Temporal analysis of the birth and hospitalization of premature children in a Brazilian border town
Main Article Content
Abstract
Introduction: Premature birth is a global public health problem responsible for high rates of infant deaths. Objective: To analyze the temporal trend of birth and hospitalization of premature children in a Brazilian border town. Methods: Cross-sectional study encompassing 951 medical records of premature newborns hospitalized receiving intermediate or intensive during 2013-2017 in Foz do Iguaçu, PR, Brazil. The comparisons involved birth and hospitalization variables distributed over the years, and the level of significance was p<0.05. Results: The incidence of premature birth was 10.3% and remained stable in the years studied, however, hospitalization increased from 37.7 to 50.1%. Extreme prematurity (12.2 to 9.5%) and complications (46.0 to 21.6%) showed a reduction, and the use of antibiotics increased (50.0 to 75.2%), with a statistically significant difference (p<0.05). The time of mechanical ventilation (347.2 to 123.9 h) and length of hospital stay (29 to 24.6 days) decreased in the years studied, with no difference in outcome (hospital discharge or death). The most frequent diagnosis at hospitalization was pulmonary disorders. Problems of infectious origin showed a reduction (7.6% to 3.7%), but in 2014 there was an increase in congenital malformations (11.1%) and 2016 perinatal asphyxia (33.7%). Conclusion: Although there was a reduction in extreme prematurity, complications, and days of hospitalization, there was an increase in the number of premature newborns hospitalized, showing the need for (re)planning and (re)organization of the care process.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Pré-natal e puerpério: atenção qualificada e humanizada. Brasília: Ministério da Saúde, 2006.
Jesus RLR, Santos GM, Barreto MTS, Monteiro MJSD, Silva RVS, Silva HJN. Characterization of newborns preterm born in the state of Piauí among 2011 to 2015. Arch. Health Invest. 2019;8(4):217-23. https://doi.org/10.21270/archi.v8i4.3193
Felix J, Santos ME, Benitez-Burraco A. Linguagem espontânea de crianças prematuras aos 4 e 5 anos de idade. Rev CEFAC. 2017;19(6):742-8. http://dx.doi.org/10.1590/1982-021620171968017
Sociedade Brasileira de Pediatria (SBP). Prevenção da prematuridade: uma intervenção da gestão e da assistência. Available from: https://portaldeboaspraticas.iff.fiocruz.br/atencao-recem-nascido/prevencao-da-prematuridade-uma-intervencao-da-gestao-e-da-assistencia/.
Organização Pan-Americana de Saúde (OPAS). Organização Mundial de Saúde (OMS). Quase 30 milhões de recém-nascidos prematuros e doentes necessitam de tratamento para sobreviver todos os anos. Available from: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5821:quase-30-milhoes-de-recem-nascidos-prematuros-e-doentes-necessitam-de-tratamento-para-sobreviver-todos-os-anos&Itemid=820
Silva RMM, Menezes CCS, Cardoso LL, França AFO. Vivencias de famílias de neonatos prematuros hospitalizados em unidade de terapia intensiva neonatal: revisão integrativa. Rev Enf Centro Oeste Min. 2016;6(2):2258-70. https://doi.org/10.19175/recom.v6i2.940
Klossoswski DG, Godoi VC, Xavier CR, Fujinaga CI. Integral assistance to premature infant: implications of practices and public policy. Rev CEFAC. 2016;18(1):137-50. http://dx.doi.org/10.1590/1982-021620161814515
Nunes JT, Gomes KG, Rodrigues MTP, Mascarenhas MDM. Qualidade da assistência pré-natal no Brasil: revisão de artigos publicados de 2005 a 2015. Cad Saude Coletiva. 2016;24(2):252-61. https://doi.org/10.1590/1414-462X201600020171
Frank ESMP, Quaresma ACM, Silva JSN. O cuidado de enfermagem ao recém-nascido prematuro em unidade de terapia intensiva neonatal. J Specialist. 2018;1(3):1-18.
Victora JD, Silveira MF, Toniala CT, Victora CG, Barros FC, Horta BL, et al. Prevalência, mortalidade e fatores de risco associados ao prematuro de muito baixo peso ao nascer: uma análise de 33 anos. J. Pediatr. 2020;96(3):327-32. https://doi.org/10.1016/j.jped.2018.10.011
Mello F, Victora CG, Gonçalves H. Saúde nas fronteiras: análise quantitativa e qualitativa da clientela do Centro Materno Infantil de Foz do Iguaçu, Brasil. Cienc Saude Coletiva. 2015;20(7):2135-45. http://dx.doi.org/10.1590/1413-81232015207.09462014
Berres R, Baggio MA. (Dis)continuation of care of the pre-term newborn at the border. Rev Bras Enferm. 2020;73(3):e20180827. https://doi.org/10.1590/0034-7167-2018-0827
Vogel JP, Chawanpaiboon S, Moller AB, Watananirum K, Bonet M, Lumbiganon P. The global epidemiology of preterm birth. Best Pract Res Clin Obstet Gynaecol. 2018;52:3-12. https://doi.org/10.1016/j.bpobgyn.2018.04.003
Almeida B, Couto RHM, Trapani Junior A. Prevalência e fatores associados aos óbitos em prematuros internados. Arq Catarin Med. 2019;48(4):35-50.
Sousa DS, Sousa Júnior AS, Santos ADR, Melo EV, Lima SO, Almeida-Santos MA, et al. Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity. Rev Bras Saude Mater Infant. 2017;17(1):139-47. https://doi.org/10.1590/1806-93042017000100008
Santos AK, Silveira J, Neves VC, Gnoato TG, Zotz AAm, Andreazza MG. Atelectasis and lung changes in preterm neonates in the neonatal period: a blind radiological report and clinical findings. Rev Bras Ter Intensiva. 2019;31(3):347-53. http://dx.doi.org/10.5935/0103-507x.20190047
Jensen EA, DeMauro SB, Kornhauser M, Aghai ZH, Greenspan JS, Dysart KC. Effects of multiple ventilation courses and duration of mechanical ventilation on respiratory outcomes in extremely low-birth-weight infants. JAMA Pediatr. 2015;169(11):1011-7. https://doi.org/10.1001/jamapediatrics.2015.2401
Davis PG, Lemyre B, Paoli AG. Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation. Cochrane Database Syst Rev. 2001;(3):CD003212. https://doi.org/10.1002/14651858.CD003212
Monteiro MM, Souza TM, Mendes TPL. Perfil microbiológico de hemoculturas em uma unidade de terapia intensiva neonatal do Distrito Federal. Com Cienc Saude. 2018;29(3):163-70.
Romero F, Herles E, Lino |A, Rojas F, Flores M, Flores V, et al. Factores asociados a asfixia perinatal en un hospital de Callao, Perú. Perinatol Reprod Hum. 2016;30(2):51-6. https://doi.org/10.1016/j.rprh.2016.06.009
Diniz BT, Rodrigues HR, Andrade CCF. Morbidade neonatal nas Unidades de Terapia Intensiva em Hospitais do Triângulo Mineiro – Minas Gerais: vigilância dos últimos quatro anos. Sci Generalis. 2020;1(2):88-94.
Oliveira RR, Santos SSC, Melo EC, Zurita RCM, Mathias TAF. Premature birth and prenatal care: integrative review in the light of Canguilhem. Rev Pesq Cuid Fundam. 2016;8(3):4616-22. http://dx.doi.org/10.9789/2175-5361.2016.v8i3.4616-4622
Ferreira H, Novelli IA, França AFO, Caldeira S, Silva RMM. Rotina de exames na atenção ao pré-natal após a implantação do programa rede mãe paranaense. Rev Enferm UFSM. 2017;7(4):685-99. https://doi.org/10.5902/2179769226695
Zaslavsky R, Goulart BNG. Pendulum migration and healthcare in border área. Cienc Saude Coletiva. 2017;22(12):3981-86. https://doi.org/10.1590/1413-812320172212.03522016
Lima LTP, Toso BRG. O. Acesso a atenção primária na tríplice fronteira sob a ótica do brasileiro não residente no país. Rev Saude Publica Paraná. 2019;2(1):13-20. https://doi.org/10.32811/25954482-2019v2n1p13
Castro CM, Oliveira RC, Custódio MCS. Atenção ao parto de mulheres estrangeiras em uma maternidade pública de São Paulo. Civitas. 2015;15(2):59-74. https://doi.org/10.15448/1984-7289.2015.2.17563
Aires LCP, Santos EKA, Costa R, Borck M, Custódio ZAO. Baby follow-up in primary care: interface with the third stage of the kangaroo method. Rev Gaucha Enferm. 2015;36(spe):224-32. https://doi.org/10.1590/1983-1447.2015.esp.56805
Ribeiro JF, Silva LLC, Santos IL, Luz VLES, Coêlho DMM. The premature newborn in neonatal intensive care unit: the nurses care. Rev Enferm UFPE. 2016;10(10):3833-41. https://doi.org/10.5205/reuol.9667-87805-1-ED1010201615
Silva ACB, Carvalho APF, Cunha GFO, Santos TFT, Costa CCP, Pontes APM, et al. Ser mãe de recém-nascido prematuro internado em uti neonatal. Rev Presenca. 2017;3(9):14-35.