Evolução clínica de pacientes nascidos com baixo peso durante a internação na maternidade

Abstract

Objectives: to evaluate the outcome of newborn children with low birthweight (≤ 2499g) during maternity stay considering morbidity, mortality and length of stay. Methods: It was a cohort study of 147 children, hospitalized between January and June 2015 at the Maternity Nossa Senhora de Lourdes, Aracaju-SE, Brazil. This hospitalization information was collected through questionnaires to the relatives and search for records. Results: Birth weight average was 1669,49g±440,543. Mean gestational age was 32,4±3,11 and 95% were premature. The most common complications at the hospitalization were neonatal icterus: 77,6%, early respiratory distress: 56,5%, hypoglycemia: 32%, neonatal infections: 34,7%, anaemia com 25,9%, respiratory distress syndrome: 25,2%. Length of stay (median) was 21dias. Deaths were 3,4%. Conclusion: The main cause of LBW was prematurity. The main morbidities were respiratory, metabolic and infectious diseases. The length of stay in hospital was lower than the reported in the literature. The length of stay increased significantly with number of respiratory complications (p<0,001) and with the number of metabolic complications (p=0,016).