Public Neonatal Units Research Articles

Strengthening retinopathy of prematurity screening and treatment services in Nigeria: a case study of activities, challenges and outcomes 2017-2020

ObjectivesRetinopathy of prematurity (ROP) will become a major cause of blindness in Nigerian children unless screening and treatment services expand. This article aims to describe the collaborative activities undertaken to...

Epidemiological profile of newborns´ mothers admitted to a public neonatal unit

Objective: to identify the epidemiological profile newborns´ mothers hospitalized in a public neonatal unit. Methods: this is a descriptive and cross-sectional study of 57 mothers and 58 infants who were admitted to the neonatal unit. Results: it was observed that most of the women had unfavorable sociodemographic conditions, had intercurrences during pregnancy and although most of them had performed the recommended number of prenatal consultations, the hospitalization of the newborn in a specialized unit leads to questioning the quality of this care. Conclusion: a risk profile for admission of newborns in a specialized unit was identified, since most of the women had unfavorable sociodemographic conditions and presented intercurrences during pregnancy.

Música e glicose 25% em prematuros no pré-procedimento da punção arterial: ênfase na mímica facial

Objetivou-se descrever e quantificar os movimentos de mímica facial de prematuros sob as intervenções música e glicose 25% no momento pré-procedimento da punção arterial. Ensaio clínico randomizado, envolvendo 48 filmagens de prematuros assistidos em uma unidade neonatal pública, em Fortaleza-Ceará. A coleta ocorreu por meio da análise das filmagens no momento pré-procedimento. Uma música de ninar foi ouvida durante 10 minutos no grupo experimental música; a glicose 25% foi administrada no grupo controle, ao final do oitavo minuto, equivalendo a um total de 10 minutos de observação. Avaliou-se a frequência das expressões faciais: choro, espirro, bocejo, franzir de testa, olhar focalizado, olhar vago, dormindo e movimento da cabeça. Variável estatisticamente significante no grupo controle: olhar vago (p=0,001) nos dois minutos finais de observação. Concluiu-se que não houve associação entre a maioria dos movimentos faciais e as intervenções estudadas, exceto para o olhar vago no grupo controle.

Association between congenital malformation and neonatal and maternal variables in neonatal units of a Northeast Brazilian city

Congenital malformations occur due to genetic, environmental, and mixed factors or unknown causes. This study aimed to investigate the existence of a relationship between the type of congenital malformation and maternal and neonatal variables. This prospective, quantitative study was conducted in three public neonatal units in Fortaleza, Ceará, Brazil. Data were collected from the medical records of 159 malformed neonates and analyzed using the Chi-square test (χ2), significance level of 5% (p<0.05). The majority of the newborns were male, 85 (53%), 91 (57%) born full-term, and 82 (52%) weighed between 2500g and 3999g. Malformations of the central nervous and musculoskeletal systems exceeded the other categories. Variables such as gender, gestational age, birth weight, drug use, maternal age, family income, education level, and number of children showed statistically significant associations with the categories of malformations (p<0.05). Maternal and neonatal factors have close relationships with the type of malformation, with these data providing support for neonatal nursing care.