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Previous issue date: 2014-12-17 / Este estudo objetivou avaliar o ganho de peso ponderal de rec?m-nascidos
prematuros de acordo com a predomin?ncia do tipo de leite materno ofertado em
suas dietas di?rias. Trata-se de uma pesquisa do tipo quantitativa, descritiva e
observacional. Realizada na Unidade de Terapia Intensiva Neonatal e Alojamento
Conjunto da Maternidade Escola Janu?rio Cicco (MEJC), unidade de refer?ncia para
gravidez e nascimento de risco no Rio Grande do Norte. Foram envolvidos rec?mnascidos
prematuros que atenderam aos seguintes crit?rios de inclus?o: idade
gestacional entre 26 a 37 semanas, internados inicialmente na UTIN, com dieta oral,
por gavagem, copo e/ou suc??o. Foram exclu?dos do estudo prematuros com dieta
zero maior do que sete dias ou complica??es que interferissem na avalia??o do
ganho de peso. A amostra foi selecionada por conveni?ncia e constou de todos os
rec?m-nascidos hospitalizados na UTIN no per?odo de maio a junho de 2014, com
seguimento at? a alta hospitalar, finalizado em agosto de 2014, e que atenderam aos
crit?rios de inclus?o do estudo. Foram admitidos 60 rec?m-nascidos prematuros no
per?odo correspondente ? coleta de dados e, destes, 39 compuseram a amostra. O
projeto foi aprovado pelo Comit? de ?tica em Pesquisa da UFRN, sob CAAE n?
0699.0.000.294-11. Os dados foram analisados por meio de estat?stica descritiva e
inferencial. Os resultados indicaram que os envolvidos no estudo nasceram de m?es
com m?dia de idade de 25,36 anos, 21 delas com menos de nove anos de estudo
(53,8 %), e 24 possu?am renda familiar menor que um sal?rio m?nimo (61,5 %).
Predominou o sexo feminino, com 20 (51,3 %), parto ces?rea em 25 (64,1 %),
prematuridade moderada em 29 (74,4 %), mais de 1.500 g ao nascer em 22 (56,4
%). A m?dia de peso ao nascer foi de 1.608,49 g. O total de dietas foi 9.994, e m?dia
de 256 por rec?m-nascido, no per?odo de 32,12 dias de hospitaliza??o. O
predom?nio de oferta das dietas (50,34 %) foi do Banco de Leite Humano, no entanto
56,4 % dos rec?m-nascidos receberam dieta com maior quantidade de leite materno
ordenhado. Detectou-se que 38,5 % dos neonatos receberam, em algum momento,
leite artificial. A m?dia de ganho de peso di?rio de todos os rec?m-nascidos foi de
2,59 g, e 35 % tiveram uma m?dia acima de 10 g/dia. Do grupo de neonatos (n = 25)
que apresentaram ganho de peso apenas nove (36,0 %) receberam
predominantemente Leite Materno Ordenhado de suas pr?prias m?es. Conclui-se
que a maioria dos rec?m-nascidos apresentou ganho de peso com predom?nio de
dietas fornecidas pelo Banco de Leite Humano, mostrando a necessidade de um
maior incentivo ao aleitamento materno exclusivo. / This study aims to evaluate the weight gain of premature newborns fed with breast
milk from their mothers' from those that are fed with breast milk from the milk bank.
The research is the quantitative, descriptive and observational kind. It was conducted
in the Neonatal Intensive Care Unit and Housing from the Maternity Hospital Escola
Janu?rio Cicco (MEJC), that is a reference for high risk pregnancy and birth in Rio
Grande do Norte. The premature newborns included were following these
parameters: gestational age from 26 to 37 weeks, initially hospitalized at UTIN, with
oral diet, by means by gavage, cup and/or suction. Studies with premature newborns
with a zero diet longer than seven days or complications that interfered in the
evaluation of weight gain were excluded from this study. The sample was selected
for convenience and had data of all newborns hospitalized at UTIN from the May to
June of 2014 time period, followed to their discharge, ended by August of 2014 and
had the inclusion parameters of the study. From the period of the data collection, 60
premature newborns entered the maternity and 39 of those were the sample of
research. The project was approved by the Research Ethics Committee from UFRN,
under CAAE n? 0699.0.000.294-11. The data was analyzed by means of descriptive
and deduced statistics. The results indicated that the involved in the study, were born
from mother with average age of 25,36 years, with less than nine years education 21
(53,8%), had the family income less than a minimum wage 24 (61,5%). Among the
newborn, the female gender predominated 20 (51,3%), had cesarean delivery 25
(64,1%), had moderate prematurity 29 (74,5%), more of 1.500g 22 (556,4%). The
birth weight average was 1.608,49g. The total of diets were 9.994, and an average of
256 for each newborn, in a 32,12 days of hospitalization time period. Most of the diet
supplies were from the breast milk bank (50,34%), however 56,4% of the newborns
had most of the diet from their mothers' milked breast milk. It was detected that
38,5% of the newborns had, in some given moment, artificial milk. The daily weight
gain average of all newborns was 2,59g, but 35% of them had an average above 10g
per day. From the newborn's group (n=25) that had medium weight gain, only 9 of
them (36,0%) received mainly their own mothers' milked breast milk. It's been
conclusive that most of the premature newborns gained weight predominantly from
diets from the breast milk of the Milk Bank, showing the need of a bigger incentive to
exclusive breast feeding.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19966 |
| Date | 17 December 2014 |
| Creators | Silva, Rhuama Karenina Costa e |
| Contributors | 42997186404, http://lattes.cnpq.br/3552543432083948, Morais, F?tima Raquel Rosado, 79260748453, http://lattes.cnpq.br/8086396650395631, Silva, Richardson Augusto Rosendo da, 02508410454, http://lattes.cnpq.br/2184669241700299, Souza, Nilba Lima de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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