Volume 5, Issue 4, December 2019, Page: 234-239
Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period
Angelo Carneiro Bonadio, Pediatric Department, Pontificia Universidade Catolica de Sao Paulo, Sao Paulo, Brazil
Raquel Aparecida Oliveira, Nursing Department, Pontificia Universidade Catolica de Sao Paulo, Sao Paulo, Brazil
Received: Aug. 29, 2019;       Accepted: Sep. 25, 2019;       Published: Oct. 31, 2019
DOI: 10.11648/j.ajp.20190504.22      View  60      Downloads  11
Abstract
The neonatal period, between the date of birth and twenty-eighth days after birth, is a time when parents face many doubts and anxiety. Even previous experiences are not enough to avoid or diminish parental anxiety. Therefore, parents commonly take their newborns to emergency units to care for simple health disorders. Despite reassuring the parents, this custom can be harmful to the newborns because they get exposed to a wide pathogen circulation environment. Since immunity from vaccination is still not complete, as well as due to the age-specific immunodeficiency, this behavior is risky to the newborns. The study aims to reduce the newborns’ care flow to emergency units using educational interventions in maternity wards. Methodology: This is a descriptive, quantitative and qualitative study, that evaluate the impacts of an educational intervention done by pediatricians, in the municipal maternity of Salto de Pirapora, in the Brazilian countryside. It is based in individual questionnaires, applied before the educational intervention to 99 mothers and newborns’ accompanying parties, in order to understand the most frequent concerns about the main health problems during the neonatal period. A dialogical educative intervention was done in the maternity regarding how and when the newborn should be taken to an emergency unit. The same mothers answered an intervention evaluation questionnaire after the neonatal period; the data of newborns’ care flow towards emergency units before and after the intervention was also compared. The results show that there was a reduction on the emergency services demand. The proportion of patients going to the emergency room was 36.7% on the last year and 30.56% two years before the intervention. The reduction reached about 12.33% after the intervention, an average reduction of 21.3%. The biggest concerns of the participants were: fever 65.63%, choking or suffocating 39.58% and constant crying 33.33%.
Keywords
Emergency Care, Neonatology, Pediatrics, Health Education
To cite this article
Angelo Carneiro Bonadio, Raquel Aparecida Oliveira, Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period, American Journal of Pediatrics. Vol. 5, No. 4, 2019, pp. 234-239. doi: 10.11648/j.ajp.20190504.22
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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