HIGH-RISK NEWBORN

PROFILE OF FACTORS THAT CONTRIBUTED TO ADMISSION TO NEONATAL INTENSIVE CARE UNIT

Abstract

Introduction: Deaths within the hospital environment now account for the largest proportion of infant deaths. There are several pre or perinatal situations that lead the NB to be considered at risk and require more specialized monitoring, sometimes requiring admission to a neonatal intensive care unit. Objectives: To describe the factors that take newborns to the intensive care unit. Methods: Quantitative and retrospective cross-sectional study, carried out in a public maternity of reference in Goiânia-GO. Results: The period analyzed was from January to December 2017 with a total of 259 newborns that passed through the Hospital’s ICU during this period. The maternal profile is made up of women between 18 and 30 years old, 65% (167), primiparous 44% (115), without prenatal care 47% (121), and those who underwent prenatal care had less than 7 visits with 44% (114), the route of delivery was surgical (cesarean) with 54% (140), with gestational hypertensive disease being the most incident risk factor with 19% (50) followed by urinary tract infections also with 19% (49). The profile of the NBs, on the other hand, is male with 56% (146), with gestational age less than 36 weeks 77% (199), apgar first minute less than 7 with 57% (147) and fifth minute greater than 8 with 81% (2009), as risk factors present jaundice 88% (228), acute respiratory infection with 77% (199) and INN in 70% (181), with AIG presentation IN 80% (205) and with weight less than 2,500 grams 72% (182). Conclusion: The maternal profile is of women between 18 and 30 years old, primiparous, without prenatal care, born by cesarean section, with gestational hypertensive disease as the main risk factor. The profile of the NBs is of boys, with gestational age less than 36 weeks, apgar first minute less than 7 and apgar fifth minute greater than 8, icteric, with acute respiratory infection and neonatal infection, AGA and with weight less than 2,500 grams.