0291/2022 - Factors associated with skin-to-skin contact less than 180 min/day in newborns weighing up to 1,800g: multicenter study. Fatores associados ao contato pele a pele inferior a 180 min/dia em recém-nascidos com peso até 1.800g: estudo multicêntrico.
Objetivo: avaliar os fatores associados ao tempo de contato pele a pele <180 min/dia em recém-nascidos com peso até 1.800g durante a internação neonatal. Método: Estudo observacional tipo coorte prospectivo conduzido em unidades neonatais de referência no Brasil. Foram analisados dados de 405 díades (mãe/filho), no período de maio de 2018 a março de 2020. As características da mãe e do recém-nascido foram coletadas em prontuários e entrevistas, a realização do contato pele-a-pele era registrada em fichas anexados ao leito, preenchidas pela equipe e pelos pais. A variável desfecho foi o tempo médio diário de contato pele-a-pele inferior a 180 minutos. Foi realizada modelagem hierarquizada utilizando a regressão de Poisson com variância robusta para cálculo das razões de prevalência, considerando o nível de significância de 5%. Resultados: As variáveis que permaneceram independentemente associadas foram: “não ter fácil acesso ao hospital” (morar longe ou ter dificuldade de transporte) (RP = 2,08; IC95%: 1,01 – 4,27), “não possuir conhecimento prévio sobre o Método Canguru” (RP = 2,26; IC95%: 1,08 – 4,71) e “ter apresentado morbidades durante a gestação” (RP = 0,48; IC95%: 0,26 – 0,88). Conclusão: mães sem fácil acesso ao hospital e que desconhecem o Método Canguru devem ser alvos prioritários das políticas de saúde para desenvolver estratégias que promovam maior exposição ao cont
Palavras-chave:
Método Canguru; Recém-Nascido de Baixo Peso; Unidades Neonatais
Abstract:
Objective: to evaluate the factors associated with a skin-to-skin contact time <180 min/day in newborns weighing up to 1,800g during neonatal hospitalization. Method: prospective observational cohort study conducted in neonatal units of reference for the Kangaroo Method in Brazil. Data from 405 dyads (mother/child) were analyzed from May 2018 to March 2020. Maternal and neonatal explanatory variables were collected from medical records and interviews. Skin-to-skin contact was recorded in forms posted at the bedside, filled out by parents and staff. The outcome variable was the mean time of skin-to-skin contact <180 min/day. Hierarchical modeling was performed by Poisson regression with robust variance. Results: the variables associated with the outcome were "without easy access to the hospital" (PR = 2.08; CI 95%: 1.01 - 4.27), "without previous knowledge of the Kangaroo Method" (PR = 2.26; 95% CI: 1.08 - 4.71) and "having had morbidities during pregnancy" (PR = 0.48; 95% CI: 0.26 - 0.88). Conclusion: mothers without easy access to the hospital and who are unaware of the Kangaroo Method should be priority targets for health policies to develop strategies that promote greater exposure to skin-to-skin contact during the hospitalization period of their children.
Fatores associados ao contato pele a pele inferior a 180 min/dia em recém-nascidos com peso até 1.800g: estudo multicêntrico.
Resumo (abstract):
Objective: to evaluate the factors associated with a skin-to-skin contact time <180 min/day in newborns weighing up to 1,800g during neonatal hospitalization. Method: prospective observational cohort study conducted in neonatal units of reference for the Kangaroo Method in Brazil. Data from 405 dyads (mother/child) were analyzed from May 2018 to March 2020. Maternal and neonatal explanatory variables were collected from medical records and interviews. Skin-to-skin contact was recorded in forms posted at the bedside, filled out by parents and staff. The outcome variable was the mean time of skin-to-skin contact <180 min/day. Hierarchical modeling was performed by Poisson regression with robust variance. Results: the variables associated with the outcome were "without easy access to the hospital" (PR = 2.08; CI 95%: 1.01 - 4.27), "without previous knowledge of the Kangaroo Method" (PR = 2.26; 95% CI: 1.08 - 4.71) and "having had morbidities during pregnancy" (PR = 0.48; 95% CI: 0.26 - 0.88). Conclusion: mothers without easy access to the hospital and who are unaware of the Kangaroo Method should be priority targets for health policies to develop strategies that promote greater exposure to skin-to-skin contact during the hospitalization period of their children.
Souza, A.N., Lamy, Z.C, Goudard, Marivanda Julia Furtado, Marba, S.T.M., Costa, R., Caldas, L.N., Azevedo, V.M.G.O., Lamy-Filho, F.. Factors associated with skin-to-skin contact less than 180 min/day in newborns weighing up to 1,800g: multicenter study.. Cien Saude Colet [periódico na internet] (2022/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/factors-associated-with-skintoskin-contact-less-than-180-minday-in-newborns-weighing-up-to-1800g-multicenter-study/18547?id=18547
