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Instituto Nacional de Perinatología

2010, Number 2

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Perinatol Reprod Hum 2010; 24 (2)

Neonatal Unit and participation of parents in the care of premature

Gallegos-Martínez J, Reyes-Hernández J, Silvan-Scochi CG

Language: Spanish
References: 36
Page: 98-108
PDF size: 357.79 Kb.


ABSTRACT

Background: The preterm ones are vulnerable population, with the biotechnological advances they survive from very early gestationals ages, with prolonged hospitalization that imply separation of the child and his family, which has given rise to application of programs with participation of the parents in the neonatal unit (NICU), when stating advantages in favorables clinical evolution, development, bond and attachment; competent parents in his care and reduction of days of hospitalization of the premature one. Objectives: 1) To describe the NICU according to the type of hospital in the city of San Luis Potosí to include understand the welfare scope in which the parents participate. 2) To characterize the participation of the parents in the care of their child. Material and methods: Descriptive study and survey in nine NICU with consent informed, information in 2004 was collected updating itself in 2008. Results: There were two big and seven small hospitals. Three were a III level, three were II level and the rest I level. The medical personnel and nurses approach the standard in the ratio professional: patient, the medical competition is sufficient and is important to elevate the nurse neonatal training. The participation of the parents are limited. The mother provides feeding and some hygiene activities and for the father, his visit is only as an observer. Conclusions: The visit to NICU, depends on several factors: human milk production, neonate clinical condition and medical treatment. The recommendation includes an institutional program with a definite philosophy and integral participation of the parents to be present and involved in the care of the child.


REFERENCES

  1. Silvan-Scochi CG. A humanização da assistência hospitalar ao bebê prematuro: bases teóricas para o cuidado de enfermagem. 2000. 245 f. Tese (Livre Docência) - Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto.

  2. American Academy of Pediatrics. A program to develop and improve facilities for the care of newborn infants –full term and premature. Panel discussion from the Annual Meeting of the AAP. Dec. 1947.

  3. Díaz CCE. Notas sobre la evolución de la Neonatología en México. Bol Med Hosp Infant Mex 1987; 25: 199-206.

  4. American Academy of Pediatrics, American College of Obstetricians and Gynecologists (ACOG). Guidelines for perinatal care. 3rd ed. Washington: American Academy of Pediatrics; 1992.

  5. Gallegos-Martínez J. Participação das mães/pais no cuidado ao filho prematuro em unidade neonatal: significados atribuídos pela equipe de saúde em hospital de San Luis Potosí [tese doutorado] Universidade de São Paulo, Brasil, 2004 http://www.teses.usp.br/teses/disponiveis/22/22133/tde-03052005-090339/

  6. Gallegos-Martínez J, Monti-de Fonseca LM, Silvan-Scochi CG. The participation of parents in the care of premature children in a neonatal unit: meanings attributed by the health team. Rev. Latino-Am. Enfermagem, 2007; 15: 239-46.

  7. Heermann JA, Wilson ME, Wilhelm PA. Mothers in the NICU: outsider to partner. Posted: 07/06/2005. Pediatr Nurs 2005; 31: 176-81. © 2005 Jannetti Publications, Inc. http://www.medscape.com/viewarticle/507386

  8. Hawthorne J. Using the neonatal behavioural assessment scale to support parent-infant relationships. Infant 2005; 1: 213-18.

  9. Perapoch LJ, Pallás ACR, Linde SMA, López MM, Caserío CS, Cruz BJ. Cuidados centrados en el desarrollo. Situación en las unidades de neonatología de España. An Pediatr (Barcelona) 2006; 64: 132-9.

  10. American Academy of Pediatrics. Family-Centered Care and the pediatrician´s role. Pediatrics 2003; 112: 691-96.

  11. Sasidharan K, Gokul E, Anoop P, Vijayakumar M. Benefits of maternal participation in newborn nurseries. Indian J Pediatr 2005; 72: 829-33. DOI 10.1007/BF02731108. http://www.springerlink.com/content/m44836832w225m41/

  12. Conz CA, Merighi MAB, Pinto de Jesus MC. Promotting affective attachment at the neonatal intensive care unit: a challenge for nurses. Rev Esc Enferm USP 2009; 43: 846-51 www.ee.usp.br/reeusp/

  13. Novoa PJM, Milad AM, Vivanco GG, Fabres BJ, Ramírez FR. Recomendaciones de organización, características y funcionamiento en Servicios o Unidades de Neonatología. Rev Chil Pediatr 2009; 80: 168-87.

  14. Castillo-González S, Jiménez-Belmar C. Estudio descriptivo de las unidades de neonatología de los hospitales de los servicios de salud metropolitanos. Universidad de Chile Facultad de Medicina Escuela de Kinesiología. Tesis para optar al grado de Licenciado en Kinesiología. 2005.

  15. American Academy of Pediatrics-Committee on Fetus and Newborn. Levels of Neonatal Care. Pediatrics 2004; 114: 1341-47.

  16. Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes GR, Blickman JG. Individualized developmental care for the very low birthweight preterm infant: medical and neurofunctional effects. JAMA 1994; 272:853-8.

  17. Cooper LG, Gooding JS, Gallagher J, Sternesky L, Ledsky R, Berns SD. Impact of a family-centered care initiative on NICU care, staff and families. J Perinatol 2007; 27 (Suppl 2):S32-7.

  18. Browne JV, Talmi. Family-based intervention to enhance infant–parent relationships in the Neonatal Intensive Care Unit. J Pediatr Psychol 2005; 30: 667-77.

  19. Hentschel R, Lindner K, Krueger M, Reiter-Theil S. Restriction of ongoing intensive care in neonates: A prospective study. Pediatrics 2006; 563-69. DOI: 10.1542/peds.2005-1615. Downloaded from www.pediatrics.org by on April 24, 2010.

  20. Molina RCM, Fonseca EL, Waidman MAP, Marcon SS. The family’s perception of its presence at the pediatric and neonatal intensive care unit. Rev Esc Enferm USP 2009; 43: 627-34. www.ee.usp.br/reeusp/

  21. INEGI. Clasificación de instituciones de salud (CIS). México, 2004.

  22. Davidson JE, Powers K, Hedayat KM, Tieszen M, Kon AA, Shepard E, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004-2005. Crit Care Med 2007; 35: 605-22. DOI: 0.1097/01.CCM.0000254067.14607.EB Special Articles

  23. Belli MAJ, Silva IA. A constatação do filho real: representações de mães sobre o filho internado em UTI neonatal. Revista Enfermagem (UERJ) 2002; 10: 165-70.

  24. Reichert APS, Costa SFG. Refletindo a assistencia de enfermagem ao binomio mãe e recém-nascido prematuro na unidade neonatal. Nursing (São Paulo) 2001; 4: 25-9.

  25. Loo KK. Using knowledge to cope with stress in the NICU: how parents integrate learning to read to physiologic and behavioral cues of the infant. Neonatal Netw 2004; 22: 76-82.

  26. Brasil. Ministerio de Saúde. Portaria no. 693 del 5 de Julio de 2000. Brasilia. Disponible en: http://saude.gov.com.br.

  27. Davis L, Mohay H, Edwards H. Mothers´involvment in caring for their premature infants: an historical overwiew. J Adv Nurs 2003; 42: 578-86.

  28. Souza SSF de, Oliveira IC dos S. A participação da mãe nos cuidados ao seu filho hospitalizado: uma perspectiva da equipe de enfermagem. Escola Anna Nery Revista de Enfermagem 2003; 7: 379-87.

  29. Rossato-Abéde LM, Angelo M. Crenças determinantes da intenção da enfermagem acerca da presença dos pais em unidades neonatais de alto risco. Rev Latino-Am de Enfermagem Jan 2002; 10: 48-54.

  30. Wigert H, Helström AL, Berg AL. Conditions for parents´ participation in the care of their child in neonatal intensive care- a field study. BMC Pediatr 2008; 8: 1-9.

  31. Leonard A, Mayers P. Parents’ lived experience of providing kangaroo care to their preterm Infants. Health SA Gesondheid 2008; 13: 16-28.

  32. Rabelo MZ da S, Chaves AMC, Cardoso MVLML, Sherlock MSM. Feelings and expectations of mothers of preterm babies at discharge. Acta Paul Enferm 2007; 20: 333-7.

  33. Klaus MH, Kennell HJ. Assistencia aos pais. In: Klaus MH, Fanaroff AA. Alto risco em Neonatologia. 4 ed. Rio de Janeiro: Guanabara Koogan 1995: 139-55.

  34. Rikli JM. Parenting the premature infant: potential iatrogenesis from the neonatal intensive care experience. Online J Knowl Synth Nurs 1996; 3: 23.

  35. Robison LD. An organizational guide for an effective developmental program in the NICU. J Obstet Gynecol Neonatal Nurs 2003; 32: 379-86.

  36. Latva R, Lehtonen L, Salmelin RK, Tamminen T. Visits by the family to the neonatal intensive care unit. Acta Pædiatr 2007; 215–220.




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