Primary Health Care as a guide for assistance to infants at risk of neurodevelopmental disorders

CoDAS
Daniela Regina Molini-AvejonasAlessandra Gianella Samelli

Abstract

Purpose Characterize infants at risk of neurodevelopmental disorders according to sociodemographic and health profiles and describe their monitoring in Basic Health Units (UBS) under different management models. Methods Data were collected from medical records of infants at risk of neurodevelopmental disorders in the west region of the city of Sao Paulo from August 2013 to February 2014 (phase 1 - characterization; phase 2 - monitoring). Results Of the 225 individuals assessed in the first phase of the study, 51.1% were female and 7.11% were twins. Adolescent (45.2%), brown (50.56%), single (46.09%), complete primary education (47.60%) mothers were predominant. The mean number of prenatal visits was 7.12. Most mothers had vaginal delivery (62.22%) at mean gestational age of 37.05 weeks. Mean Apgar scores at the 1st and 5th minutes were 7.13 and 8.80, respectively. Mean weight at birth was 2597.21g., with 50.22% of newborns weighting ≤2500g. In its second phase, the study describes and compares the follow-up of 55 infants according to the UBS management model: 28 in UBS/"Estratégia Saúde da Família" (UBS/ESF) and 27 in traditional UBS (UBS/T). UBS/ESF presented higher mean of consultations (p=0.006). Longer interval between cons...Continue Reading

References

Apr 6, 2006·Pediatrics·UNKNOWN American Academy of Pediatrics, Committee on Fetus and Newborn, UNKNOWN American College of Obstetricians and Gynecologists and Committee on Obstetric Practice
Dec 25, 2007·Cadernos de saúde pública·Breno Fauth de Araújo, Ana Cristina d'Andretta Tanaka
Mar 15, 2014·Cadernos de saúde pública·Cristiana Ferreira da SilvaUNKNOWN Rede Norte-Nordeste de Saúde Perinatal
Mar 29, 2014·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Katrini Guidolini MartinelliAdauto Emmerich Oliveira
Aug 29, 2014·Cadernos de saúde pública·Elaine Fernandes ViellasMaria do Carmo Leal
Nov 30, 2014·BMC Pregnancy and Childbirth·Faith YegoJennifer Stewart Williams

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