Cuidados nas primeiras horas de vida do recém-nascido: implantação de boas práticas em um hospital do interior de Minas Gerais

Abstract

It is recommended that any routine care of the newborn (NB) separating him from his mother after the birth is postponed, in case he’s healthy, for at least the first hour of life.However, at Bom Jesus Hospital (BJH) in Congonhas/MG, this care was performed immediately after birth. Aiming to promote changes in the care provided to the newborn (NB) in its first hours of life, in line with the policy of humanization of childbirth and birth, the Intervention Project was performed as a requirement for the conclusion of the Specialization Course in Obstetric Nursing (CEEO II / Rede Cegonha). The intervention was proposed and implemented based on the situational diagnosis built collectively with the care team and it was structured in stages: application of questionnaires to the employees, seeking to raise their knowledge; meetings with the BJH team and interlocution with Primary Care; elaboration and implementation of the protocols in a multi professional team. Subsequently, data analysis and reapplication of the questionnaire were performed. For the analysis of the intervention results, it was necessary to create a Birth Registration Book, an instrument that was constituted in another part of the Intervention Project. Almost all NBs were breastfed in the first hour of life (95.9%) and all were given bath only 6h after birth. It was concluded that timely clamping of the umbilical cord and skin-to-skin contact throughout the first hour of life (present in 62.6% of births) are points to be improved, which is being achieved through intervention realignment.The intervention contributes to skilled obstetric and neonatal care; promotion of collaborative work, including networking through Primary Care; visibility of the obstetric nurse’s performance; scheduling of Maternity Guided Visits; and systematization and monitoring of the indicators, which will subsidize new intervention proposals.