Banca de DEFESA: BRUNA RODRIGUES MONTEIRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : BRUNA RODRIGUES MONTEIRO
DATE: 17/12/2019
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

Intervening factors in skin-to-skin contact between mother and baby in the first hour after normal delivery. 

KEY WORDS:

Mother-child relationships; Health care; Labor; Obstetric nursing.

PAGES: 80
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Skin-to-skin contact between the mother and the baby after normal delivery is sometimes considered fragmented; especially when there are factors that are involved in the implementation of good obstetric practices, which forms gaps between what is recommended by the World Health Organization, the Ministry of Health and what is implemented in social reality. In this scenario, this study aimed to analyze the factors that interfere with skin-to-skin contact between mother and baby in the first hour after normal delivery. This is a cross-sectional observational study with a quantitative approach. The research was conducted at the Leide Morais Maternity Hospital and the Ana Bezerra University Hospital, both references in the usual risk delivery in the state of Rio Grande do Norte. The sample consisted of 105 parturients admitted to the preparatory, childbirth and postpartum sector with the following eligibility criteria: gestational age > 37 weeks; pregnant women at normal risk who were on the verge of normal birth. Data collection is carried out from May to July 2019, through a structured instrument based on scientific literature and ministerial recommendations, with a total of 36 questions. For the analysis, the data were entered into a database and analyzed quantitatively using descriptive and inferential statistics using the Statistical Package for Social Sciences version 20.0. The level of significance 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 with the opinion number 3,187.28. It was identified that of the 63 deliveries observed in the maternity of Leide Morais and the 42 deliveries observed in Ana Bezerra at the beginning of the contact the immediate treatment was favored by obstetrics 62 (59%) and interrupted by pediatrics 85 (80%). Regarding the factors responsible for the delay in skin-to-skin contact, 6.6% (7) of newborns experienced complications, while 5.7% (6) underwent neonatal procedures before contact, and maternal factors were absent during this period. While the factors responsible for the interruption of skin-to-skin contact were observed in 67.6% (71) of neonatal procedures, followed by 15.2% neonatal complications (16). At follow-up, it was found that contact occurred immediately after normal delivery in 87.6% (92) of the cases, however, only three newborns (2.8%) experienced golden hour and greater durability of skin-to-skin contact. Between one and five minutes of life of the newborn was recorded in 82.8% (87) of deliveries. The study allowed the identification of factors that intervene in the skin-to-skin contact between the mother and the baby, both in terms of delay, durability and interruption, which allows proposals for the reduction of non-recommended procedures and no scientific evidence on the delivery observed in the present study.

BANKING MEMBERS:
Externa à Instituição - ANA BEATRIZ DE ALMEIDA MEDEIROS MOURA - EBSERH
Externa à Instituição - ANA LÚCIA DE MEDEIROS CABRAL - UFPB
Interna - 1995800 - ERIKA SIMONE GALVAO PINTO
Presidente - 3168491 - NILBA LIMA DE SOUZA