Banca de DEFESA: ANA PAULA SABINO DE MEDEIROS NEVES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANA PAULA SABINO DE MEDEIROS NEVES
DATE: 21/09/2023
TIME: 09:00
LOCAL: Plataforma Virtual Google Meet - Link da videochamada: https://meet.google.com/piq-rudm-vkr
TITLE:

Behavioral organization status and breastfeeding performance of late preterm newborns with hyperbilirubinemia undergoing phototherapy

KEY WORDS:

premature newborn; sucking behavior; breastfeeding; neonatal hyperbilirubinemia; neonatal jaundice; phototherapy.

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Fonoaudiologia
SUMMARY:

Introduction: Prematurity is a risk factor for the occurrence of eating disorders. However, the late preterm newborn, in general, is accompanied in rooming-in without differentiated management. Jaundice is the clinical manifestation of hyperbilirubinemia and is common in the neonatal period. Late preterm infants are at high risk of developing significant hyperbilirubinemia. Bilirubin in high amounts is potentially neurotoxic and phototherapy, a commonly used treatment, can cause adverse events, such as water loss and changes in the circadian cycle. Feeding difficulty is a risk factor for increased serum bilirubin levels. Thus, it is necessary to investigate possible difficulties in breastfeeding, to evaluate the state of behavioral organization and its relationship with latching and sucking responses, in order to provide data that allow adequate management in the face of possible difficulties and guarantee the preterm submitted to phototherapy an effective feeding and adequate intake. Such measures may reduce the risks of increased bilirubin and, as a consequence, the possibility of reducing the duration of phototherapy treatment. Objective: 1) To evaluate the breastfeeding performance of preterm newborns with hyperbilirubinemia undergoing phototherapy. 2) To investigate the responses of the state of behavioral organization of late preterm newborns with hyperbilirubinemia submitted to phototherapy and its association with the latch responses, nutritive and non-nutritive sucking. Method: Controlled cross-sectional study. It was carried out in a public teaching maternity hospital whose sample consisted of 60 mother/newborn dyads, divided into two groups. A group composed of 30 newborns who presented significant hyperbilirubinemia, therefore, in need of phototherapy (case group), and another group with 30 newborns without the need for phototherapy (control group). The characterization data of the sample were obtained through anamnesis and collection from medical records. Performance assessment in breastfeeding was carried out using the Breastfeeding Observation Form protocol proposed by UNICEF, the assessment of the state of behavioral organization and non-nutritive sucking using the Preterm Oral Feeding Readiness Scale instrument. Indirect bilirubin levels were checked on the day of the assessment by the pediatrician. For statistical analysis, the Mann-Whitney U test was used in order to analyze the differences between the groups in sample characterization, breastfeeding performance, behavioral organization and aspects of non-nutritive sucking, Kendall's Tau-B test was used. used to verify the association between the variables state of behavioral organization, attachment, nutritive and non-nutritive sucking. A significance level of 5% was adopted for all analyses. Results: In the assessment of breastfeeding performance, there was a significant difference in the general observation of the newborn, position of the newborn, latching and sucking sections. There was a significant difference in the state of behavioral organization and non-nutritive sucking. It was also verified, the association between the state of behavioral organization and the handling responses, nutritive and non-nutritive sucking. Conclusion: Newborns undergoing phototherapy have more breastfeeding difficulties, lower scores in the state of behavioral organization and in non-nutritive sucking. The speech-language evaluation can contribute to identify feeding difficulties and enable assertive behaviors in the care of these newborns.

COMMITTEE MEMBERS:
Presidente - 1753208 - HIPOLITO VIRGILIO MAGALHAES JUNIOR
Externa à Instituição - ANDREA MONTEIRO CORREIA MEDEIROS - UFS
Externa à Instituição - GEOVANA DE PAULA BOLZAN - UFSM