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Torigoshi MF. Outcome of referrals of newborns that were admitted at neonatal unit of a Diadema’s Public Hospital. [dissertation].SP: Faculdade de Saúde Pública da USP; 2009. Introduction: The current trend of decrease in the child mortality rate and the increasing progress in perinatal care have allowed the survival of preterm newborn infants who were born having completed progressively less weeks of gestation. Therefore, continuous monitoring of high-risk newborn infants in their early-life years, after they leave NICU, is utterly important for proper and positive outcomes regarding their future growth and development. Objective: The main goal of this research is to analyse referrals’ results of newborns that were admitted at Neonatal Unit of a Public Hospital. Methodology: This study is a descriptive analysis of newborn assistance after hospital discharge, and aims to evaluate the referrals’ results of 47 newborn admitted at the Neonatal Intensive Care Unit of Diadema’s Municipal Public Hospital. Data were extracted from research forms, newborns’ hospital records, mothers interviews, domiciliary inquiry made with the responsible for the newborn care, and paediatric accompaniment cards. Results: Analyses corroborated that mothers’ average age is of 25,9 years, and 53% of this sample finds itself outside proper reproductive age. They also showed that 93,62% of the mothers got prenatal care, and within this group, 57,44% had some type of disorder, for instance urinary tract infection and arterial hypertension. The prevailing type of labour was caesarean, with a ratio of 61%. Amongst the newborn infants, 48,93% had low birth weight, 48% were considered to have normal birth weight and 2% had a birth weight superior to 4000g. Concerning the gestational age, 57, 44% were inferior to 37 weeks. Regarding the Apgar score at the first and fifth minute, newborns who had acute anoxia at the first minute progressed positively in a ratio of 100%. On the topic of hospitalisation variables, more than 90% of the newborn were submitted to oxigenotherapy, and within this percentage, 27,66% had endotracheal intubation. During the hospitalisation period, newborn infants had appointments with doctors from other specialties (inter-appointments), being nearly 40% of those with cardiologists. Regarding the exams and tests made during the hospitalisation, over 44% of the newborn were submitted to ultrasounds at the fontanelle, and over 30% were submitted to echocardiography. After hospital discharge, 82,98% were referred to local primary health care units, and the main specialties they were referred to were cardiology and neurology, with a ratio of 23,40% and 12,77% respectively. Of the sample studied, 85,11% are getting paediatric accompaniment at local primary health care units. Conclusion: The implementation of a specialised newborn health accompaniment after NICU discharge for proper and positive outcomes regarding their future growth and development is of utter importance.

Desfecho dos encaminhamentos de recém-nascidos internados na unidade de terapia intensiva neonatal do Hospital Municipal de Diadema