Desfechos associados à Posição Canguru em recém-nascidos prétermos à alta hospitalar

Abstract

Introduction: The kangaroo-method is a perinatal assistance model focused on humanized care. The method seeks to provider estored closeness of the new born with family members in the care using strategies of biopsycho social,thus reducing morbidity and mortality. Among the strategies proposed by the “kangaroo-method” is the kangaroo position. There is evidence about benefits of this position for the newborn, but few studies have described the benefits of this position associated with the exposure time of the newborn to the kangaroo position. Objective: To verify the associati on between the beginn in gof the kangaroo position after birth and the total time of the kangaroo position during hospitalization with the outcomes such as time of use of ventilatory support, late neonatal sepsis, total hospitalization time, reinstatement at the Neonatal Intensive Care, weight and cephalic perimeter at hospital discharge. Methodology: Na observational, prospective study was carried out with newborns younger than 32 weeks and their mothers, born and hospitalized in the Neonatal Progressive Care Unit softwo public maternity hospitals in Belo Horizonte, from July 2016 to December 2017. Descriptive an alysis was performed with the use of measures of central tendency and measures of dispersion of the numerical variables and distribution and frequency of the categorical variables. In the multivariate analysis, the generalized linear model was adjusted. A significance level of 5% was adopted. Results: 130 preterm infants were followed. The kangaroo position was started with a mean of 9.0 ± 6.3 days and the total time of kangaroo position during hospitalization was 29.03 ± 27.26 hours. The start of the kangaroo position was negatively associated with the use of phototherapy, to the total time of use of ventilatory support and was positively associated with the daily presence of the mother in the neonatal unit. Total time of realization of the kangaroo position was associated with both the presence of mothers in the maternal housing and the fact that those who did not use the housing but make daily visits to the newborn. There was no association between the infant's weight and cephalic perimeter at discharge, total newborn hospitalization time, the need for rehospitalization at the Neonatal Intensive Care Unit and the diagnosis of late sepsis with the beginning of the kangaroo position and the total time of realization during hospitalization. Conclusion: The beginning and practice of the kangaroo position are positively associated with the presence of the mother during the hospitalization of the child. It is important to know the factors associated with the realization of the kangaroo position and thus, to encourage actions that favor thee arly start of the kangaroo position and its practice during the hospitalization of the newborn.