Seguimento do recém-nascido de risco pela atenção primária em saúde na região Médio Norte de Mato Grosso

Abstract

INTRODUCTION: The first years of a newborn's life presents great challenges, especially to those considered at risk, as they are vulnerable to survival. For the continuity of care of those who exited the NICU, the health care network needs to be strengthened with specialized care, programs and structured strategies to promote adequate follow-up and support, since this care is crucial for maintenance and quality of life. In this direction, Primary Care plays an important role in the neonatal health care network, as it performs the function of offering continuity of care to the newborn at risk and their family. OBJECTIVE: To analyze how the health care for newborns at risk is effective after hospital discharge in the mid-north region of the state of Mato Grosso, from the perspective of managers and nurses in Primary Health Care. METHOD: Descriptive exploratory research with a qualitative approach, based on the conceptual perspective of continuity of care for newborns at risk proposed by the Ministry of Health and the Brazilian Society of Pediatrics. Data were collected through semi-structured interviews, audio-recorded and transcribed, and subsequently subjected to thematic content analysis. The matrix project in which this research is linked was approved by the Research Ethics Committee of the Júlio Muller University Hospital, in Cuiabá, MT, on 5/30/2019 with opinion nº. 3,359,087. RESULTS: Eight professionals from the family health teams participated in the research, including one professional from each selected team (nurse). After the analysis, 2 major thematic categories emerged: 1. organization of the Family Health Strategies (USF) to monitor the newborn at risk after hospital discharge (covering the schedule, criteria and protocols; professionals who perform the care; time of follow-up, follow-up time of newborns at risk after hospital discharge and home visits) 2. articulation between the USF and the hospitals where the at risk newborns were born. CONCLUSION: In fact, the monitoring of newborns after hospital discharge it is important for the maintenance of life, however there are still many flaws in the assistance provided in the mid-north region and the services offered are still fragile in their strategies.