Indicadores de boas práticas na assistência neonatal ao parto em maternidade terciária em Fortaleza

Abstract

Objectives: To evaluate the application of good practices in neonatal care in tertiary maternity. Methodology: Cross-sectional observational, hospital-based observational study with analysis of neonates eligible for good practices born between 01/01/2017 and 06/30/2017. Results: 2.481 births were evaluated, and 1.930 patients were eligible. Of these, 46.9% were born of vaginal deliveries and 53.1% were cesarean; 1.038 were male (52.5%) and 88 were neonates, twins. The mean birth weight was 3.134 ± 539 grams and mean gestational age was 38.54 ± 1.8 weeks. Cord clamping was performed between 1 to 3 minutes in 79.4%, skin- to-skin contact in 66.7%, and breastfeeding in the first hour of life in 44.3% of eligible children. Conclusion: timely clamping of the umbilical cord was high; however, adherence to skin-to-skin contact and breastfeeding in the first hour of life were observed. The most important reasons of non-applicability were prematurity and impairment of vitality. It is important to make more professionals available to evaluate the indication of late preterm infants and to make the team and the mothers aware of the relevance of good practices for better adherence.