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
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%.
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 © 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.
Kubicek K, Liu D, Beaudin C, et al. A profile of non-urgent emergency department usage in an urban pediatric hospital. Pediatr Emerg Care. 2013; 28 (10): 977-984. doi: 10.1097/PEC.0b013e31826c9aab.A.
Calado CS, Pereira AG, Santos VN, Castro MJ, Maio JF. What brings newborns to the emergency department?: a 1-year study. Pediatr Emerg Care. 2009; 25 (4): 244-248. http://pesquisa.bvsalud.org/portal/resource/pt/mdl-19382329.
Nogueira PSF, Moura ERF, Costa MMF, Monteiro WMS, Brondi L. Nosocomial infection profile at an university hospital. Rev Enferm UERJ. 2009; 17 (1): 96-101.
Vaz FAC, Diniz EMA, Ceccon MEJR, Krebs VLJ. Neonatology. (Schvartsman BGS, Maluf PTJ, eds.). Barueri: Manole; 2011.
Brazilian Institute of Geography and Statistics. Minimal social Indicators: concepts. IBGE. https://ww2.ibge.gov.br/home/estatistica/populacao/condicaodevida/indicadoresminimos/conceitos.shtm. Published 2019. Accessed June 17, 2019.
Perez Solis D, Pardo de la Vega R, Fernandez Gonzalez N, Ibanez Fernandez A, Prieto Espunes S, Fanjul Fernandez JL. Neonatal visits to a pediatricemergency service. An Pediatr. 2003; 59 (1): 54-58. doi: 10.1016/S1695-4033(03)78148-X.
Kovacs MH, Feliciano KVO. Access to basic care for children seen at emergency departments. J Pediat (Rio J). 2005; 81 (3): 251-258.
Kua PHJ, Wu L, Ong ELT, et al. Understanding decisions leading to nonurgent visits to the paediatric emergency department: caregivers’ perspectives. Singapore Med J. 2016; 57 (6): 314-319. doi: 10.11622/smedj.2016023.
Mendez E. B, Herrera L. P, Guerra M. H, Dattas L. JP, Munoz H. B, Velasco B. J. Structure of the paediatric population attending the Emergency Service. Roberto del Rio Children´s Hospital. Rev Chile Pediatr. 2005; 76 (3): 259-265. doi: 10.4067/S0370-41062010000100001.
Millar KR, Gloor JE, Wellington N, Joubert GI. Early neonatal presentations to the pediatric emergency department. Pediatr Emerg Care. 2000; 16 (3): 145-150.
Batu ED, Yeni S, Teksam O. The factors affecting neonatal presentations to the pediatric emergency department. J Emerg Med. 2018; 48 (5): 542-547. doi: 10.1016/j.jemermed.2014.12.031.
Freire P. Autonomy Pedagogy: Knowledge necessary to educational practice. 25th ed. Sao Paulo: Paz e Terra; 1996.
Brazilian Institute of Geography and Statistics. Salto de Pirapora. IBGE. https://cidades.ibge.gov.br/brasil/sp/salto-de-pirapora/panorama. Published 2019. Accessed June 17, 2019.
Pelicioni MCF, Mialhe FL. Education and health promotion: Theory and practice 2a. Sao Paulo: Santos; 2016.
Bardin L. Content analysis. Sao Paulo: Edition 70; 2002.
World Bank. World Development Report 1993 Investing in Health. Washington; 1993.
Gomide ACM, Silva RM, Capanema FD, Goncalves LAO, Rocha RL. How parents deal with the child's fever: influence of beliefs, knowledge, and information sources in the care and management of fever in children - systematic review of the literature. Rev Médica Minas Gerais. 2014; 24 (2): 180-185. doi: 10.5935/2238-3182.20140050.
Nascimento EA, Tarcia RML, Magalhaes LP, Soares MA de L, Suriano MLF, De Domenico EBL. Educational pamphlets on health: a reception study. Rev da Esc Enferm. 2015; 49 (3): 432-439. doi: 10.1590/S0080-623420150000300011.
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