Abstract
Objective: To identify skin care strategies for newborns (NB) used in reference centers of the Kangaroo-Mother Care Method (KMC) in Brazil. Methods: Descriptive exploratory study, using a qualitative approach, performed with 13 nurses working in the different reference centers of the KMC in Brazil. Data were collected through an online form. Analysis was performed descriptively, comparing the different studies realities. Results: Four categories were described regarding skin care of NB through the experience of the nurses: strategies adopted by the team regarding skin care of NBs; dealing with the health team regarding bath and dipper disposal; care regarding fixation of devices in NBs, and strategies adopted by the NB team under phototherapy. Conclusion: The nurses presented capacity, and they were highly trained to act in their areas of experience and knowledge. The answers indicated that there is a great concern in avoiding the usage of materials and devices that could cause harm to NB skin.
Highlights
It is estimated that, annually, over 20 million underweight, premature babies are born in the world, being one-third of these dead before completing one year of life[1]
A total of 13 nurses participated in the study, being nurses that worked in the Kangaroo-Mother Care Method (KMC) Reference Centers in Brazil, all women, with age varying from 20 to 60 years and time of graduation between 11 and 20 years
According to the answers given in the forms, four categories were elaborated, regarding NB skin care, related to the experience of the nurses from the 13 KMC reference centers in Brazil, which were: Strategies adopted by the nursing team related to NB skin care; Bathing and diaper exchange; Care with device fixation in NB; and Strategies adopted with NB under phototherapy
Summary
Over 20 million underweight, premature babies are born in the world, being one-third of these dead before completing one year of life[1]. In 2015, 303 thousand women died of pregnancy-related causes, 2.7 million babies died over the first 28 days of life, and 2.6 babies were stillbirth[3]. Due to the gravity of the issue, the World Health Organization (WHO) idealize a world in which all women and their newborn (NB) can receive quality care in all steps of the pregnancy, from birth to postpartum period. Prenatal care is composed of a strategy platform regarding health promotion, screening, diagnosis, and prevention of illness. The quality of the services during pregnancy and birth may avoid many of the occurring deaths[1,3]
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