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      Postnatal care of newborns in the family context: an integrative review Translated title: Atención posnatal de los recién nacidos en el contexto familiar: revisión integrativa Translated title: Cuidado pós-natal de recém-nascidos no contexto da família: revisão integrativa

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          Abstract

          ABSTRACT Objective: to analyze the postnatal care practices of newborns in the family context from the scientific literature. Methods: the searches of the integrative literature review were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SciELO), and U.S. National Library of Medicine (PubMed) databases. Results: sixteen studies composed the final sample and, from these, two analytical categories emerged: Practices and doubts of families in postnatal care of newborns; and Best practices in postnatal care of newborns. Final considerations: several cultural practices of families differ from scientific recommendations, which can generate risks to the health of newborns. Therefore, it is essential to consolidate educational programs with family members, to improve the quality of care offered and to reduce preventable neonatal deaths in different socio-family contexts.

          Translated abstract

          RESUMEN Objetivo: analizar las prácticas de atención posnatal de los recién nacidos en el contexto familiar a partir de la literatura científica. Métodos: revisión bibliográfica integradora, cuyas búsquedas se realizaron en los recursos de información Literatura Latinoamericana y Caribeña en Ciencias de la Salud (LILACS), Base de Datos de Enfermería (BDENF), Scientific Eletronic Library Online (SciELO) y U.S. National Library of Medicine (PubMed). Resultados: 16 estudios constituyeron la muestra final y, a partir de estos, se originaron dos categorías analíticas: prácticas y dudas de las familias en el cuidado posnatal de los recién nacidos; y Buenas prácticas en atención posnatal para recién nacidos. Consideraciones finales: varias prácticas culturales de las familias difieren de las recomendaciones científicas, lo que puede generar riesgos para la salud de los recién nacidos. Por lo tanto, es esencial consolidar los programas educativos con los miembros de la familia, para mejorar la calidad de la atención ofrecida y reducir las muertes neonatales prevenibles en diferentes contextos sociales y familiares.

          Translated abstract

          RESUMO Objetivo: analisar as práticas de cuidado pós-natal de recém-nascidos no contexto da família a partir da literatura científica. Métodos: revisão integrativa da literatura, cujas buscas foram realizadas nos recursos informacionais Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF), Scientific Eletronic Library Online (SciELO) e U.S. National Library of Medicine (PubMed). Resultados: 16 estudos compuseram a amostra final e, a partir desses, duas categorias analíticas foram originadas: Práticas e dúvidas de famílias no cuidado pós-natal de recém-nascidos; e Boas práticas no cuidado pós-natal de recém-nascidos. Considerações finais: diversas práticas culturais das famílias divergem das recomendações científicas, o que pode gerar riscos à saúde dos recém-nascidos. Logo, é essencial a consolidação de programas educativos junto aos familiares, para melhorias na qualidade dos cuidados ofertados e redução de mortes neonatais evitáveis em diferentes contextos sociofamiliares.

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          Most cited references36

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          Postnatal experiences and support needs of first-time mothers in Singapore: a descriptive qualitative study.

          to explore first-time mothers' postnatal experiences and support needs after hospital discharge in Singapore.
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            Umbilical cord antiseptics for preventing sepsis and death among newborns.

            The umbilical cord is a structure made of blood vessels and connective tissue that connects the baby and placenta in utero. The umbilical cord is cut after birth, which separates the mother and her baby both physically and symbolically. Omphalitis is defined as infection of the umbilical cord stump. Tracking of bacteria along the umbilical vessels may lead to septicaemia that can result in neonatal morbidity and mortality, especially in developing countries.
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              Chlorhexidine skin or cord care for prevention of mortality and infections in neonates.

              Affordable, feasible and efficacious interventions to reduce neonatal infections and improve neonatal survival are needed. Chlorhexidine, a broad spectrum topical antiseptic agent, is active against aerobic and anaerobic organisms and reduces neonatal bacterial colonisation and may reduce infection.
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                Author and article information

                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                2020
                : 73
                : suppl 4
                : e20190454
                Affiliations
                [1] Rio das Ostras Rio de Janeiro orgnameUniversidade Federal Fluminense Brazil
                Article
                S0034-71672020001100304 S0034-7167(20)07300000304
                10.1590/0034-7167-2019-0454
                0690d2b1-449d-419e-a9f9-313f2bbd71dd

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 28 October 2019
                : 27 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 44, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Review

                Family,Recién Nacido,Neonatal Nursing,Newborn,Enfermería Neonatal,Cuidado del Niño,Família,Infant Care,Cuidado Pós-Natal,Cuidado do Lactente,Recém-Nascido,Postnatal Care,Enfermagem Neonatal,Familia,Atención Posnatal

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