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1. The Importance of Physical Therapy in the Treatment of Unilateral Congenital Bell Paralysis – A Case Report.

Author

Milosevic, Jelena, Pavicevic, Danijela, Parezanovic-Ilic, Katarina, and Milenkovic, Zoran

Subjects
*PHYSICAL therapy, *FACIAL nerve, *PARALYSIS, *FACIAL muscles, *FACIAL paralysis, *CESAREAN section
Abstract

Peripheral paralysis of facial nerve in the newly-born can be congenital and developed. In clinical sense, paralysis of facial nerve is characterised by paralysis of mimic face muscles that are controlled by a facial nerve. A female newly-born, delivered by caesarean section was clinically diagnosed weakness on the right side of the face. Thirteen days after the birth the newly-born was examined by a physiatrist for the first time due to the weakness of the right facial side. During the first year of life a severe congenital lesion of facial nerve was diagnosed. Rehabilitation treatments were administered during the first year of life, with partial clinical improvement. The seriousness of facial nerve lesion hasa significant influence on the degree of recovery. It is very important to identify the type of lesion by using efficient technology, since it is the only way to provide early and adequate therapy [ABSTRACT FROM AUTHOR]

Published
2022
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2. Suppression of hippocampal neurogenesis is associated with developmental stage, number of perinatal seizure episodes, and glucocorticosteroid level

Author

Liu, H, Kaur, J, Dashtipour, K, Kinyamu, R, Ribak, CE, and Friedman, LK

Subjects
Stem Cell Research - Nonembryonic - Non-Human, Neurosciences, Neurodegenerative, Epilepsy, Brain Disorders, Stem Cell Research, Pediatric, Neurological, Animals, Animals, Newborn, Antimetabolites, Bromodeoxyuridine, Cell Count, Cytoplasmic Granules, Dentate Gyrus, Electroencephalography, Fluorescent Antibody Technique, Indirect, Glucocorticoids, Hippocampus, Hydrocortisone, Immunohistochemistry, In Situ Nick-End Labeling, Microscopy, Electron, Radioimmunoassay, Rats, Rats, Sprague-Dawley, Seizures, Silver Staining, Status Epilepticus, newly born, perinatal, inhibition, multiple seizures, dentate gyrus, Clinical Sciences, Psychology, Neurology & Neurosurgery
Abstract

Seizures increase dentate granule cell proliferation in adult rats but decrease proliferation in young pups. The particular period and number of perinatal seizures required to cause newborn granule cell suppression in development are unknown. Therefore, we examined cell proliferation with bromodeoxyuridine (BrdU) immunohistochemistry during the peak of neurogenesis (e.g., P6 and P9) and at later postnatal ages (e.g., P13, P20, or P30) following single and multiple episodes of perinatal status epilepticus induced by kainate (KA). Because an inverse relationship exists between glucocorticosteroids (CORT) levels and granule cell proliferation, plasma CORT levels and electroencephalographic (EEG) activity were simultaneously monitored to elucidate underlying mechanisms that inhibit cell proliferation. In control animals, the number of BrdU-labeled cells increased then declined with maturation. After 1x KA or 2x KA administered on P6 and P9, the numbers of BrdU-labeled cells were not different from age-matched controls. However, rat pups with 3x KA (on P6, P9, and P13) had marked suppression of BrdU-labeled cells 48-72 h after the last seizure (43 +/- 6.5% of control). Cell proliferation was also significantly inhibited on P20 after 2x KA (to 56 +/- 6.9%) or 3x KA (to 54 +/- 7.9%) and on P30 with 3x KA (to 74.5 +/- 8.2% of age-matched controls). Cell death was not apparent as chromatin stains showed increased basophilia of only inner cells lining the granule cell layers, in the absence of eosinophilia, argyrophilia, or terminal deoxynucleotidyl dUTP nick endlabeling (TUNEL) labeling at times examined. In P13 pups with 3x KA, electron microscopy revealed an increased number of immature granule cells and putative stem cells with irregular shape, condensed cytoplasm, and electron dense nuclei, and they were also BrdU positive. The EEG showed no relationship between neurogenesis and duration of high-synchronous ictal activity. However, endocrine studies showed a correlation with BrdU number and age, sustained increases in circulating CORT levels following 1x KA on P6 (0.7 +/- 0.1 to 2.40 +/- 0.86 microg/dl), and cumulative increases that exceeded 10 microg/dl at 4-8 h after 3x KA on P13 or P20. In conclusion, a history of only one or two perinatal seizure(s) can suppress neurogenesis if a second or third seizure recurs after a critical developmental period associated with a marked surge in CORT. During the first 2 weeks of postnatal life sustained increases in postictal circulating CORT levels but not duration or intensity of ictal activity has long-term consequences on neurogenesis. The occurrence of an increased proportion of immature granule cells and putative stem cells with irregular morphology in the absence of neurodegeneration suggests that progenitors may not differentiate properly and remain in an immature state.

Published
2003

3. Proceso de atención de enfermería en recién nacidos con sepsis bacteriana, según Virginia Henderson: A propósito de un caso

Author

Armijos Solano, Gabriela Estefanía, Yaguana Ojeda, Suyin Anahi, Mora Veintimilla, Gladis del Rocío, Armijos Solano, Gabriela Estefanía, Yaguana Ojeda, Suyin Anahi, and Mora Veintimilla, Gladis del Rocío

Abstract

Introduction: Clinical situation derived from the invasion and proliferation of bacteria, viruses and fungi in the bloodstream of the newborn (NB) and that manifests itself within the first 28 days of life, although currently it tends to include sepsis diagnosed after of this age, in very low weight newborns (RNMBP). A positive blood culture confirms sepsis, and when the blood culture is negative, the condition is considered clinical sepsis. Objective: To describe nursing care for newborns with neonatal sepsis based on Virginia Henderson's theory by reviewing previous scientific articles to determine the deficient basic needs in these patients. Methodology: This work is a type of descriptive-qualitative research study, through a case study, with a clinical approach, which was carried out by reviewing the patient's (newborn) clinical history. The method used was the inductive-deductive one, where it is based on the search and collection of articles on neonatal sepsis disease to carry out this research work. Results: It is concluded that it is extremely important to evaluate the newborn immediately to assess their state of health and their vital signs and in turn use a care plan that allows the health professional to provide quality care, with the purpose of that the patient obtains an improvement in his health and well-being., Introducción: Situación clínica derivada de la invasión y proliferación de bacterias, virus y hongos en el torrente sanguíneo del recién nacido (RN) y que se manifiesta dentro de los primeros 28 días de vida, si bien actualmente se tiende a incluir las sepsis diagnosticadas después de esta edad, en RN de muy bajo peso (RNMBP). El hemocultivo positivo confirma la sepsis, y cuando el hemocultivo es negativo, la condición se considera como sepsis clínica. Objetivo: Describir la atención de enfermería en recién nacidos con sepsis neonatal basado en la teoría de Virginia Henderson mediante la revisión de artículos científicos previos para determinar las necesidades básicas deficientes en dichos pacientes. Metodología: El presente trabajo es un tipo de estudio descriptivo- cualitativo de investigación, a través de un estudio de caso, con enfoque clínico, que se realizó mediante la revisión de la historia clínica de la paciente (recién nacida). El método utilizado fue el inductivo-deductivo, donde se fundamenta con la búsqueda y recolección de artículos sobre la enfermedad sepsis neonatal para ejecutar este trabajo de investigación. Resultados: Se concluye que es de suma importancia evaluar al recién nacido de manera inmediata para valorar su estado de salud y sus signos vitales y a su vez emplear un plan de cuidados que le permita al profesional de salud brindar una atención de calidad, con la finalidad de que el paciente obtenga una mejoría en su salud y bienestar.

Published
2023

4. Caracterización Clínica Y Manejo De Paciente Neonatal Con Sífilis Congénita

Author

Estrella Campuzano, Segundo Antonio, Romero Escobar, Tanya Maricela, Valverde Erazo, Maximilien Donald, Bermello Naranjo, Mayra Alexandra, Estrella Campuzano, Segundo Antonio, Romero Escobar, Tanya Maricela, Valverde Erazo, Maximilien Donald, and Bermello Naranjo, Mayra Alexandra

Abstract

Congenital syphilis is a public health complication that affects worldwide, because it afflicts a significant number of newborns in Latin America every year, in our country, there are few recognized data on this prevalence of congenital syphilis, however there is a percentage of pregnant women who do not have a necessary prenatal control, since the beginning of the fifteenth century, sexually transmitted diseases are known. That is why syphilis is a disease that is transmitted through sexual intercourse, which has not ceased to be a hindrance to public health, due to the high rate of morbidity and risk of it, especially in women. Pregnant women, due to its transmission and the effects it causes to the developing fetus. Syphilis is a systemic infectious disease and its contagion is intrauterine, it is acquired from the sick mother who transmits it to the product through the placenta, some doctors who care for pregnant women and she do not have economic income to carry out laboratory tests and On the other hand, there is a high percentage of pregnant women who do not attend prenatal control on a regular basis., La sífilis congénita es una complicación de salud pública que afecta a nivel mundial, debido a que aqueja a un número importante de recién nacidos en América latina cada año, en nuestro país, existen escasos datos reconocidos sobre ésta prevalencia de sífilis congénita, sin embargo, existen un porcentaje de las embarazadas que no tienen un control prenatal necesario, desde inicio del siglo XV, las enfermedades de transmisión sexual son conocidas. Es por eso que, la sífilis es una enfermedad de que se transmite a través de las relaciones sexuales, lo que no ha dejado de ser una traba para la salud pública, debido a la alta tasa de morbilidad y riesgo de la misma, en especial en las mujeres en periodo de gestación, por su transmisión y los efectos que ocasiona al feto en desarrollo. La sífilis es una enfermedad infectocontagiosa sistémica y su contagio es de forma intrauterina se adquiere de la madre enferma que la transmite al producto por vía transplacentaria, algunos doctores que atienden a embarazadas y ellas no poseen ingresos económicos para la realización de las pruebas de laboratorio y por lado un porcentaje alto de gestantes que no asiste a un control prenatal de forma regular.

Published
2022

5. Identificación de las competencias específicas de los profesionales de enfermería en la atención al neonato en estado grave.

Author

Martínez Sariol, Elsa, Travieso Ramos, C. Nadina, Sagaró del Campo, Nelsa María, Urbina Laza, C. Omayda, and Martínez Ramírez, Irasbel

Abstract

An observational and descriptive study was carried out in the professionals in charge of the care to the severely ill neonates from intensive care units of Santiago de Cuba province, at "Enrique Cabrera" Teaching General Hospital from Havana and the Regional Center for Surgery in Neonates from Holguín Teaching Pediatric Hospital, during the 2017, with the aim of characterizing them according to established criteria on this respect, to make the selection of the experts in the topic to determine the specific competences of these professionals. The initial sample was constituted by the 43 professionals who fulfilled the criteria strictly, to whom a self-evaluation test was applied to identify their knowledge, argument and competence coefficients; in this way 38 professionals were selected as experts with middle and high coefficients, who participated in a socialization workshop, where they exposed the specific competences of the male nurses in the care to the severely ill neonate, which will be validated in another phase of the investigation. [ABSTRACT FROM AUTHOR]

Published
2018

6. Dermatosis en los recién nacidos, hijos de madres adolescentes del Hospital Civil de Guadalajara Fray Antonio Alcalde.

Author

Ji., Rodarte-Pérez, M. P., Oceguera-Angel, F., Castillo-Villarruel, X., Ávalos-Huizar, J. E., Chavira-González, L. H., González-Figueroa, Vm., Chávez-Ortiz, O., Morán-Gallegos, D., López-Altamirano, E., García-Morales, D., Pérez-Rulfo-Ibarra, and H., Padilla-Muñoz

Abstract

Introduction. Skin is essential in mechanic and immunologic protection, along with thermoregulation and barrier function to prevent insensible fluid loss. Neonate's immature skin contributes to an increase in perinatal morbi-mortality since it causes fragility, favors infection and increases the risk of toxicity due to percutaneous absorption. Material and Methods. This is a descriptive study including 200 living neonates, born from teenage mothers, at HCGFAA. We recorded the frequency of cutaneous lesions observed in newborns during their first 72 hours of life, along with maternal, neonatal and delivery factors. Variables included in the study were processed with SPSS version 15.0, with a descriptive study. Results. Neonatal parameters: male sex 58.2%, term infants 91.2%, normal weight at delivery 86.9%, first minute APGAR >9 81.6%. Maternal characteristics: age from 10-19 years, toxic consumption 21.8%, dietetic supplements 81.8%, medical treatment during pregnancy 25.6%. Skin Lesions: 99.4% showed some cutaneous alteration, 99.2% were benign transitory injuries, birth marks 72%, traumatic cutaneous wounds 18.6% and development abnormalities 6.2%. Discussion. Neonatal skin diseases are very frequent; the most common ones are benign transitory lesions. Sebaceous hyperplasia, hypertrichosis and labial suction callous are the most prevalent. Tobacco is related to a greater frequency of salmon stain and neonatal toxic erythema, pharmaceutic drug ingestion to vernix casseus and dietetic supplements to a larger number of palatine cyst and vernix casseus. [ABSTRACT FROM AUTHOR]

Published
2016

7. MORTALIDADE NEONATAL: UM DESAFIO PARA OS SERVIÇOS DE

Author

Claci Fátima Weirich

Subjects
infant mortality, neonatal, prenatal, newly born, Nursing, RT1-120
Abstract

In Brazil, the children health promotion actions develop a decline in the infant mortality rate in the several areas of the country. It is preoccupying the fact that 90% of the neonatal mortality of the world still happens at countries in development, where there are few resources, and the technological readiness of the health has different priorities. The reduction of the neonatal mortality is still more difficult because this associated as to biological factor as to the prenatal, to the childbirth and the newly born attendance; and its prevention involves mainly investments in health services of more complex technology as well as in educational and public health actions. Considering the fact that Goiânia (capital of the State of Goiás) has great demand to the health services, it is necessary a larger quality of the rendered services as much in the basic units of health services as in the hospital, looking for to implement programs of improvement of services to guarantee the quality of attendance. We considered that the education actions and health are important factors of intervention for the reduction and control of the infant mortality rates, mainly your component neonatal and that all professional relationship of health and patient is a pedagogic relationship.

Published
2001

8. Recién nacidos prematuros de bajo peso: Seguimientos necesarios

Author

Briones Mera, Angela R., Saltarén Pérez, Krissia K., Moreira Rivas, Leonardo J., Chavez Velasquez, Jenniffer M., Cevallos Rosales, Joffre P., Pacheco Moreira, Mario W., Briones Mera, Angela R., Saltarén Pérez, Krissia K., Moreira Rivas, Leonardo J., Chavez Velasquez, Jenniffer M., Cevallos Rosales, Joffre P., and Pacheco Moreira, Mario W.

Abstract

In 2005 the WHO defined, after the Workshop on "Optimization of care", to call "premature premature" those born between 34 weeks 0 days and 36 weeks 7 days after the start of the last menstrual period. The immaturity of the organ functions, complications and specific disorders of prematurity determine the susceptibility to a wide variety of diseases that differ compared to normal Newborns. Knowing that prematurity and low birth weight are a problem for the world and that tend to increase despite preventive health actions and advances in intensive perinatological care. In this case, we intend not only to identify the reasons that contribute before the birth inherent in the gestational period, but also to outline what the consequences would be for and for the newborn to provide the necessary care and attention to preserve the life of the new being. It is intended to make a bibliographic review that synthesizes the definition of the newborn, then evaluate the influence of low weight in the life of the newborn. The first thing that the qualitative methodology shows us is that the criterion of the researcher contributes in the destiny of the final result. Although the prognosis and survival of premature infants is directly related to gestational age and birth weight, it is important for health professionals to consider the implementation of follow-up programs as an object of research for the premature newborn discharged. , in order to verify the beneficial effects of early interventions in neonates, the results can help to evaluate interventions and improve care., Em 2005, a OMS definiu, após o Workshop sobre "Otimização de cuidados", a designação de "prematuros prematuros" aqueles nascidos entre 34 semanas 0 dias e 36 semanas 7 dias após o início do último período menstrual. A imaturidade das funções do órgão, complicações e distúrbios específicos da prematuridade determinam a suscetibilidade a uma ampla variedade de doenças que diferem em comparação com os recém-nascidos normais. Sabendo que a prematuridade e o baixo peso ao nascer são um problema para o mundo e que tendem a aumentar, apesar das ações preventivas de saúde e dos avanços no cuidado perinatológico intensivo. Neste caso, pretendemos não apenas identificar os motivos que contribuem para o nascimento inerente ao período gestacional, mas também delinear quais seriam as conseqüências para e para o recém-nascido prestar o cuidado e a atenção necessários para preservar a vida da criança. novo ser. Pretende-se fazer uma revisão bibliográfica que sintetize a definição do recém-nascido, então avalie a influência do baixo peso na vida do recém-nascido. A primeira coisa que a metodologia qualitativa nos mostra é que o critério do pesquisador contribui no destino do resultado final. Embora o prognóstico e a sobrevida dos prematuros estejam diretamente relacionados à idade gestacional e ao peso ao nascer, é importante que os profissionais de saúde considerem a implementação de programas de acompanhamento como objeto de pesquisa para o recém-nascido prematuro e liberado. , a fim de verificar os efeitos benéficos de intervenções precoces em neonatos, os resultados podem ajudar a avaliar intervenções e melhorar o atendimento., En el año 2005 la OMS definió, después del Taller sobre “Optimización de la atención”, de denominar “Prematuro Tardío” a los nacidos entre las 34 semanas 0 días y 36 semanas 7 días después del inicio del último periodo menstrual. La inmadurez de las funciones orgánicas, las complicaciones y los trastornos específicos de la prematuridad determinan la susceptibilidad a una amplia variedad de enfermedades que difieren en comparación con los Recién Nacidos normales. Conociendo que la prematuridad y el bajo peso al nacer constituyen un problema para el mundo y que tienden a incrementarse a pesar de las acciones preventivas de salud y los avances en el cuidado intensivo perinatológico. En este caso nos proponemos no solo identificar las razones que aportan antes del nacimiento inherentes al periodo gestacional, sino esbozar cuales serían las consecuencias a enfrentar para y por el recién nacido para brindar la atención y cuidados necesarios para preservar la vida del nuevo ser. Se pretende hacer una revisión bibliográfica que sintetice la definición del recién nacido, luego evaluar la influencia del bajo peso en la vida del neonato. Lo primero que la metodología cualitativa nos muestra es que el criterio del investigador aporta en el destino del resultado final. Aunque el pronóstico y la supervivencia de los niños prematuros está relacionado directamente con la edad gestacional y peso al nacer, es importante la participación de los profesionales de la salud considerar la implementación de programas de seguimiento como objeto de investigación del recién nacido prematuro dado de alta, con el fin de verificar los efectos benéficos de las intervenciones tempranas en neonatos, los resultados pueden contribuir a evaluar las intervenciones y mejorar el cuidado.

Published
2019

9. Inter-Observer Variability of the Apgar Score of Preterm Infants between Neonatologists, Obstetricians and Midwives

Author

Hans Ulrich Bucher, Massimo Merlini, Jean-Claude Fauchère, Sandra Jasminder Arri, and University of Zurich

Subjects
medicine.medical_specialty, Resuscitation, Obstetrics, business.industry, Delivery room, Significant difference, Gestational age, 610 Medicine & health, 10027 Clinic for Neonatology, Keywords: Adaptation, Newly born, Neonate, Intensive care, medicine, Apgar score, Observational study, Stabilisation, Observer variation, business
Abstract

Objective To assess the inter-observer variability of the Apgar Score (AS) across various perinatal Health Care Providers (HCP) taking care of newly born premature infants in the delivery room. Methods Design: Prospective observational study. Setting: 4 general hospitals and 3 university hospitals in Switzerland. Subjects: 43 neonatologists, 68 obstetricians and 55 midwives assessed the AS from 15 video sequences showing delivery room stabilisations or resuscitations of 15 preterm infants born below 34 0/7 weeks gestational age. Results Overall and for all observers, the mean inter-observer variability was low (ICC 0.72). There was a significant difference between the professions (p < 0.001) and hospitals (p < 0.001). The AS assigned by neonatologists for this group of preterm infants were significantly higher than the scores given by midwifes (p = 0.001). The scores assigned by obstetricians were the lowest for all infants; the difference from neonatologists being -0.53 (pairwise comparison). There was no significant difference between the AS assessed by professionals working in university hospitals compared to HCPs from general hospitals (p = 0.86). For all observers and in the majority of the sequences, heart rate showed the lowest and skin colour the highest standard deviation. Conclusion Our study revealed a relatively high inter-observer agreement in assessing the AS for premature infants among all perinatal health care professionals for the whole group of infants. A significant difference however was seen between the AS given by the different perinatal professional groups and between hospitals. A clearer definition and assessment method of each Apgar parameter in the setting of infants born premature and of resuscitation measures are needed. This may contribute to reduce the variations between professionals and hospitals, and to increase the value of this scoring within national and international databases to describe study populations for research, for benchmarking in neonatal intensive care and for comparison of outcome data.

Published
2018
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10. Hemoglobinopatías de tipo S y embarazo. Resultados en la atención al perinato S hemoglobinopathies and pregnancy. Outcomes in newly born

Author

Abelardo Salvador Toirac Lamarque, Gladys Blanco Román, Viviana Pascual López, Carolina Plasencia Asorey, Milagros Ibarra Madrazo, and Jorge Losada Gómez

Subjects
hemoglobinopatía de tipo S, drepanocitosis, embarazo, peripato, hemoglobinopathy S-type, drepanocytosis, pregnancy, newly born, Medicine (General), R5-920, Internal medicine, RC31-1245
Abstract

La procreación en la mujer con hemoglobinopatía de tipo S constituye un grave problema de salud reproductiva que, en Cuba, ha requerido una atención sostenida, diferenciada y multidisciplinaria durante 25 años, con vista a lo cual se diseñó y aplicó un protocolo específico de trabajo médico integral en el territorio. En este artículo, sus autores exponen los resultados perinatales y su valor estadístico, considerados por ellos como muy satisfactorios, teniendo en cuenta lo descrito en las referencias consultadas sobre el tema.Procreation in women with hemoglobinopathy S-type is a serious reproductive health problem that in Cuba has required a sustained, differentiated and multidisciplinary care during 25 years, therefore a specific protocol of comprehensive medical work was designed and implemented in the territory. In this article the authors described the perinatal outcomes and their statistical value considered by them very satisfactory, taking into account what was described in the references on the topic.

Published
2011

11. Estrés en padres de los recién nacidos hospitalizados en la Unidad de Alto Riesgo Neonatal Stress in hospitalized parents of newly born in the neonatal intensive care unit

Author

Flor María Parra Falcón, Zulia Moncada, Sandra Josefina Oviedo Soto, and Mary Marquina Volcanes

Subjects
Parents, lcsh:RT1-120, Newly born, lcsh:Nursing, Recién nacido, lcsh:R, Padres, lcsh:Medicine, Riesgo neonatal, Stress, Neonatal risk, Estrés
Abstract

Justificación: Al ingresar un recién nacido en la Unidad de Alto Riesgo Neonatal (UARN), recibimos también unos padres que se encuentran abruptamente con una realidad diferente a la deseada en el embarazo. Objetivo: Elaborar lineamientos para disminuir el estrés en padres de los recién nacidos hospitalizados en la UARN. Tipo y Diseño: Descriptivo; transversal. Metodología: Se elaboró un cuestionario para identificar manifestaciones cognitivas, conductuales y afectivas del estrés en 36 padres, cuyo Alfa de Cronbach: 0,914. Resultados: En manifestaciones emocionales, destacó la inestabilidad emocional con predisposición al llanto, con 13,6%. La dimensión conductual reflejó 13,4% para cambio de hábitos, con descuido de la apariencia personal. En manifestaciones cognitivas, el 10,1% fue para pérdida de la atención por estímulos relevantes auditivos. Conclusiones: Se consideró disminuir las manifestaciones del estrés de los padres mediante la elaboración de lineamientos basados en técnicas cognitivas-conductuales.Justification: When a newly born is admitted at the Neonatal Intensive Care Unit, there are also, along with it, a couple of parents that are blown away with this new reality which is different from the one imagined during the pregnancy. Objective: to establish the steps to reduce the stress of the parents of the newly born hospitalized at the NICU. Type and design: Descriptive; transversal. Methodology: it was made a form of questions in order to identify the cognitive, behavior and affective manifestations of the stress in 36 mothers and fathers with an Alpha of Cronbach: 0,914. Results: In emotional manifestations, the emotional instability with predisposition of wiping was outstanding with 13,6%. The behavior dimension reflects 13,4% with a change of the habits specifically in the lack of care in their personal look. The cognitive manifestations was of 10,1% with a lack of attention because of the sonorous irrelevant stimulus. Conclusions: we considered to diminish the stress manifestations of the parents through the setting of steps based on cognitive and behavior techniques.

Published
2009

12. Reanimación neonatal nuevas pautas 2010

Author

Urbina-Medina, Huníades

Subjects
recientemente nacido, resucitación Cardio pulmonar, newly born, Cardiac arrest, chest compression, compresión torácica, cardiopulmonary resuscitation, paro cardíaco
Abstract

El paro cardíaco neonatal suele producirse por asfixia, de modo que se ha mantenido la secuencia de reanimación A-B-C, con una relación compresión-ventilación de 3:1.Menos del 1% de los neonatos necesita maniobras de reanimación. El recientemente nacido (RN) debe ser secado, calentado, colocado piel con piel con su madre y cubierto con una manta para mantener la temperatura, vigilando la respiración, la actividad y el color de la piel. Si alguno de los tres aspectos antes mencionados no se están presentes de forma adecuada, el RN debe recibir: A.- estabilización inicial: calor, liberar la vía aérea en caso de ser necesario, secar y estimular. B.- ventilación, C.- compresión torácica y D.- administración de epinefrina y/o expansión de volumen. El paso inicial de toda resucitación es calentar al niño colocándolo debajo de una fuente de calor radiante, posicionar la cabeza en posición de olfateo para abrir la vía aérea, limpiar la vía aérea en caso de ser necesario con una perilla de succión o sonda de aspiración, secarlo y estimularlo gentilmente. De ser necesario se administrará oxígeno suplementario, ventilación a presión positiva con dispositivo autoinflable con reservorio que permite administrar presión al final de la espiración. Las compresiones torácicas están indicadas con una frecuencia cardiaca de 60 por minuto a pesar de una ventilación adecuada con oxigeno suplementario por 30 segundos. Cuando la gestación, el peso al nacer o las anormalidades congénitas estén asociadas con muerte temprana y cuando la alta morbilidad sea inaceptable entre los supervivientes, la resucitación no está indicada. Neonatal cardiac arrest is usually produced by asphyxia; therefore, the sequence of resuscitation A-B-C has been maintained with a ratio compression-ventilation 3:1.Less than 1% of neonates need resuscitation. The newly born (NB) must be dried, heated, placed skin-toskin with his mother and covered with a blanket to maintain the temperature, monitor respiration, activity and skin color. If any of the three aspects mentioned above are not present in an appropriate manner, the NB must receive: A. -initial stabilization: heat, clearance of the air way if necessary, dry and stimulate. B -ventilation, C. - chest compression and D. -administration of epinephrine and/or volume expansion. The initial step of any resuscitation is to heat the child by placing it under a radiant heat source, positioning the head in a sniffing position to open the airway, clean the air way if necessary with a suction bulb or aspiration probe, dry and stimulate gently. If necessary, supplemental oxygen should be administered, as well as positive pressure ventilation with an automatically inflated device with a reservoir that allows applying pressure at the end of expiration. The chest compressions are indicated with a heart rate of 60 per minute despite adequate ventilation with supplemental oxygen for 30 seconds. When gestation, birth weight, or congenital abnormalities are associated with early death and when the high morbidity is unacceptable among survivors, resuscitation is not indicated.

Published
2011

13. Stress in hospitalized parents of newly born in the neonatal intensive care unit

Author

Zulia Moncada, Flor María Parra Falcón, Mary Marquina Volcanes, and Sandra Josefina Oviedo Soto

Subjects
Parents, Newly born, Health (social science), History and Philosophy of Science, Recién nacido, Public Health, Environmental and Occupational Health, Padres, Riesgo neonatal, Stress, Neonatal risk, Estrés
Abstract

Justificación: Al ingresar un recién nacido en la Unidad de Alto Riesgo Neonatal (UARN), recibimos también unos padres que se encuentran abruptamente con una realidad diferente a la deseada en el embarazo. Objetivo: Elaborar lineamientos para disminuir el estrés en padres de los recién nacidos hospitalizados en la UARN. Tipo y Diseño: Descriptivo; transversal. Metodología: Se elaboró un cuestionario para identificar manifestaciones cognitivas, conductuales y afectivas del estrés en 36 padres, cuyo Alfa de Cronbach: 0,914. Resultados: En manifestaciones emocionales, destacó la inestabilidad emocional con predisposición al llanto, con 13,6%. La dimensión conductual reflejó 13,4% para cambio de hábitos, con descuido de la apariencia personal. En manifestaciones cognitivas, el 10,1% fue para pérdida de la atención por estímulos relevantes auditivos. Conclusiones: Se consideró disminuir las manifestaciones del estrés de los padres mediante la elaboración de lineamientos basados en técnicas cognitivas-conductuales. Justification: When a newly born is admitted at the Neonatal Intensive Care Unit, there are also, along with it, a couple of parents that are blown away with this new reality which is different from the one imagined during the pregnancy. Objective: to establish the steps to reduce the stress of the parents of the newly born hospitalized at the NICU. Type and design: Descriptive; transversal. Methodology: it was made a form of questions in order to identify the cognitive, behavior and affective manifestations of the stress in 36 mothers and fathers with an Alpha of Cronbach: 0,914. Results: In emotional manifestations, the emotional instability with predisposition of wiping was outstanding with 13,6%. The behavior dimension reflects 13,4% with a change of the habits specifically in the lack of care in their personal look. The cognitive manifestations was of 10,1% with a lack of attention because of the sonorous irrelevant stimulus. Conclusions: we considered to diminish the stress manifestations of the parents through the setting of steps based on cognitive and behavior techniques.

Published
2009

14. Representações e práticas da maternidade em contexto multicultural e migratório

Author

Sopa, Maria João Pereira and Ramos, Natália

Subjects
Multiculturality, Sociologia das migrações, Maternidade, Maternity, Imigração, Immigration, Cuidar, Saúde, To take care transcultural, Interculturality, Practices of cares, Newly born, Comunicação intercultural, Sociologia da saúde, Comuniação em saúde
Abstract

Dissertação de Mestrado em Comunicação em Saúde apresentada à Universidade Aberta RESUMO: As sociedades de hoje são cada vez mais, culturalmente diversificadas. Portugal não é excepção, verificando-se este fenómeno no quotidiano. Consequência deste facto assiste-se a um aumento significativo de mulheres a viver o processo da maternidade em contexto multicultural e migratório. A maternidade não é imune à pressão de diversos factores que estão subjacentes a um processo migratório. É enquadrado neste paradigma que este estudo envereda a sua pesquisa, pretendendo compreender de que modo a mulher imigrante vivencia a sua gravidez, parto e puerpério em situação de adaptação/aculturação. De modo a dar resposta ao pretendido com o estudo, dirigiu-se o mesmo para a metodologia qualitativa. É um estudo descritivo, exploratório e transversal. Optou-se como instrumentos de colheita de dados, pela entrevista semi-estruturada associada à observação participante. Foram entrevistadas no seu domicílio, vinte mulheres imigrantes que tinham sido mães recentemente em Portugal. Os dados foram analisados através da técnica de análise de conteúdo de Bardin. Concluiu-se que as práticas de cuidados relativas à maternidade, encetadas na intimidade da família são grandemente influenciadas pelos saberes culturais originais, embora sofrendo algumas alterações em contexto de imigração, fruto da interferência da cultura de acolhimento. O suporte social informal na ajuda da consolidação do papel materno tem um peso mais expressivo, do que o suporte social formal, nomeadamente, dos profissionais de saúde. ABSTRACT: The societies today are more and more, culturally diversified. Portugal is no exception, this phenomenon can be verified in the everyday life. Consequence of this fact is the significant increase of women who live the process of the maternity in a multicultural and migratory context. The maternity is not exempt from the pressure of several aspects that are related to a migratory process. It is framed in this paradigm that this study does its research, trying to understand the way the woman immigrant live their pregnancy, childbirth and puerperium in a situation in which they have to experience the adaptation to the culture of the foreign country. In order to give answer to the purpose of the study, the option was the qualitative methodology. It is a descriptive, exploratory and traverse study. We opted, as instruments of collection of the data, for the semi-structured interview associated to the participant observation. Twenty immigrant women, who had been recently mothers in Portugal, were interviewed at their homes. The data were analyzed through the technique of content analysis of Bardin. We are able to conclude that the relative practices of cares to the maternity, begun in the intimacy of the family are largely influenced by their own cultural origine, although suffering some alterations in immigration context, fruit of the interference of the reception culture. The informal social support in the help of the consolidation of the maternal paper has a more expressive weight than the formal social support, such as the one given by the professionals of health.

Published
2009

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