Abstract
to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC). a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson's chi-square test or the exact Fisher. fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor. the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.
Highlights
Just as the labor constitutes, in most cases, a physiological event for women, the birth must be understood from the same perspective
The results presented may contribute to their work in Normal Delivery Centers (NDC), as well as show that this is a safe practice
Newborns of low-risk women find in the NDC one more option for their birth with safety and quality
Summary
Just as the labor constitutes, in most cases, a physiological event for women, the birth must be understood from the same perspective. About 10% start breathing with stimulation and about 5% require some more complex care to start breathing after birth. Of the latter, 3% require positive pressure ventilation and 2% need to be intubated to ensure adequate ventilatory support[2]. All the technology necessary for resuscitation should be available in the delivery room, assistance to the healthy newborn at the time of birth should facilitate the contact between mother and child and breastfeeding shortly after delivery. In Brazil, care to newborns considered healthy at the time of their birth is characterized by the excess of interventions that are mostly unnecessary, which can interfere with mother-child bonding without bringing benefits to any of them. The discrepancy between the professional practice and the scientific evidence in the care provided to healthy newborns reaffirms the urgent need for change in the current care model
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