Implementação da segunda etapa do Método Canguru no hospital e maternidade Polo da Macrorregião do Jequitinhonha – Diamantina/MG: efeitos nos sinais vitais dos recém-nascidos

Abstract

The Kangaroo Mother Care method promotes humanize care for low birth weight newborns, with the second stage suggesting continued skin-to-skin contact with the neonate. The study aimed to implement the second stage of the method at the maternity ward in Diamantina-MG and assess the effects of skin-to-skin contact on the vital signs of neonates. It was a quasi-experimental, analytical study, with eligible neonates having low birth weight, clinical and hemodynamic stability, and a minimum weight of 1250 grams, admitted to the intermediate care unit of the maternity ward in Diamantina-MG. Neonates were placed in skin-to-skin contact once a week, lasting 1 hour. Vital signs, including heart and respiratory rate, peripheral oxygen saturation (SpO2), and temperature, were assessed at the beginning and after 1 hour. Preliminary results showed that of the participating neonates (n=9), 55% were female, delivered vaginally, with a gestational age of 34 weeks (± 1.6), and a birth weight of 1824 grams (± 313). Regarding vital sign variations from the end to the beginning of skin-to-skin contact, in 60% of cases, there was a decrease in respiratory and heart rate, with a 12.5% decrease in respiratory rate and a 7.0% decrease in heart rate. SpO2 increased in 40% of neonates, although not clinically significant, and temperature increased by 1.5% in 40% of neonates. Preliminary results highlight the importance of skin-to-skin contact for maintaining and/or improving vital signs in low birth weight neonates, positively influencing the clinical stability of these newborns