Physical Therapy, Sports Therapy and Rehabilitation, Respiratory Care, Multidisciplinary, Pediatrics, Perinatology and Child Health
36
Scopus Publications
979
Scholar Citations
18
Scholar h-index
27
Scholar i10-index
Scopus Publications
Characterization of Complementary Feeding of Preterm Infants: Kangaroo Care Method Versus Conventional Care Rejane Sousa Romão, Vivian Mara Gonçalves de Oliveira Azevedo, Rayany Cristina Souza, Eliziane Santos Medeiros, Priscilla Larissa Silva Pires, Leandro Alves Pereira, Ana Elisa Madalena Rinaldi Maternal and Child Nutrition, 2026 In Brazil, the Kangaroo Care Method (KCM) is a public policy that proposes systematic and humanized care for preterm low birth weight infants (LBWI), and one of its pillars is breastfeeding promotion. Therefore, this study aims to compare complementary feeding of LBWI in terms of age of introduction and the type of food offered according to the type of care received—KCM or Conventional Care (CC). A prospective cohort study was conducted from September 2019 to August 2021 at a Brazilian university hospital. A total of 65 LBWI born at the institution weighing 1800 g or less were included. Data were collected during the first week of hospitalization and at 4 and 6 months of corrected age. The median age at food introduction was estimated by survival analysis using the Kaplan–Meier method. The log‐rank test was used to compare the median age at the time of food introduction according to the type of care. Longer exclusive breastfeeding (KCM = 30 days; CC = 0.001, p = 0.002) and continued breastfeeding were observed in KCM preterm infants (KCM = 172 days; CC = 0.001, p = 0.002). The median age at introduction of infant formula (KCM = 38 days; CC = 35 days), water (KCM = 65 days; CC = 46 days), salted porridge (KCM = 139 days; CC = 136 days) and fruits (KCM = 134 days; CC = 136 days) was similar between both types of care received. No ultra‐processed foods were consumed. In conclusion, despite encouraging exclusive and continuous breastfeeding, there was no significant difference in the time of introduction of foods according to the type of care received.
Introduction of complementary feeding and associated factors in preterm and low birthweight newborns: a prospective cohort study Priscilla Larissa Silva Pires, Rejane Sousa Romão, Rayany Cristina de Souza, Leandro Alves Pereira, A. E. M. Rinaldi, V. M. Azevedo Cadernos De Saude Publica, 2024 O objetivo deste artigo foi analisar a associação entre os fatores sociodemográficos, as características maternas e neonatais e o tempo de introdução da alimentação complementar em recém-nascidos pré-termo e com baixo peso. Trata-se de um estudo de coorte prospectivo feito com 79 recém-nascidos pré-termo com peso menor ou igual a 1.800g. Os dados foram coletados no momento da alta hospitalar e ao 6º, 9º e 12º mês de idade gestacional corrigida (IGC), com auxílio de um questionário estruturado para analisar o tempo de introdução da alimentação complementar e texturas dos alimentos introduzidos. Além disso, para avaliar o risco de atraso de desenvolvimento, utilizou-se o Survey of Well-being of Young Children (SWYC-BR). Para análise das variáveis, aplicou-se regressão de riscos proporcionais de Cox. A introdução da alimentação complementar foi observada nos recém-nascidos pré-termo, com a mediana de idade de introdução de alimentos líquidos (3,50; IQ: 2,50-5,00), seguido por sólidos (4,70; IQ: 3,20-5,20) e pastosos (5,00; IQ: 4,50-5.50). Ainda, verificou-se associação da idade gestacional (RR = 1.25; IC95%: 1,02-1,52) em todo o processo da introdução alimentar. Para os alimentos sólidos e pastosos, aqueles com o maior tempo de internação (RR = 1,03; IC95%: 1,10- 1,05) e em amamentação mista (RR = 2,97; IC95%: 1,24-7,09) adiaram mais o tempo para introduzir a alimentação complementar. Para alimentos líquidos, recém-nascidos pré-termo menos graves (Score for Neonatal Acute Physiology and Perinatal Extension - SNAPPE II [RR = 0,96; IC95%: 0,94-0,98]) e mães que estavam amamentando na alta hospitalar (RR = 11,49; IC95%: 1,57-84,10) postergaram a introdução alimentar. Diretrizes para melhor orientação de profissionais e pais e/ou responsáveis sobre o momento ideal de introdução alimentar se faz necessário.
Skin-to-skin contact and late-onset sepsis in newborns weighing up to 1,800g: a cohort study Fernando Lamy-Filho, Marivanda Julia Furtado Goudard, Sérgio Tadeu Martins Marba, Alcione Miranda dos Santos, Geisy Maria de Souza Lima, Roberta Costa, Vivian Mara Gonçalves de Oliveira Azevedo, Zeni Carvalho Lamy Revista Brasileira De Saude Materno Infantil, 2024 Objectives: to evaluate the association between the time to initiate the first skin-to-skin contact (SSC) and the daily practice time with the rates of late-onset sepsis in newborns ≤1,800g. Methods: a multicentric cohort study was carried out at the neonatal units located in three Brazilian geographic regions. The SSC time was recorded in individual files by the hospital staff and the newborn’s parents. Maternal and neonatal data were obtained from medical records and through questionnaires applied to the mothers. Data analysis was carried out using a tree algorithm classification, which divided the data set into mutually exclusive subsets that best described the variable response. Results: 405 newborns participated in the study, with an average of 31.3 ± 2.7 weeks and 1,412g (QR=1,164-1,605g) as a median birth weight. The first SSC was carried out within 137 hours of life (≤5.7 days) was associated with a lower rate of late sepsis (p=0.02) for newborns who underwent daily SSC of 112.5 to 174.7 min/day (1.9 to 2.9h/day), with a reduction in the sepsis rate from 39.3% to 27.5%. Furthermore, the duration of SSC >174.7min/day (>2.9h/day) was relevant (p<0.001) for newborns who weighed >1,344g, with a reduction in this rate from 24.1% to 6%. Conclusions: SSP has been proven to be significant in reducing late-onset sepsis rates in preterm newborns, especially when carried out in a timely manner (≤5.7 days) and prolonged (>2.9h/day).
Feeding Practices of Preterm Low Birthweight Infants Up to 6 Months: A Comparison between Kangaroo and Conventional Care Rejane Sousa Romão, Rayany Cristina Souza, Eliziane Santos Medeiros, Priscilla Larissa Silva Pires, Leandro Alves Pereira, Vivian Mara Gonçalves de Oliveira Azevedo, Ana Elisa Madalena Rinaldi Journal of Pediatric Gastroenterology and Nutrition, 2023 Objective:The objective of this study is to compare feeding practices of low birthweight (LBW) infants, according to type of care received during and after hospital discharge: Kangaroo Care (KC) and Conventional Care (CC).Methods:Prospective cohort study was conducted at a university hospital (Brazil) between 2019 and 2021. The sample consisted of 65 LBW infants (weight ≤ 1800 g)—46 in KC and 19 in CC. KC includes breastfeeding (BF) guidance and support to parents at hospital and after discharge. Data collection was performed at hospital discharge, and at the 4th and 6th month of corrected gestational age (CGA). Consumption of 27 foods was analyzed in the last 2 periods of the follow‐up and expressed in relative frequency. Three indicators were analyzed: exclusive breastfeeding (EBF), mixed BF, and introduction of liquid and solid foods.Results:Groups had similar health characteristics, except for the weight at hospital discharge and the Score for Neonatal Acute Physiology – Perinatal (SNAPPE II) score that were lower in KC group. We found higher frequency of EBF among KC at hospital discharge (CC = 5.3% vs KC = 47.8%; P = 0.001). The higher frequency of mixed BF was observed in KC at 4 months of CGA (CC = 5.6% vs KC = 35.0%; P = 0.023), and at 6 months of CGA (CC = 0.0% vs KC = 24.4%; P = 0.048). Consumption of solid foods (4th month of CGA = 25.9%, 6th month of CGA = 91.2%) and liquids (4th month of CGA = 77.6%, 6th month of CGA = 89.5%) were similar between groups.Conclusions:In KC, SNAPPE II scores were lower and frequency of EBF was higher at hospital discharge and frequency of mixed BF was higher over 6 months. Early supply of infant formula, liquid and solid foods were similar in both groups.
Skin-to-skin contact in a reference center for the kangaroo method: descriptive study Bruna Schiphorst Delgado, Roberta Costa, Janaina Medeiros de Souza, Juliana Coelho Pina, Vívian Mara Gonçalves de Oliveira Azevedo, Débora Evelin Felix Quirino de Almeida Revista Enfermagem, 2023 Objetivo: descrever como ocorre a prática do contato pele a pele em uma unidade neonatal referência para o Método Canguru. Método: estudo descritivo, transversal, realizado em unidade intensiva neonatal do sul do Brasil. Dados analisados por meio de estatística descritiva simples. Protocolo aprovado pelo Comitê de Ética em Pesquisa. Resultados: analisados dados de 29 recém-nascidos pré-termo, com peso menor de 1.800 gramas. O primeiro contato pele a pele foi realizado, em média, com 6,38 dias. A frequência de contato pele a pele foi de 1,6 vezes ao dia, sendo o tempo mínimo de 56 minutos e o ganho ponderal médio de 26,98 gramas por dia. Conclusão: a realização do contato pele a pele acontece, em sua maioria, após o quinto dia de vida, na primeira etapa do Método. A frequência de realização deste contato foi de uma vez por dia e o tempo de duração médio foi de 120 minutos. Na segunda etapa do Método, os dados pouco variaram.
Association between phenotypic and genotypic characteristics and disease severity in individuals with cystic fibrosis Gabriella Vieira Carneiro, Fabiana Sodré de Oliveira, Leandro Alves Pereira, Érica Rodrigues Mariano de Almeida Rezende, Luciana Carneiro Pereira Gonçalves, Vivian Mara Gonçalves de Oliveira Azevedo Revista Paulista De Pediatria, 2023 Objective: To analyze the association between phenotypic and genotypic characteristics and disease severity in individuals with cystic fibrosis treated at a reference center in Minas Gerais, Brazil. Methods: This is a retrospective study that collected clinical and laboratory data, respiratory and gastrointestinal manifestations, type of treatment, Shwachman-Kulczycki score, and mutations from the patients’ medical records. Results: The sample included 50 participants aged one to 33 years, 50% of whom were female. Out of the one hundred alleles of the Cystic Fibrosis Transmembrane Conductance Regulator gene, the most prevalent mutations were DeltaF508 (45%) and S4X (18%). Mutation groups were only associated with pancreatic insufficiency (p=0.013) and not with disease severity (p=0.073). The latter presented an association with colonization by Pseudomonas aeruginosa and Staphylococcus aureus (p=0.007) and with underweight (p=0.036). Death was associated with age at diagnosis (p=0.016), respiratory symptomatology (p=0.013), colonization (p=0.024), underweight (p=0.017), and hospitalization (p=0.003). Conclusions: We could identify the association of mutations with pancreatic insufficiency; the association of Staphylococcus aureus colonization and underweight with disease severity; and the lack of association between mutations and disease severity. Environmental factors should be investigated more thoroughly since they seem to have an important effect on disease severity.
Performance and labor conditions of physiotherapists in Brazilian intensive care units during the COVID-19 pandemic. What did we learn? Andressa Sabrina de Oliveira Resende, Suzi Laine Longo dos Santos Bacci, Ítalo Ribeiro Paula, Leandro Alves Pereira, Cíntia Johnston, Valéria Cabral Neves Luszczynski, Vívian Mara Gonçalves de Oliveira Azevedo Critical Care Science, 2023 Objective To describe the role of physiotherapists in assisting patients suspected to have or diagnosed with COVID-19 hospitalized in intensive care units in Brazil regarding technical training, working time, care practice, labor conditions and remuneration. Methods An analytical cross-sectional survey was carried out through an electronic questionnaire distributed to physiotherapists who worked in the care of patients with COVID-19 in Brazilian intensive care units. Results A total of 657 questionnaires were completed by physiotherapists from the five regions of the country, with 85.3% working in adult, 5.4% in neonatal, 5.3% in pediatric and 3.8% in mixed intensive care units (pediatric and neonatal). In intensive care units with a physiotherapists available 24 hours/day, physiotherapists worked more frequently (90.6%) in the assembly, titration, and monitoring of noninvasive ventilation (p = 0.001). Most intensive care units with 12-hour/day physiotherapists (25.8%) did not apply any protocol compared to intensive care units with 18-hour/day physiotherapy (9.9%) versus 24 hours/day (10.2%) (p = 0.032). Most of the respondents (51.0%) received remuneration 2 or 3 times the minimum wage, and only 25.1% received an additional payment for working with patients suspected to have or diagnosed with COVID-19; 85.7% of them did not experience a lack of personal protective equipment. Conclusion Intensive care units with 24-hour/day physiotherapists had higher percentages of protocols and noninvasive ventilation for patients with COVID-19. The use of specific resources varied between the types of intensive care units and hospitals and in relation to the physiotherapists’ labor conditions. This study showed that most professionals had little experience in intensive care and low wages.
The role of skin-to-skin contact in exclusive breastfeeding: a cohort study Marivanda Julia Furtado Goudard, Zeni Carvalho Lamy, Sérgio Tadeu Martins Marba, Geisy Maria de Souza Lima, Alcione Miranda dos Santos, Marynea Silva do Vale, Talyta Garcia da Silva Ribeiro, Roberta Costa, Vivian Mara Gonçalves de Oliveira Azevedo, Fernando Lamy-Filho Revista De Saude Publica, 2022
Serological survey for IgG antibodies against SARS-CoV-2 from newborns and their mothers Gabriela Soutto Mayor Assumpção Pinheiro, Vivian Mara Gonçalves de Oliveira Azevedo, Aline Almeida Bentes, Gabriela Cintra Januário, José Nélio Januário, Mila Lemos Cintra, Ana Beatriz Araújo de Souza, Laura Gregório Pires, Stela Maris Aguiar Lemos, Claudia Regina Lindgren Alves Cadernos De Saude Publica, 2022
[Use of sweet solutions for neonatal pain relief in premature newborns: an integrative review]. Revista Gaucha De Enfermagem EENFUFRGS, 2011
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