Cuidado ao desenvolvimento: intervenções de proteção ao desenvolvimento inicial de recém-nascidos pré-termo

Gaspardo, Cláudia Maria; Martinez, Francisco Eulógio; Linhares, Maria Beatriz Martins

doi:10.1590/s0103-05822010000100013

Cited by 20 publications

(20 citation statements)

References 21 publications

(141 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings are consistent to those found in longitudinal studies that show rates of 46% evasion. [18][19][20] After analyzing the audiological evaluation performed during follow-up, it was found that from the verbal commands. 8 In the follow-up, 41 children aged from nine months could be evaluated in relation to the ability to recognize verbal commands.…”

Section: 13mentioning

confidence: 99%

Avaliação do sistema nervoso auditivo central em neonatos com Hemorragia peri intraventricular

et al. 2016

View full text Add to dashboard Cite

RESUMO Objetivo: verificar a ocorrência de Hemorragia peri intraventricular em recém-nascidos prematuros submetidos a cuidados intensivos neonatais, caracterizando a ocorrência de alteração auditiva central nessa população e sua variação em função do grau de hemorragia. Métodos: estudo longitudinal, retrospectivo. Dos 719 recém-nascidos prematuros, 46 (6,4%) apresentaram hemorragia peri-intraventricular. Foram selecionados 84 neonatos, distribuídos em Grupo Estudo formado por 42 com Hemorragia e Grupo Controle, com 42 sem Hemorragia Peri-intraventricular. Todos tiveram emissões otoacústicas evocadas por estímulo transiente presentes e foram submetidos à pesquisa do potencial evocado auditivo de tronco encefálico no período de internação e acompanhados durante dois anos, por meio de avaliação comportamental da audição. Resultados: houve maior ocorrência de alteração central no Grupo Estudo (33,4%) em relação ao Grupo Controle (4,8%), caracterizada pelo aumento de latência das ondas III e V e intervalo interpico I-V. Houve maior ocorrência de alteração auditiva central nos prematuros com hemorragia graus II, III e IV em relação ao grau I. Conclusão: A ocorrência de Hemorragia peri intraventricular foi de 6,4%. A ocorrência de alteração central foi de 33,4% e variou em função do grau da hemorragia: crianças com Hemorragia graus II, III e IV, apresentaram maior ocorrência de alteração central em relação às de grau I. No monitoramento audiológico, a alteração auditiva central manteve-se em 51,85% das crianças que já apresentavam tal alteração ao nascimento.

show abstract

Section: 13mentioning

confidence: 99%

Avaliação do sistema nervoso auditivo central em neonatos com Hemorragia peri intraventricular

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The most unfavorable (3) states are: agitated/irritated and crying and that may be related to discomfort (4,5) and/or being hungry (5) and also intensity of crying can cause increased heart rate and also energy consumption, and decreasing in oxygen saturation in the blood and brain (1) . Moreover, stressful situations (4,(5)(6)(7)(8)(9) as found in the Neonatal Intensive Care Unit (NICU) environment, such as noise and intense lighting, constant handling, mother-baby separation, decreased duration of sleep and painful procedures (1,4,6) , can also cause changes in the level of the baby´s cortisol (1) , affecting the brain, metabolism and immune system. However, despite the potential damage caused by this environment, it is essential to monitor the premature newborn (9)(10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

Efeitos da estimulação gustativa nos estados comportamentais de recém-nascidos prematuros

Medeiros

Sá

Alvelos

et al. 2013

Audiol., Commun. Res.

View full text Add to dashboard Cite

Purpose: To observe the behavioral states presented by premature newborns in response to gustatory stimulation. Methods: Experimental, analytical and double-blind study. Ninety premature newborns born in a public maternity hospital in Sergipe took part in the test which was filmed and divided into three parts of five minutes. In the first and last, there was no stimulus; in the second, the gustatory stimulation was applied and the newborn children were divided into two groups (water or analysis for sucrose 12%). The observed behavioral states were deep sleep, light sleep, drowsy, alert, agitated/irritated and crying. The data were statistically analyzed. Results: In the sucrose group, during and after stimulation, the correlation was strong in the light sleep and alert behavioral states and decreased in the drowsy, agitated/irritated and crying states. In the water group there was an increase in correlation in the agitated/irritated and crying states after stimulation. Conclusion:The continuity or change of the behavioral state of the premature newborns was positively influenced by the administration of gustatory stimulus, pointing to the possibility of using sucrose in benefit of the favorable behavioral states of that population. Na primeira e na última, não houve estímulo; na segunda aconteceu estimulação gustativa, sendo que os recém-nascidos foram divididos em dois grupos (água ou sacarose para análise 12%). Os estados comportamentais observados foram sono profundo, sono leve, sonolento, alerta, irritado/agitado e choro. Os dados foram analisados estatisticamente. Resultados:No grupo sacarose houve correlação forte nos estados comportamentais sono leve e alerta, durante e após a estimulação, e redução de correlação nos estados sonolento, agitado/irritado e choro.Já no grupo água, após a estimulação houve aumento de correlação nos estados agitado/irritado e choro. Conclusão: A permanência ou mudança do estado comportamental do recém-nascido prematuro foi influenciada positivamente pela administração de estímulo gustativo, apontando para o possível uso da sacarose na contribuição de estados comportamentais favoráveis nessa população.

show abstract

“…Later on, other developmental care interventions in the NICU were also systematized. The Developmental Care has been shown to have beneficial effects on the development and health of preterm infants in the neonatal period and in the first year of age (Gaspardo, Martinez, & Linhares, 2010). The Developmental Care interventions improved outcomes in the short-term, such as the physiological, behavioral, neurological and clinical status of newborns (Als et al, 2003).…”

Section: Developmental Carementioning

confidence: 99%

“…In the developmental care initiative in the NICU (Fernandes et al, 2011;Gaspardo et al, 2010;Symington & Pinelli, 2002), professionals need to protect the infants against discomfort, distress, and pain experiences, performing the following actions: (a) moderating the negative effects of sound and light; (b) avoiding or reducing excessive and disorganized handling the infants, aiming to promote cluster-care; (c) facilitating the sleep states and reducing the crying states, as they provoke excessive energy expenditure in preterm infants; and (d) using facilitated tucking and promoting skin-to-skin contact, to implement pain management. Thus, infants will be protected and will achieve more organized physiological, emotional and behavioral regulation in their developmental processes.…”

Section: Clinical Practice Implicationsmentioning

confidence: 99%

Non-pharmacological management of neonatal pain: Research and clinical practice in the Neonatal Intensive Care Unit

Linhares

Gaspardo

2017

Estud. psicol. (Campinas)

Self Cite

View full text Add to dashboard Cite

According to the World Health Organization and the International Association for the Study of Pain, pain is a relevant worldwide problem in the healthcare field. The present study aimed to describe the definition of pediatric pain and the main characteristics, and to examine the findings regarding the impact of pain on the development of the child. The best clinical practices in Neonatal Intensive Care Units should include developmental care and specifically implement pain management, aiming to protect the health and development of the infants. The efficacious non-pharmacological management of neonatal pain includes breastfeeding, skin-to-skin, non-nutritive sucking, facilitated-tucking and swaddling. Sweet solutions also have pain relief effects. Psychologists could actively participate in the implementation of non-pharmacological interventions and in the whole process to sensitize and train the professional teams, to alert parents to protection against pain and to support policymakers in the implementation of pain guidelines in the hospital.

show abstract

Cuidado ao desenvolvimento: intervenções de proteção ao desenvolvimento inicial de recém-nascidos pré-termo

Cited by 20 publications

References 21 publications

Avaliação do sistema nervoso auditivo central em neonatos com Hemorragia peri intraventricular

Avaliação do sistema nervoso auditivo central em neonatos com Hemorragia peri intraventricular

Efeitos da estimulação gustativa nos estados comportamentais de recém-nascidos prematuros

Non-pharmacological management of neonatal pain: Research and clinical practice in the Neonatal Intensive Care Unit

Contact Info

Product

Resources

About