Manutenção do estado comportamental para início da alimentação oral de prematuro com displasia broncopulmonar
Maintenance of behavioral status for the initiation of oral feeding in preterm infants with bronchopulmonary dysplasia
Érica Ximenes Ferreira; Ramon Cipriano Pacheco de Araújo; Ana Paula Sabino de Medeiros; Raquel Coube de Carvalho Yamamoto
Resumo
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Abstract
Purpose: To characterize the level of consciousness and maintenance of alertness in very low birth weight premature newborns with and without bronchopulmonary dysplasia during the assessment of readiness for oral feeding.
Methods: This observational, analytical, cross-sectional study collected data from the medical records of preterm newborns with gestational age at birth < 30 weeks and birth weight < 1500 g, with and without a diagnosis of bronchopulmonary dysplasia. The variables collected were date of birth, Apgar, weight and gestational age at birth, medical diagnosis(es), corrected gestational age, current weight, and data from the Preterm Oral Feeding Readiness Scale. Descriptive and inferential statistics were used for data analysis, with descriptions of measures of central tendency and dispersion with absolute and relative values.
Results: The groups with and without bronchopulmonary dysplasia differed significantly regarding 1-minute Apgar, gestational age, birth weight, weight at evaluation, and maintenance of alertness. Moreover, the study group had a higher corrected gestational age than the control group.
Conclusion: Preterm newborns diagnosed with bronchopulmonary dysplasia had a higher frequency of alertness at the beginning of the evaluation and its maintenance at the end of the assessment compared with the control group, which may be associated with the fact that the group with bronchopulmonary dysplasia had a higher corrected gestational age.
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Referências
1 Howson CP, Kinney M, Lawn JE, editors. Born too soon: the global action report on preterm birth. Geneva: World Health Organization/March of Dimes/PMNCH/Save the Children; 2012.
2 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Método Canguru: manual da terceira etapa do Método Canguru na Atenção Básica. Brasília: Ministério da Saúde; 2018. 17 p.
3 Stoll BJ, Hansen NI, Bell EF, Shankaran S, Laptook AR, Walsh MC, et al, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Neonatal outcomes of extremely preterm infants from the NICHD Neonatal Research Network. Pediatrics. 2010 Sep;126(3):443-56.
4 Martinelli KG, Dias BAS, Leal ML, Belotti L, Garcia ÉM, Santos ET No. Prematuridade no Brasil entre 2012 e 2019: dados do Sistema de Informações sobre Nascidos Vivos. Rev Bras Estud Popul. 2021;38:e0173.
5 Sousa DS, Sousa AS Jr, Santos ADR, Melo EV, Lima SO, Almeida-Santos MA, et al. Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity. Rev Bras Saude Mater Infant. 2017 Jan;17(1):139-47.
6 Day CL, Ryan RM. Bronchopulmonary dysplasia: new becomes old again! Pediatr Res. 2017 Jan;81(1-2):210-3.
7 Northway WH Jr, Rosan RC, Porter DY. Pulmonary disease following respirator therapy of hyaline-membrane disease. Bronchopulmonary dysplasia. N Engl J Med. 1967 Feb;276(7):357-68.
8 Sánchez Luna M, Moreno Hernando J, Botet Mussons F, Fernández Lorenzo JR, Herranz Carrillo G, Rite Gracia S, et al, and the Comisión de Estándares de la Sociedad Española de Neonatología. Displasia broncopulmonar: definiciones y clasificación. An Pediatr. 2013 Oct;79(4):262.e1-6.
9 Siffel C, Kistler KD, Lewis JFM, Sarda SP. Global incidence of bronchopulmonary dysplasia among extremely preterm infants: a systematic literature review. J Matern Fetal Neonatal Med. 2019 Aug;34(11):1721-31.
10 Silva LV, Araújo LB, Azevedo VMGO. Assessment of the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia. Rev Bras Ter Intensiva. 2018 Apr;30(2):174-80.
11 Evangelista D, Oliveira A. Transição alimentar em recém-nascidos com displasia broncopulmonar. Rev CEFAC. 2009 Jan;11(1):102-9.
12 Fujinaga CI, Scochi CGS, Santos CB, Zamberlan NE, Leite AM. Validação do conteúdo de um instrumento para avaliação da prontidão do prematuro para início da alimentação oral. Rev Bras Saude Mater Infant. 2008 Oct;8(4):391-9.
13 Medoff‐Cooper B, Bilker W, Kaplan JM. Sucking patterns and behavioral state in 1‐ and 2‐day‐old full‐term infants. J Obstet Gynecol Neonatal Nurs. 2010 Sep;39(5):519-24.
14 Silva PK, Almeida ST. Avaliação de recém-nascidos prematuros durante a primeira oferta de seio materno em uma uti neonatal. Rev CEFAC. 2015 Jun;17(3):927-35.
15 Fujinaga CI, Zamberlan NE, Rodarte MDO, Scochi CGS. Confiabilidade do instrumento de avaliação da prontidão do prematuro para alimentação oral. Pro Fono. 2007 Jun;19(2):143-50.
16 Cevasco-Trotter AM, Hamm EL, Yang X, Parton J. Multimodal neurological enhancement intervention for self-regulation in premature infants. Adv Neonatal Care. 2019 Aug;19(4):E3-11.
17 Lovey O, Bickle-Graz M, Morisod Harari M, Horsch A, Schneider J, and the JOIN Research Consortium. The joint observation in neonatology and neurodevelopmental outcome of preterm infants at six months corrected age: secondary outcome data from a randomised controlled trial. Children. 2022 Sep;9(9):1380.
18 El-Metwally DE, Medina AE. The potential effects of NICU environment and multisensory stimulation in prematurity. Pediatr Res. 2020 Aug;88(2):161-2.
19 Hane AA, Myers MM, Hofer MA, Ludwig RJ, Halperin MS, Austin J, et al. Family nurture intervention improves the quality of maternal caregiving in the neonatal intensive care unit. J Dev Behav Pediatr. 2015 Apr;36(3):188-96.
20 Gomes MTB. Caracterização da transição alimentar e técnicas usadas para alimentação de recém-nascidos pré-termo com displasia broncopulmonar [trabalho de conclusão de curso]. Natal: Universidade Federal do Rio Grande do Norte; 2019 [citado em 2023 Dez 3]. Disponível em:
21 Melluzzi MD, Farias AO, Ruhoff GM, Villa LSC, Souza JS, Nishida FS. A importância do fisioterapeuta no tratamento da displasia broncopulmonar. Brazilian Journal of Development. 2020 Dec;6(12):100853-63.
22 Prade LS, Bolzan GP, Weinmann ARM. Influência do estado comportamental nos padrões de sucção de recém-nascidos pré-termo. Audiol Commun Res. 2014 Sep;19(3):230-5.
23 Antunes T. Displasia Broncopulmonar: um estudo retrospectivo [Internet]. Rio de Janeiro: InterFISIO; 2017 [citado em 2021 Maio 23]. Disponível em:
24 Amorim KR, Lira KL. The benefits of speech therapy in the neonatal ICU. RSD. 2021 Jan;10(1):e27410111683.
25 Silva CL. Caracterização dos pacientes com diagnóstico de displasia broncopulmonar [trabalho de conclusão de curso]. São Paulo: Universidade de Santo Amaro; 2020 [citado em 2023 Dez 3]. Disponível em:
26 Souza TG, Stopíglia MS, Baracat ECE. Avaliação neurológica de recém-nascidos pré-termo de muito baixo peso com displasia broncopulmonar. Rev Paul Pediatr. 2009 Mar;27(1):21-7.
27 Campos MMMS, Araújo MVUM, Kropniczki BINS, Félix RR, Chaves KYS, Ferreira LHM, et al. Desenvolvimento motor e comportamental de lactentes broncodisplásicos atendidos em unidades de terapia intensiva. Braz. J. Develop. 2022 Apr;8(4):30976-88.
Submetido em:
20/12/2024
Aceito em:
08/12/2025


