Prática efetiva do contato imediato pele a pele baseada nos indicadores de vitalidade do recém-nascido

Abstract

The Ministry of health has been worrying and discussing about the quality of attention paid to the humanization of attention to labor and birth and to the woman as protagonist of their own history. The Ministry has organized several programs in order to improve the quality of health care of women and children. In March 2011, a wide-raging strategy was launched, Rede Cegonha, which has as one of its goals the reduction of maternal and neonatal morbidity and mortality, as well as ensure good practices to all newborns, based on scientific evidence and on the principles of humanization. This work aims to check whether the practice of immediate skin-to-skin contact in newborns with good vitality is being performed. It is a quantitative, retrospective and exploratory study, based on documental research, held in maternity of Maceió and country towns of Alagoas state, from May to November 2015. Data were collected on primary sources (sheets filled by the students of an obstetric nursing postgraduate course), and it was used a framework statement as instrument, with the purpose of presenting the assistance to newborns with good vital signs, focusing on immediate skin-to-skin contact. The results were organized into charts and table, from the data collected, with a sample of 82 infants, where 72 had good vital signs, of which 60 had immediate skin-to-skin contact, corresponding to 83% of newborns. This work demonstrated that despite the significant percentage of adhesion to the skin-to-skin contact, the practice was not performed on all newborns with good vital signs. This practice must be a post partum routine performed immediately, however its implementation is not totally widespread, even with awareness of the effectiveness and benefits shown by evidence. This failure may be caused by lack of professionals with adequate knowledge or by resistance to change. It is expected that midwives act as facilitators of this process, contributing to the improvement of the quality of care of attention to labor and birth.