Premature Newborns with the Potential to Develop Special Health Needs: An Approach by Triangulation of Methods

Rosane Meire Munhak da Silva; Gabriela Dominicci de Melo Casacio; Adriana Zilly; Claudia Silveira Viera; Eliane Tatsch Neves; Elsa Maria de Oliveira Pinheiro Melo; Débora Falleiros de Mello

doi:10.5294/aqui.2024.24.2.6

Authors

Rosane Meire Munhak da Silva Author Western Paraná State University https://orcid.org/0000-0003-3355-0132
Gabriela Dominicci de Melo Casacio Author University of São Paulo https://orcid.org/0000-0002-9232-1682
Adriana Zilly Author Western Paraná State University https://orcid.org/0000-0002-8714-8205
Claudia Silveira Viera Author Western Paraná State University https://orcid.org/0000-0002-0900-4660
Eliane Tatsch Neves Author Federal University of Santa Maria https://orcid.org/0000-0002-1559-9533
Elsa Maria de Oliveira Pinheiro Melo Author University of Aveiro https://orcid.org/0000-0003-0530-2895
Débora Falleiros de Mello Author University of São Paulo https://orcid.org/0000-0001-5359-9780

DOI:

https://doi.org/10.5294/aqui.2024.24.2.6

Keywords:

Infant, premature, caregivers, risk factors, child care, qualitative research

Abstract

Introduction: Maternal recognition of special health needs of premature babies is essential, given the importance of early stimuli after discharge to strengthen child development. Objective: To identify premature newborns with potential factors for the development of special health needs and describe maternal recognition of these factors. Materials and methods: Qualitative and quantitative study, performed using a triangulation method, with concomitant incorporation of data, included to analysis Chi-square test (p<0.05) for quantitative data and interpretation of meanings for qualitative. Variables: Birth weight, gestational age, Apgar score, complications, and length of hospital stay from 951 records of hospitalized premature infants; 18 mothers were interviewed during hospitalization, 15 days after discharge at home, 30 days after this at-home visit and at the age of 6 months of the child, by telephone, in Southern Brazil. Results: Identified as potential factors: Extreme prematurity and/or very premature, low birth weight, complications, and prolonged hospitalization. With the incorporation of the data, the relevance of these factors for children at risk of changes in development and behavior was verified. Mothers described their children as having healthy development but recognized prematurity is a factor that predisposes to new hospitalizations, and perinatal factors and those related to hospitalization contribute to the development of special health needs. Conclusion: The importance of early identification of factors that enhance the development of special health needs is understood to initiate the necessary stimuli to strengthen child development.

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