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publicado em 13/04/2010 às 19h10:00
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Caring for premature infants should be expanded after discharged

This study aimed to understand the experiences of families of preterm and low birth weight

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Research in Nursing School of Ribeirao Preto (PRSP), USP reveals the difficulties and vulnerabilities faced by the families of preterm infants discharged from the Neonatal Intensive Care Units (NICU). The study highlights the need to broaden health care, the importance of longitudinality health care and the integration between the technical and scientific knowledge and the practical.

Even having spent his early days in the Neonatal Intensive Care Units purchased and able to survive outside the hospital environment, these children need continuous and comprehensive care, especially in the interaction between family and health services, the nurse recommends Cláudia Silveira Viera, author the study that was awarded the Coordination of Improvement of Higher Level Personnel (Capes), in 2009.

The aim was to understand the experiences of families of preterm and low birth weight, who were in the NICU, in care after discharge. The idea, according to the researcher, is to offer subsidies to nursing care both in hospital and in primary health care. Technological advances leveraged to improve care in these units and is today the largest number of babies born preterm and low birth weight who survive.

Overcoming barriers

Claudia did the survey with 16 members of six families in the city of Cascavel in Paraná. For her, it is important to a reconstruction of health practices in several areas. The health professional must evaluate the child and meet his family to overcome the technical knowledge and incorporate comprehensive health care. Only then, will overcome the barriers presented by health services, which need to be inserted into the network to consolidate the National Health System (SUS), evaluates.

The families of these children, particularly mothers, have difficulty with routine care, breastfeeding, nutrition, hygiene, observation of signs and symptoms, medication use, returns to health services and also insecurity and fears with prematurity. These aspects may affect the development and growth of premature infant and low birth weight, not because they contribute to the early detection and monitoring non-compliance to health, and lead to mortality. Therefore, health services need to organize a network and provide a qualified following, with more interfaces between primary care and specialized services.

According to Professor Deborah Falleiros de Mello (PRSP), guiding the research, the health system still has loopholes to serve this clientele, who are children with specific characteristics. The monitoring of these children after discharge from the NICU is a relatively new strategy in our country and not yet widely strengthened. Particularly in nursing in Brazil, where the experiments for the follow-up of preterm NICU graduates and have been poorly publicized and restricted to certain services. We need to broaden the discussion from the viewpoint of a comprehensive health care for children and their families, says the guideline.



The first contact with family members still in the NICU was performed usually with the mother. After discharge, the families who consented to participate in the survey were visited and the mothers showed significant people to her and to care for your child such as parents, brothers, uncles, aunts, grandmothers and neighbors. The visits took place from the first week after discharge and then weekly during the first month, biweekly in the second month and third month. Participated in babies with gestational age less than 37 weeks and low birthweight. We recorded interviews and participant observation with daily records in the field. The main question of this research was: how has been caring for your child at home? .

In the city of Cascavel the action is being implemented by the nursing staff of the University Hospital for the care of preterm and low birth weight after discharge. The service includes visits to proposed guidelines and interventions, assessment of needs of families and baby, institutional communication with the primary care and other social sectors.

The doctoral thesis Experiences of families in the wake of preterm and low birth weight in Cascavel - Paraná, Graduate Program: Public Health Nursing of PRSP was held in 2007 and awarded by the Department of Improvement of Higher Level Personnel (Capes) in 2009.


   Palavras-chave:   Premature    NICU    Neonatology    Capes    PRSP    USP   
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