Perfil dos neonatos de gestantes de risco habitual na admissão precoce

Abstract

INTRODUCTION: Gestational monitoring allows you to identify needs, provide guidance and referral according to referral. In this way, it is marked by prevention and treatment (when necessary) in an early manner, contributing to a positive outcome, considering that the first 27 days after birth (neonatal period) are characterized by vulnerability and the need for specific care for the newborn. OBJECTIVE: To characterize the neonates of usual risk pregnant women at early admission. METHOD: Cross-secctional descriptive study about neonates of usual risk pregnant women at early admission between february to may 2021, though collected data from patient records from a reference maternity hospital for humanized childbirth in Goiânia, Goiás. The study population were the newborns of pregnant women with gestational age between 37 and 42 weeks at usual risk admitted early to the maternity hospital. Sociodemographic, obstetric and neonatal variables were analyzed. Data were typed and analysed using the respective softwares Microsoft Excel® and Statistical Package for the Social Sciences (SPSS®). This study was approved by the Research Ethics Committee. RESULTS: A total of 485 pregnant women nulliparous and multiparous were included for analysis. It was observed a predominance of young, non-white, poorly educated and single women. Of these pregnant women 31,1% reported having attended less than six prenatal consultations and about 55.0% were multiparous and sought early maternity. and 55,0% of pregnant women were multiparous and sought maternity early. There was a predominance of vaginal birth path. It was recorded that 95,5% of neonates of nulliparous women and 97,5% of neonates of multiparous women had Apgar Score greader than or equal to seven in the first minute and 100% in both situations in fifth minute. In addition the children of nulliparous women had a lower frequency of neonatology referral compared to the children of multiparous women. CONCLUSION: The present study identified that the highest frequency of mothers was in the age group of 20 to 35 years. Most were non-white, with low education, and almost half had no partner. It was pointed out that an effective perinatal follow-up was associated with better neonatal outcomes, and it is essential to strengthen public policies to guarantee maternal and neonatal health.