American Journal of Pediatrics

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Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period

Received: 29 August 2019    Accepted: 25 September 2019    Published: 31 October 2019
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Abstract

The neonatal period, between the date of birth and twenty-eighth days after birth, is a time when parents face many doubts and anxiety. Even previous experiences are not enough to avoid or diminish parental anxiety. Therefore, parents commonly take their newborns to emergency units to care for simple health disorders. Despite reassuring the parents, this custom can be harmful to the newborns because they get exposed to a wide pathogen circulation environment. Since immunity from vaccination is still not complete, as well as due to the age-specific immunodeficiency, this behavior is risky to the newborns. The study aims to reduce the newborns’ care flow to emergency units using educational interventions in maternity wards. Methodology: This is a descriptive, quantitative and qualitative study, that evaluate the impacts of an educational intervention done by pediatricians, in the municipal maternity of Salto de Pirapora, in the Brazilian countryside. It is based in individual questionnaires, applied before the educational intervention to 99 mothers and newborns’ accompanying parties, in order to understand the most frequent concerns about the main health problems during the neonatal period. A dialogical educative intervention was done in the maternity regarding how and when the newborn should be taken to an emergency unit. The same mothers answered an intervention evaluation questionnaire after the neonatal period; the data of newborns’ care flow towards emergency units before and after the intervention was also compared. The results show that there was a reduction on the emergency services demand. The proportion of patients going to the emergency room was 36.7% on the last year and 30.56% two years before the intervention. The reduction reached about 12.33% after the intervention, an average reduction of 21.3%. The biggest concerns of the participants were: fever 65.63%, choking or suffocating 39.58% and constant crying 33.33%.

DOI 10.11648/j.ajp.20190504.22
Published in American Journal of Pediatrics (Volume 5, Issue 4, December 2019)
Page(s) 234-239
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Emergency Care, Neonatology, Pediatrics, Health Education

References
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[2] Calado CS, Pereira AG, Santos VN, Castro MJ, Maio JF. What brings newborns to the emergency department?: a 1-year study. Pediatr Emerg Care. 2009; 25 (4): 244-248. http://pesquisa.bvsalud.org/portal/resource/pt/mdl-19382329.
[3] Nogueira PSF, Moura ERF, Costa MMF, Monteiro WMS, Brondi L. Nosocomial infection profile at an university hospital. Rev Enferm UERJ. 2009; 17 (1): 96-101.
[4] Vaz FAC, Diniz EMA, Ceccon MEJR, Krebs VLJ. Neonatology. (Schvartsman BGS, Maluf PTJ, eds.). Barueri: Manole; 2011.
[5] Brazilian Institute of Geography and Statistics. Minimal social Indicators: concepts. IBGE. https://ww2.ibge.gov.br/home/estatistica/populacao/condicaodevida/indicadoresminimos/conceitos.shtm. Published 2019. Accessed June 17, 2019.
[6] Perez Solis D, Pardo de la Vega R, Fernandez Gonzalez N, Ibanez Fernandez A, Prieto Espunes S, Fanjul Fernandez JL. Neonatal visits to a pediatricemergency service. An Pediatr. 2003; 59 (1): 54-58. doi: 10.1016/S1695-4033(03)78148-X.
[7] Kovacs MH, Feliciano KVO. Access to basic care for children seen at emergency departments. J Pediat (Rio J). 2005; 81 (3): 251-258.
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[9] Mendez E. B, Herrera L. P, Guerra M. H, Dattas L. JP, Munoz H. B, Velasco B. J. Structure of the paediatric population attending the Emergency Service. Roberto del Rio Children´s Hospital. Rev Chile Pediatr. 2005; 76 (3): 259-265. doi: 10.4067/S0370-41062010000100001.
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[13] Brazilian Institute of Geography and Statistics. Salto de Pirapora. IBGE. https://cidades.ibge.gov.br/brasil/sp/salto-de-pirapora/panorama. Published 2019. Accessed June 17, 2019.
[14] Pelicioni MCF, Mialhe FL. Education and health promotion: Theory and practice 2a. Sao Paulo: Santos; 2016.
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[16] World Bank. World Development Report 1993 Investing in Health. Washington; 1993.
[17] Gomide ACM, Silva RM, Capanema FD, Goncalves LAO, Rocha RL. How parents deal with the child's fever: influence of beliefs, knowledge, and information sources in the care and management of fever in children - systematic review of the literature. Rev Médica Minas Gerais. 2014; 24 (2): 180-185. doi: 10.5935/2238-3182.20140050.
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Author Information
  • Pediatric Department, Pontificia Universidade Catolica de Sao Paulo, Sao Paulo, Brazil

  • Nursing Department, Pontificia Universidade Catolica de Sao Paulo, Sao Paulo, Brazil

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  • APA Style

    Angelo Carneiro Bonadio, Raquel Aparecida Oliveira. (2019). Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period. American Journal of Pediatrics, 5(4), 234-239. https://doi.org/10.11648/j.ajp.20190504.22

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    ACS Style

    Angelo Carneiro Bonadio; Raquel Aparecida Oliveira. Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period. Am. J. Pediatr. 2019, 5(4), 234-239. doi: 10.11648/j.ajp.20190504.22

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    AMA Style

    Angelo Carneiro Bonadio, Raquel Aparecida Oliveira. Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period. Am J Pediatr. 2019;5(4):234-239. doi: 10.11648/j.ajp.20190504.22

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  • @article{10.11648/j.ajp.20190504.22,
      author = {Angelo Carneiro Bonadio and Raquel Aparecida Oliveira},
      title = {Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period},
      journal = {American Journal of Pediatrics},
      volume = {5},
      number = {4},
      pages = {234-239},
      doi = {10.11648/j.ajp.20190504.22},
      url = {https://doi.org/10.11648/j.ajp.20190504.22},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajp.20190504.22},
      abstract = {The neonatal period, between the date of birth and twenty-eighth days after birth, is a time when parents face many doubts and anxiety. Even previous experiences are not enough to avoid or diminish parental anxiety. Therefore, parents commonly take their newborns to emergency units to care for simple health disorders. Despite reassuring the parents, this custom can be harmful to the newborns because they get exposed to a wide pathogen circulation environment. Since immunity from vaccination is still not complete, as well as due to the age-specific immunodeficiency, this behavior is risky to the newborns. The study aims to reduce the newborns’ care flow to emergency units using educational interventions in maternity wards. Methodology: This is a descriptive, quantitative and qualitative study, that evaluate the impacts of an educational intervention done by pediatricians, in the municipal maternity of Salto de Pirapora, in the Brazilian countryside. It is based in individual questionnaires, applied before the educational intervention to 99 mothers and newborns’ accompanying parties, in order to understand the most frequent concerns about the main health problems during the neonatal period. A dialogical educative intervention was done in the maternity regarding how and when the newborn should be taken to an emergency unit. The same mothers answered an intervention evaluation questionnaire after the neonatal period; the data of newborns’ care flow towards emergency units before and after the intervention was also compared. The results show that there was a reduction on the emergency services demand. The proportion of patients going to the emergency room was 36.7% on the last year and 30.56% two years before the intervention. The reduction reached about 12.33% after the intervention, an average reduction of 21.3%. The biggest concerns of the participants were: fever 65.63%, choking or suffocating 39.58% and constant crying 33.33%.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period
    AU  - Angelo Carneiro Bonadio
    AU  - Raquel Aparecida Oliveira
    Y1  - 2019/10/31
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ajp.20190504.22
    DO  - 10.11648/j.ajp.20190504.22
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
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    EP  - 239
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20190504.22
    AB  - The neonatal period, between the date of birth and twenty-eighth days after birth, is a time when parents face many doubts and anxiety. Even previous experiences are not enough to avoid or diminish parental anxiety. Therefore, parents commonly take their newborns to emergency units to care for simple health disorders. Despite reassuring the parents, this custom can be harmful to the newborns because they get exposed to a wide pathogen circulation environment. Since immunity from vaccination is still not complete, as well as due to the age-specific immunodeficiency, this behavior is risky to the newborns. The study aims to reduce the newborns’ care flow to emergency units using educational interventions in maternity wards. Methodology: This is a descriptive, quantitative and qualitative study, that evaluate the impacts of an educational intervention done by pediatricians, in the municipal maternity of Salto de Pirapora, in the Brazilian countryside. It is based in individual questionnaires, applied before the educational intervention to 99 mothers and newborns’ accompanying parties, in order to understand the most frequent concerns about the main health problems during the neonatal period. A dialogical educative intervention was done in the maternity regarding how and when the newborn should be taken to an emergency unit. The same mothers answered an intervention evaluation questionnaire after the neonatal period; the data of newborns’ care flow towards emergency units before and after the intervention was also compared. The results show that there was a reduction on the emergency services demand. The proportion of patients going to the emergency room was 36.7% on the last year and 30.56% two years before the intervention. The reduction reached about 12.33% after the intervention, an average reduction of 21.3%. The biggest concerns of the participants were: fever 65.63%, choking or suffocating 39.58% and constant crying 33.33%.
    VL  - 5
    IS  - 4
    ER  - 

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