Prática efetiva do clampeamento tardio do cordão umbilical baseada nos indicadores de vitalidade do recém-nascido

Abstract

The Ministry of Health organized several networks of attention to health. Aiming to improve the quality of health care of women and children in March 2011, it was lanched the Rede Cegonha strategy. The main objective is to reduce the number of preventable deaths of women and children in the country, as well as ensure that all newborns receive good attention, based on scientific evidence and on the principles of humanization. This works aims to identify whether the practice of late clamping of the umbilical cord is performed in newborns with good vitality. It is a quantitative, exploratory and retrospective study, based o documental research, held in the antepartum and delivery room of maternities of the city of Maceió and country towns of Alagoas state, from May to November 2015. The data were tabulated in spreadsheets, and collected by students of an obstetric nursing postgraduate course, during practical activities. The registry provided information of the indicators of vitality and the late clamping of the umbilical cord. A total of 82 newborns were assisted, of which 72 exhibit good vital signs, and the practice of delayed umbilical cord clamping was performed in 62 babies, corresponding to 86% of all newborns. Due to the benefits arising from the late clamping of the umbilical cord, there is evidence-based recommendations for the performing of this practice to all newborns with good vitality. This work demonstrates that there was a significant adherence to the practice of late clamping. As neonatal practices are embedded in clinical protocols as institutionalized practice, they favor the adherence of obstetric and neonatal team.