulnerability factors are associated with the development of acute respiratory disorders in the first month of life in moderate and late preterm infants, giving rise to greater attention in the monitoring of the studied group.

Author Biographies

Natana Pereira da Rosa, Universidade Federal de Santa Maria

Enfermeira. Mestre em Enfermagem. Programa de Pós-Graduação em Enfermagem da Universidade Federal de Santa Maria.

Diúlia Calegari de Oliveira, Universidade Federal de Santa Maria

Acadêmica de Enfermagem da Universidade Federal de Santa Maria.

Leonardo Bigolin Jantsch, Universidade Federal de Santa Maria

Enfermeiro. Doutor em Enfermagem. Professor Adjunto da Universidade Federal de Santa Maria, campus Palmeira das Missões, RS.

Eliane Tatsch Neves, Universidade Federal de Santa Maria

Enfermeira. Doutora em Enfermagem. Docente do Departamento de Enfermagem da Universidade Federal de Santa Maria (UFSM)

References

Araújo, B.F., Zatti, H., Madi, J.M., Coelho, M.B., Olmi, F.B., & Canabarro, C.T. (2012). Análise da morbiletalidade neonatal em recém-nascidos pré-termo tardios. J Pediatr (Rio J), 88 (3).

Bernardo, L.S., Simoes, R., Bernardo, W.M., Toledo, S.F., Hazzan, M.A., Chan, H.F., et al (2014). Mother-requested cesarean delivery compared to vaginal delivery: a systematic review. Rev Assoc Med Bras, 60(4):302-4. doi: 10.1590/1806-9282.60.04.006

Black, A. (2012). Breastfeeding the premature infant and nursing implications. Adv Neonatal Care,12(1):10-1. doi: 10.1097 / ANC.0b013e3182425ad6

Cau, F., Pisu, E., Gerosa, C., Senes, G., Ronchi, F., Botta, C., et al (2016). Interindividual variability in the expression of surfactant protein A and B in the human lung during development. Eur J Histochem, 60(3):2678. doi: 10.4081 / ejh.2016.2678

Celik, I.H., Demirel, G., Canpolat, F.E., & Dilmen, U. (2013). A common problem for neonatal intensive care units: late preterm infants, a prospective study with term controls in a large perinatal center. J Matern Fetal Neonatal Med, 26(5):459-62. doi: 10.3109 / 14767058.2012.735994

Engle, W.A. (2006). A recommendation for the definition of "late preterm" (near-term) and the birth weight-gestational age classification system. Semin Perinatol, 30(1):2-7. doi:10.1053 / j.semperi.2006.01.007

Frauches, D. O., Lopes, I.B.C., Giacomin, H.T.A., Pacheco, J.P.G., Costa, R.F., & Lourenço, C.B. (2017). Doenças respiratórias em crianças e adolescentes: um perfil dos atendimentos na atenção primária em Vitória/ES. R Bras Med Fam Comunid,12(39). doi: https://doi.org/10.5712/rbmfc12(39)1450

Gill, J.V., & Boyle, E.M. (2017). Outcomes of infants born near term. Arch Dis Child, 102(2):194-8. doi: 10.1136 / archdischild-2015-309584

Horgan, M.J. (2015). Management of the late preterm infant: not quite ready for prime time. Pediatr Clin North Am, 62(2):439-51.doi: 10.1016 / j.pcl.2014.11.007

Iwanczak, B., & Iwanczak, F. (2017). Functional gastrointestinal disorders in neonate and toddler. The Rome IV criteria. Pol Merkur Lekarski, 43(253):35-40. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28805200

Keelan, J.A., & Newnham, J.P. (2017). Recent advances in the prevention of preterm birth. F1000Prime Rep,40 (7). doi:10.12703 / P7-40

Lindo, J.M. (2015). Aggregation and the estimated effects of economic conditions on health. J Health Econ, 40:83-96. doi: https://doi.org/10.1016/j.jhealeco.2014.11.009

Lucovnik, M., Bregar, A.T., Steblovnik, L., Verdenik, I., Gersak, K., Blickstein, I., et al (2016). Changes in incidence of iatrogenic and spontaneous preterm births over time: a population-based study. J Perinat Med, 44(5):505-9. doi: 10.1515 / jpm-2015-0271

Méio, M. D. B. B, et al (2018). Amamentação em lactentes nascidos pré-termo após alta hospitalar: acompanhamento durante o primeiro ano de vida. Cien Saude Colet, 23(7):2403-2412. doi: 10.1590/1413-81232018237.15742016

Perry, A.M., Caviness, A.C., & Allen, J.Y. (2013). Characteristics and diagnoses of neonates who revisit a pediatric emergency center. Pediatr Emerg Care, 29(1):58-62. doi: 10.1097 / PEC.0b013e31827b540e

Ryan, J.G., & Dogbey, E. (2015). Preterm Births: A Global Health Problem. MCN The MCN Am J Matern Child Nurs, 40(5):278-83. doi: 10.1097 / NMC.0000000000000174

Shapiro-Mendoza, C.K., & Lackritz, E.M. (2012). Epidemiology of late and moderate preterm birth. Semin Fetal Neonatal Med, 17(3):120-5. doi: 10.1016 / j.siny.2012.01.007

Simon, L.V., & Bragg, B.N. (2018). APGAR Score. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK470569/

Tompsen, A. M. V. (2010). Adaptação e avaliação de um instrumento para medir qualidade de vida em crianças a partir de oito meses de idade até cinco anos. Programa de Pós-Graduação em Pediatria e Ciências da Saúde, Faculdade de Medicina, PUCRS. Disponível em http://www.pucrs.br/edipucrs/IVmostra/IV_MOSTRA_PDF/Pediatria_e_Saude_da_Crianca/72225-andreia_machado_tompsen.pdf

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Published

12/05/2020

How to Cite

ROSA, N. P. da; OLIVEIRA, D. C. de; JANTSCH, L. B.; NEVES, E. T. Moderate and late previous pregnant baby health accidents in the neonatal period. Research, Society and Development, [S. l.], v. 9, n. 7, p. e251974156, 2020. DOI: 10.33448/rsd-v9i7.4156. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4156. Acesso em: 14 nov. 2024.

Issue

Vol. 9 No. 7

Section

Health Sciences

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