Boas práticas de atenção ao parto e nascimento: contribuições para implementação da assistência ao recém-nascido no Hospital Municipal Daniel Gonçalves em Canaã dos Carajás - PA

Abstract

Infant and fetal death is an important public health problem and remains a challenge. In Brazil, 60% of infant mortality occurs in the first 6 days of life, expressing the need for care changes in the care of pregnant women and the newborn. The municipality of Canaã dos Carajás, located in southeastern Pará state, to which the intervention plan was developed, has a high infant mortality rate of 17.79 per thousand live births in 2014, with 65% of deaths occurring in the first 06 days of life, according to data from the Ministry of Health in 2017. In view of the quantification of the high neonatal mortality rate in the municipality, it was intended to contribute to the implementation of good practices of care for childbirth and birth at the Hospital Municipal Daniel Gonçalves (HMDG) with emphasis on newborn care; as well as to carry out a situational diagnosis of the maternal, infantile and fetal deaths of the municipality; present and discuss the intervention project the direction of the municipal hospital and the Municipal Health Department; Workshop on Good Attention to Delivery and Birth: Emphasis on good practices in care for newborns (timely cord clamping, skin-to-skin contact between mother and newborn, initiation of exclusive breastfeeding soon after delivery, new parameters for microcephaly, nasopharyngeal aspiration and gastric and rectal prophylaxis, prophylaxis of neonatal ophthalmia, and prophylaxis of newborn hemorrhagic disease), and finally, to promote reflection among health professionals on health indicators. The situational diagnosis showed significant mortality rates. The project was discussed and approved by the HMDG management group. The Workshop on Good Practices was held on November 09 and 10, 2017, attended by 47 participants among obstetricians, nurses, nutritionists, speech therapists, physiotherapists and nursing technicians. The workshop's management strategy was based on the pillars of continuing education in health, bringing (re) significations by professionals and technical managers of the need to incorporate good practices in the care of the newborn; in addition to considering the indicators of good practices at birth. The project fostered sharing of knowledge and good behavior practices in the care of the newborn, mediated by reflection, dialogue, exposure of difficulties and possibilities for improvement in daily work.