Primeira semana saúde integral do recém-nascido: ações de enfermeiros da Estratégia Saúde da Família

Abstract

Objective: To describe the nurses' actions of the Family Health Strategy about the First Week for Integral Health regarding the care devoted to the newborn. Method:It is a descriptive, exploratory research with qualitative approach carried out from October 2014 to February 2015, through a semi-structured interview, with nine nurses from the Family Health Strategy of João Pessoa-PB. Data were submitted to thematic analysis. Results:The actions identified at the first visit to the newborn child are based on maternal guidance on basic newborn care, breastfeeding, neonatal screening, immunization and childcare, as well as evaluation of the puerperal, but it was sometimes performed outside the period recommended and with incomplete and outdated guidelines. Conclusion:Although there are potentialities in nurses' actions to this population, the fragilities compromise the care of the newborn and the puerperium, and it is necessary to sensitize these professionals about the importance and effectiveness of First Week for Integral Health.

Factors associated with the maintenance of exclusive breastfeeding in the late postpartum

“…It can be performed through home visits aimed at identifying risk signs, providing guidance and encouraging BF. This strategy has great potential in improving the quality of life of the mother and of the child, it assists in maternal empowerment and delays the introduction of breast milk substitutes (19) .…”

Postnatal care of newborns in the family context: an integrative review

“…In view of the findings presented, it is necessary to invest in educational health practices from pre to post-natal, especially in relation to daily care for NBs, as mentioned above. In this way, the nurse can play an elementary role, as he has the opportunity to participate in the monitoring and contribute as an educating agent during all phases of this process, minimizing the difficulties faced by puerperal women and families with NBs (39,44) .…”

Care for children under six months at domicile: primiparae mother's experience

“…7 However, the carrying out of the bath in the first days of the baby' s life is regarded as one of the most challenging by the primiparous mothers, condition that might be modified by effective educative actions even in the prenatal, enabling the primiparous woman to give maternal care more safe. 8 The first bath usually generates many expectancies, leaving the mother apprehensive and, most of the time, unsafe before the baby's movements and reactions during the procedure. 9 The presence of the umbilical cord stump and the apparent fragility of the newborn also contribute to this insecurity.…”

“…10,11 Since the care of the neonate generates many doubts among the mothers, it is necessary that the health professional, mainly the nurse, as an educator for health, is always sensitive to recommend to the mothers, practices of health promotion and prevention of grievances in front of primary health care that they will carry out with their children at home. 8 On the other hand, when the attention to the child involves the maternal ability and sensitivity to understand the expressions in which the baby transmit its feelings, solicit affection and attention, some difficulties may interfere in the efficacy of the maternal response, as reported by the mothers, regarding the different types of crying of their babies.…”

“…However, regardless of the orientation that is given to the primiparous mother during the prenatal period, the information divulged by the nurse must be complete, ensuring adequate maternal understanding of all the process. 8 The umbilical cord stump cleaning must be done every day after the bath and the changing diapers until the umbilical wound has been completely healed; strips or other covers on the stump should not be used, since these do not bring any benefit and may cause irritation, secretion and bad smell, in addition, it is known that the simple hands' hygienization before and after the referred procedure, is highly effective in preventing infections.…”