Implementação das boas práticas nos cuidados ao recém-nascido no pós-parto imediato

Abstract

The guidelines issued by the Ministry of Health draw attention to important practices in neonatal care at birth and in the first days of life with the objective of expressively reducing neonatal mortality. Among these practices we highlight neonatal resuscitation, late clamping of the umbilical cord, immediate skin-to-skin contact, and initiation of exclusive breastfeeding among others. These practices may not only provide an immediate benefit to the newborn, but also have a long-term impact on the child's development beyond the neonatal period. The present study had as general objective: To implement the good practices in the care to the newborn in the immediate postpartum period; and specific objectives: Implementation of a protocol of good practices in the care of the newborn in the immediate postpartum period; Implement humanized care at birth and birth in all shift shifts. As methodology: It consists of a methodology that uses the intervention project, based on the detection of problems, intervening in them to obtain a positive result. Initiated with a situational diagnosis to know the reality of the place, with a survey of the intervention needs, with the participation of the nursing team and medical team (paediatricians and obstetricians), in order to welcome the newborn well, softening the impact of the difference between the intra and extrauterine world. It was carried out at the. Hospital, in the municipality of União dos Palmares - Al, philanthropic, being a reference for eleven municipalities. We have as results: elaboration of the protocol of good practices in the care of the newborn in the immediate postpartum. Where is found in final return of the opinion of the medical direction and nursing coordination for official deployment. But not depending on the implementation of the same the humanized assistance is already being put into practice and is recorded in the record of Good Obstetric and Neonatal Practices. After skin-to-skin contact, breastfeeding in the first hour of life, late clamping of the umbilical cord, bathing after six hours of life, non-aspiration of the upper airways without recommendation, since most NBs were aspirated unnecessarily. And in each shift of service scale nursing techniques are receiving guidance on the continuity of care and its importance. Where will be a training to intensify the importance of the actions given to the RN. Two more obstetrical nurses were requested for the maternity service scale for the year 2018, extending the assistance at night time, which was discovered. Where I was invited together with the specializing Carla Patricia for immediate start after completion of the specialization. Being congratulated for the commitment and actions taken to improve the assistance and change the scenario. It is gratifying to contribute to the implementation of good practices not only obstetrical but also neonatal to change the scenario. Making the system of humanized care provided to the newborn prevail in all births, regardless of the presence of obstetric nurses at the time of delivery.