22/11/2021 - 09:00 - 18:00
PE06 - Epidemiologia da saúde da criança (TODOS OS DIAS) |
35883 - SKIN-TO-SKIN CONTACT AND DEATHS IN NEWBORNS WEIGHING UP TO 1800 GRAMS: A COHORT STUDY
JOYCE VECELI BARROS DA SILVA - UFMA, MARIVANDA JULIA FURTADO GOUDARD - UFMA, ZENI CARVALHO LAMY - UFMA, SÉRGIO TADEU MARTINS MARBA - UNICAMP, MILADY CUTRIM VIEIRA CAVALCANTE - UFMA, ALCIONE MIRANDA DOS SANTOS - UFMA, VIVIAN MARA GONÇALVES DE OLIVEIRA AZEVEDO - UFU, ROBERTA COSTA - UFSC, CAROLINA NÍVEA MOREIRA GUIMARÃES - UFMA, FERNANDO LAMY-FILHO - UFMA
Objective: to evaluate the association between dose of skin to skin contact (SSC) per day and initiation time with the occurrence of deaths in newborn with weight up to 1800g. Method: multicentric cohort in five Brazilian neonatal units, with newborn with birthweight ≤1800g. The time of SSC was registered in individual file, by the team or family during the hospitalization. Maternal and newborn data were obtained through questionnaires applied to mothers and in medical records. The non-parametric Classification Tree method was used for analysis. Results: The performance of the first SSC after 206h was significantly associated with death (p=0.02). Although there was no association between dose of SSC/day and death (p=0.09), the number of deaths among those who performed more than 146.9 minutes/day was lower (3; 1.5%) than among those who performed this practice for a shorter time (13; 6.4%), a fact considered of great clinical importance. Early and late infections presented statistically significant associations with the outcome. The chance of death was equal to zero when there was no early infection in the group with the longest duration of SSC. This probability was also equal to zero in the absence of late sepsis for the group with less than 146.9 minutes/day of SSC. Conclusions : The first SSC before 206 hours of life seems to reduce the risk of neonatal death. Staying in SSC for more than 146.9 min/day seems to be clinically beneficial for these neonates mostly when it was associated with the absence of infection.
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