Material and human resources for neonatal resuscitation in public maternity hospitals in Brazilian state capitals

Abstract

METHODS: Each Brazilian region was represented by 1-4% of its live births. A local coordinator collected data regarding physical infrastructure, supplies and professionals available for neonatal resuscitation in the delivery room. The information was analyzed using the Statistical Package for the Social Sciences, version 10. RESULTS:Among the 36 hospitals, 89% were referral centers for high-risk pregnancies. Each institution had a monthly mean of 365 live births (3% < 1,500 g and 15% < 2,500 g). The 36 hospitals had 125 resuscitation tables (3-4 per hospital), all with overhead radiant heat, oxygen and vacuum sources. Appropriate equipment for pulmonary ventilation was available for more than 90% of the 125 resuscitation tables. On average, one pediatrician, three nurses and fi ve nursing assistants per shift worked in the delivery rooms of each institution. Out of the 874 pediatricians and 1,037 nursing personnel that worked in the delivery rooms of the 36 hospitals, 94% and 22%, respectively, were trained in neonatal resuscitation. CONCLUSIONS:The main public maternity hospitals in Brazilian state capitals have the resources to resuscitate neonates at birth.

Óbitos perinatais investigados e falhas na assistência hospitalar ao parto

“…A presença de falhas na assistência ao recém-nascido na sala de parto, especialmente a demora para iniciar a reanimação neonatal, foi uma situação identificada em alguns casos estudados, o que pode acarretar em graves danos ao recém-nascido. Essa situação, provavelmente, está mais relacionada com a atuação dos recursos humanos do que com a falta de equipamentos, conforme resultados de um estudo 14 realizado em salas de parto de hospitais públicos das capitais brasileiras, incluindo Belo Horizonte. Na ocasião foi identificado que, em sua maioria, as maternidades tinham infraestrutura adequada para a reanimação neonatal, entretanto, havia a necessidade de treinamento dos profissionais para realizarem efetivamente o procedimento.…”

“…Na ocasião foi identificado que, em sua maioria, as maternidades tinham infraestrutura adequada para a reanimação neonatal, entretanto, havia a necessidade de treinamento dos profissionais para realizarem efetivamente o procedimento. Esta conduta realizada de forma efetiva, quando necessária, contribui para reduzir a morbimortalidade neonatal, sobretudo por asfixia, ainda elevada no Brasil 14 .…”

Factors associated with 5-min APGAR score, death and survival in neonatal intensive care: a case-control study

“…In addition, the hospital had a total of 122 delivery room staff, 27% of whom were trained according to the Neonatal Resuscitation Programme of the Brazilian Pediatric Society, which is still very low considering that the hospital is a reference for high-risk pregnancies. This also reflects a national scenario, where pediatricians were more often in the delivery room, with 94% of them with at least one training course in neonatal resuscitation, and the nursing team not equally trained [49,50].…”

“…In Brazilian state capitals, studies have shown that the main public maternity hospitals have adequate material and human resources in delivery rooms [49]. Nevertheless, in addition to material support, the implementation of adequate monitoring, and training of delivery room staff in resuscitation are crucial to initiate interventions at the right time, as delays can lead to an Apgar score < 7 and neonatal morbidity and mortality even in term neonates [13,[51][52][53].…”

Videoconferencing, Affectivity and Teaching-Learning: Analysis of Professors’ Perception and Students’ Feelings during Videoconferencing

“…The fight to reclaim it is a broad space for educational policies." [14] However, the bets made on technology do not achieve results unless there is a change that encompasses all of educational digital culture, from curricula through the education and practices of docents and supervisors. Affectivity would be one of the dimensions to be considered in building this new digitalized educational culture.…”