A continuidade do cuidado de recém-nascido de risco em um hospital escola do estado de Mato Grosso do Sul

Abstract

Introduction: Technological advances and the development of neonatal care in recent decades have brought about great changes, especially for high-risk newborns. The survival of infants with low gestational age and low birth weight increased significantly, and with them the risk of complications during hospitalization or after hospital discharge, as well as the incidence of readmissions. In order to prevent health problems in this group, it is essential to identify the continuity of care offered in services and programs for monitoring newborns at risk. Objective: to analyze the monitoring of care for newborns at risk in a teaching hospital, from the perspective of managers, health professionals and family members. Method: This is a descriptive study with a qualitative approach, developed in a public hospital in the state of Mato Grosso do Sul. Semi-structured interviews were conducted with a manager, three health professionals and nine family members and/or guardians of newborns assisted by the follow-up program, and data were extracted from medical records, in the period between May and August 2022. The results were submitted to analysis of Bardin's content. Results: The data were organized into themes and categories, relating to the manager and professionals: “The (dis)continuity of care for newborns at risk” composed of the categories: “The (dis)organization of the service”, and “Difficulties in meeting the demand”; and related to the family: “Satisfaction with the care” included in the categories: “Valuing medical care”, and “Facilities and difficulties for monitoring the NB in the pediatric outpatient clinic”. Final considerations: Continuity of care for newborns at risk requires organization and implementation of flows for ordering the service and meeting the demand. The care of the NB is carried out exclusively by the physician, with no multidisciplinary team to monitor the baby. The distance from the service and the absence of support from a network is a factor that hinders the continuity of care for the NB.

Descriptors: Infant, Premature; Family; Child Care; Ambulatory Care; Continuity of Patient Care.