INFLUÊNCIA DA VIA DE PARTO NO DESENVOLVIMENTO INFANTIL: comparação por meio da Escala Bayley III

• Autor(a) principal: Cavaggioni, Ana Paula Magosso
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da METODISTA
• Texto Completo: http://tede.metodista.br/jspui/handle/tede/1692
• topic: Desenvolvimento. Bebê. Cesárea eletiva. Parto normal. Creche. Bayley; Development. Baby. Elective cesarean section. Vaginal delivery. Nursery. Bayley; CIENCIAS HUMANAS::PSICOLOGIA

The obstetric reality in Brazil has been through significant changes over the past two years. Since 1970, the number of Cesarean sections has constantly increased in the country and worldwide. In 2014, in Brazil, it reached 52% of the deliveries, even though surgical births levels above 15% do not indicate protection for mother and baby, according to the WHO. The literature indicates that children born by Elective C-section without labor are at higher risk of biological development problems, but few studies address the consequences in the psychological aspects. The objective of this study was to compare the psychological development among babies born of elective C-section and normal delivery, considering the few data available in the literature. Considering the exclusion criteria, the sample consisted of 263 children aged between 6 and 42 months. The instruments used were: a sociodemographic questionnaire to be answered by the mother, and the Bayley Scales of Infant Development – 3rd Edition. For this study the scale was standardized and the sample data collected normalized using percentile calculation. These data were collected individually and statistically analyzed through the SPSS - Statistical Package for Social Sciences Version 21. The results pointed out the delivery method and the gestational age at birth as risk factors for child’s psychological development. The correlations among those born by vaginal delivery or elective C-section showed a statistically significant difference (p <0.05). Among the latter, 12% presented inferior performance in relation to sensory processing, and 10 to 19% in adaptive behavior skills. The correlations with gestational age at birth, also revealed a statistically significant difference (p <0.05): 12% of the preterm infants presented lower results in the development of expressive language and 9% in fine motor skills. These results indicate that, in addition to the losses in physical development, widely described in the national and international literature, there is evidence of psychological impairment. Signs of compatibility and divergence between the US and local samples were observed.