Avaliação dos resultados neonatais do método canguru no Brasil

Objective: To evaluate the results of the kangaroo mother method in Brazil. Methods: A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight...

ver descrição completa

Detalhes bibliográficos
Autores: Lamy Filho, Fernando, Da Silva, Antônio Augusto Moura, Lamy, Zeni Carvalho, Gomes, Maria Auxiliadora Sousa Mendes, Moreira, Maria Elizabeth Lopes, Lima, Geisy Maria Souza, De Menezes, Susane Oliveira, Bueno, Arnaldo Costa, Da Silva, Olga Penalva Vieira, Godoy, Sílvia Helena Cavalcante de Souza, Lopes, José Maria de Andrade, Patrocínio, Carla Nasser, Machado, Ana Beatriz de Souza, Guinsburg, Ruth, De Almeida, Maria Fernanda Branco, Goulart, Ana Lúcia, Fiori, Renato Machado, Trindade, Cleide Enoir Petean [UNESP], Leone, Cléa Rodrigues, Sadeck, Lilian Dos S. R., Procianoy, Renato Soibelmann, Silveira, Rita C., Martinez, Francisco Eulógio, Marba, Sérgio Tadeu Martins, De Lima, Gisele Marafon Lopes
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2008
País:Brasil
Recursos:Universidade Estadual Paulista (UNESP)
Repositório:Repositório Institucional da UNESP
Idioma:português
OAI Identifier:oai:repositorio.unesp.br:11449/70554
Acesso em linha:http://dx.doi.org/10.2223/JPED.1821
http://hdl.handle.net/11449/70554
Access Level:Acceso aberto
Palavra-chave:Humanization
Kangaroo mother care
Low birth weight
Brazil
breast feeding
controlled study
female
gestational age
hospitalization
human
human experiment
kangaroo care
male
outcome assessment
scoring system
Adult
Case-Control Studies
Cohort Studies
Female
Humans
Infant Care
Infant, Low Birth Weight
Infant, Newborn
Length of Stay
Male
Prospective Studies
Socioeconomic Factors
Treatment Outcome
Descrição
Resumo:Objective: To evaluate the results of the kangaroo mother method in Brazil. Methods: A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employedmultiple linear regression and Poisson regression with robust adjustment. Results: The adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p=0.022). Conclusions: The evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding. Copyright © 2008 by Sociedade Brasileira de Pediatria.

Registros relacionados