Factores asociados al clampaje del cordón umbilical en recién nacidos a término*

Detalhes bibliográficos
Autor(a) principal: Strada, Juliana Karine Rodrigues
Data de Publicação: 2022
Outros Autores: Vieira, Leticia Becker, Gouveia, Helga Geremias, Betti, Thais, Wegner , Wiliam, Pedron, Cecília Drebes
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/197029
Resumo: OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.
id USP-24_b2101de630cc9d2fb0a302fcfecdc090
oai_identifier_str oai:revistas.usp.br:article/197029
network_acronym_str USP-24
network_name_str Revista da Escola de Enfermagem da USP (Online)
repository_id_str
spelling Factores asociados al clampaje del cordón umbilical en recién nacidos a término*Factors associated with umbilical cord clamping in term newborns*Fatores associados ao clampeamento do cordão umbilical em recém-nascidos a termo*Umbilical CordObstetric NursingObstetricsRecordsInfantInfant, NewbornNeonatologyCordão UmbilicalEnfermagem ObstétricaObstetríciaRegistrosRecém-NascidoNeonatologiaCordón UmbilicalEnfermería ObstétricaObstetriciaRegistrosRecién NacidoNeonatologíaOBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.Objetivo: Identificar factores asociados al clampaje del cordón umbilical en neonatos a término y comparar el registro del tiempo de clampaje en el prontuario con el observado. Método: Estudio transversal, con 300 madres-hijos, en hospital universitario. Se observó tiempo de clampaje y registros en prontuario, siendo aplicado cuestionario estructurado a las puérperas para variables sociodemográficas. Se utilizó análisis bivariado, modelo de Regresión de Poisson multivariado e índice de concordancia Kappa. Resultados: el porcentaje de clampaje tardío/oportuno observado fue 53,7%. Los factores asociados fueron contacto piel con piel en sala de partos (RP = 0,76; 0,61–0,95; p = 0,014), posición del recién nascido abajo del canal vaginal (RP = 2,6; IC95%: 1,66–4,07; p < 0,001), posición del recién nacido en el nivel vaginal (RP = 2,03; IC95%: 1,5–2,75; p < 0,001) y necesidad de reanimación del recién nacido en sala de partos (RP = 1,42; IC95%; 1,16–1,73; p = 0,001). El nivel de concordancia Kappa del registro de los profesionales comparado a la observación fue: enfermera 0,47, obstetra 0,59 y pediatra 0,86. Conclusión: la identificación de los factores asociados y la comparación entre registro y observación del tiempo de clampaje puede auxiliar en la planificación e implementación de mejorías para la adhesión a las buenas prácticas de nacimiento.Objetivo: identificar fatores associados ao clampeamento do cordão umbilical em neonatos a termo e comparar o registro do tempo de clampeamento no prontuário com o observado. Método: estudo transversal, com 300 mães-bebês, em hospital universitário. Observaram-se tempo de clampeamento e registros em prontuário, sendo aplicado questionário estruturado às puérperas para variáveis sociodemográficas. Procedeu-se análise bivariada, modelo de Regressão de Poisson multivariado e teste de concordância Kappa. Resultados: o percentual de clampeamento tardio/oportuno observado foi 53,7%. Os fatores associados foram contato pele-a-pele em sala de parto (RP = 0,76; 0,61–0,95; p = 0,014), posição do recém-nascido abaixo do canal vaginal (RP = 2,6; IC95%: 1,66–4,07; p < 0,001), posição do recém-nascido no nível vaginal (RP = 2,03; IC95%: 1,5–2,75; p < 0,001) e necessidade de reanimação do recém-nascido em sala de parto (RP = 1,42; IC95%; 1,16–1,73; p = 0,001). O nível de concordância Kappa do registro dos profissionais comparado à observação foi: enfermeira 0,47, obstetra 0,59 e pediatra 0,86. Conclusão: a identificação dos fatores associados e a comparação entre registro e observação do tempo de clampeamento podem auxiliar no planejamento e implementação de melhorias para adesão às boas práticas no nascimento.Universidade de São Paulo. Escola de Enfermagem2022-03-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://www.revistas.usp.br/reeusp/article/view/19702910.1590/1980-220X-REEUSP-2021-0423Revista da Escola de Enfermagem da USP; v. 56 (2022); e2021042Revista da Escola de Enfermagem da USP; Vol. 56 (2022); e2021042Revista da Escola de Enfermagem da USP; Vol. 56 (2022); e20210421980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/reeusp/article/view/197029/181382https://www.revistas.usp.br/reeusp/article/view/197029/181381http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessStrada, Juliana Karine RodriguesVieira, Leticia BeckerGouveia, Helga GeremiasBetti, ThaisWegner , WiliamPedron, Cecília Drebes2022-04-28T12:34:28Zoai:revistas.usp.br:article/197029Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2022-04-28T12:34:28Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
Factors associated with umbilical cord clamping in term newborns*
Fatores associados ao clampeamento do cordão umbilical em recém-nascidos a termo*
title Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
spellingShingle Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
Strada, Juliana Karine Rodrigues
Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant
Infant, Newborn
Neonatology
Cordão Umbilical
Enfermagem Obstétrica
Obstetrícia
Registros
Recém-Nascido
Neonatologia
Cordón Umbilical
Enfermería Obstétrica
Obstetricia
Registros
Recién Nacido
Neonatología
title_short Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
title_full Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
title_fullStr Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
title_full_unstemmed Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
title_sort Factores asociados al clampaje del cordón umbilical en recién nacidos a término*
author Strada, Juliana Karine Rodrigues
author_facet Strada, Juliana Karine Rodrigues
Vieira, Leticia Becker
Gouveia, Helga Geremias
Betti, Thais
Wegner , Wiliam
Pedron, Cecília Drebes
author_role author
author2 Vieira, Leticia Becker
Gouveia, Helga Geremias
Betti, Thais
Wegner , Wiliam
Pedron, Cecília Drebes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Strada, Juliana Karine Rodrigues
Vieira, Leticia Becker
Gouveia, Helga Geremias
Betti, Thais
Wegner , Wiliam
Pedron, Cecília Drebes
dc.subject.por.fl_str_mv Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant
Infant, Newborn
Neonatology
Cordão Umbilical
Enfermagem Obstétrica
Obstetrícia
Registros
Recém-Nascido
Neonatologia
Cordón Umbilical
Enfermería Obstétrica
Obstetricia
Registros
Recién Nacido
Neonatología
topic Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant
Infant, Newborn
Neonatology
Cordão Umbilical
Enfermagem Obstétrica
Obstetrícia
Registros
Recém-Nascido
Neonatologia
Cordón Umbilical
Enfermería Obstétrica
Obstetricia
Registros
Recién Nacido
Neonatología
description OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/197029
10.1590/1980-220X-REEUSP-2021-0423
url https://www.revistas.usp.br/reeusp/article/view/197029
identifier_str_mv 10.1590/1980-220X-REEUSP-2021-0423
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/197029/181382
https://www.revistas.usp.br/reeusp/article/view/197029/181381
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 56 (2022); e2021042
Revista da Escola de Enfermagem da USP; Vol. 56 (2022); e2021042
Revista da Escola de Enfermagem da USP; Vol. 56 (2022); e2021042
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
_version_ 1800221748847706112

Registros relacionados