Contributions of the nursing team in the second stage of the Kangaroo-Mother Care Method: Implications for hospital discharge of the newborn

Isabela Maria Magalhães Sales,Nalma Alexandra Rocha De Carvalho,Silvana Santiago Da Rocha,Márcia Teles De Oliveira Gouveia,José Diego Marques Santos

doi:10.1590/2177-9465-ean-2018-0149

Isabela Maria Magalhães Sales, Nalma Alexandra Rocha De Carvalho + Show 3 more

Open Access

https://doi.org/10.1590/2177-9465-ean-2018-0149

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Abstract

Abstract Objective: To know the main care procedures of the nursing team in the second stage of the Kangaroo Care Method that contribute to the hospital discharge of the newborn and the continuation of home care, and to prepare an explanatory brochure to guide professionals in the management of hospital discharge. Method: Qualitative, convergent care study, carried out with 17 nursing professionals from a reference maternity hospital. Data were collected through semi-structured interviews and focus groups and analyzed through content analysis. Results: There were relevant concerns about the use of kangaroo position, about the skin-to-skin care and hygiene of the newborn, and about respiratory changes as a warning sign for intervention. A brochure was developed to showcase the essential care provided by the nursing professionals - its goal is the proper continuation of health care of premature or underweight babies. Conclusion and implications for the practice: Nursing teams can contribute to the clinical stability of the newborn in the second stage of the Kangaroo-Mother Care Method and elaborate educational interventions that guarantee the continuation of care.

Highlights

In 1979, the neonatologist physicians Edgar Rey Sanabria and Héctor Martinez Gómez implemented the KangarooMother Care Method (KMCM) in a pioneering initiative at the Maternal-and-Child Institute of Bogota, Colombia, due to the lack of infrastructure for caring for preterm Newborn Infants and their high mortality levels, often because of hospital-acquired infection
Conclusion and implications for the practice: Nursing teams can contribute to the clinical stability of the newborn in the second stage of the Kangaroo-Mother Care Method and elaborate educational interventions that guarantee the continuation of care
Nursing professionals encouraged this method in their daily work, as it can be noticed in the following statements: Explain, like, the kangaroo - here we say, she has to use the kangaroo because of the skin-to-skin more intimate contact, the baby will put on weight, temperature is always nice (Interviewee 02)

Summary

Introduction

In Brazil, KMCM first appeared with proposals beyond its original ones in Colombia, aiming primarily at the improvement, humanization, and qualification of neonatal care, as well as strengthening family bonds. 693 from July 5, 2000, which was later amended by Ordinance 1.683 from July 12, 2007 This policy brought forth the qualification of global care for Newborn Infants, benefiting children's global development, family bonds and, causing a decrease in neonatal mortality rates.[2,3,4]. KMCM brings benefits such as strengthening of motherchild bonds, stimulating breastfeeding, maintaining newborns' body temperature control, and decreasing neonatal sepsis and hospitalization periods; it contributes to cognitive and motor development, promotes sensory stimulation, creates greater stability while transporting Newborn Infants and allows for the maintenance of vitals, even when performed in preterm babies under mechanical ventilation.[5,6,7]

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