Procedures for the full-term newborn based on the organizational perinatal care standard

Abstract

Introduction. Afull-term newborn, after birth and during a short stay in hospital in the neonatology ward must undergo many medical procedures. These procedures are justified in many legal acts. Individual procedures are specified by the recommendations of various scientific societies. Medical staff who perform them must provide the highest quality service. The hospital environment for mother and newborn baby will always be alien and not entirely acceptable. Medical staff, due to their high quality of care, should make the mother and her child feel safe and have confidence in the safe application of all procedures in the newborn. For each of the medical procedures, the mother/legal guardian must give informed oral or written consent. The education of mother/legal guardian by nurses/midwives as well as all medical staff is essential for proper knowledge and acceptance of all medical procedures that are performed on their children. Reliable and substantive and up-to-date knowledge that medical staff must have after passing on to mothers / legal guardians in a coherent and accessible manner, will allow them to make informed consent for new-born’s medical procedures.
Aim. The aim of the study is to analyse the implementation of medical procedures within the organizational standard of perinatal care for a full-term newborn.
Materials and methods. The research material includes 102 people-women who are mothers of full-term newborn born at WSS in Włocławek, in the Obstetrics and Neonatology Department. The study uses the original questionnaire necessary to conduct the research, the Apgar scale and the newborn data sheet.
Results. Most of the procedures, such as: debuffing, Apgar score, labelling, hearing tests, dry tissue paper tests, pulse oximetry test, kangaroo testing, evaluation of transients, and anthropometric measurements were performed in all children. The lowest tests were performed: degumming - 29 people (28.4%), reflexes - 4 people (3.9%) and HBS - 1 person (1.0%). The age of the respondents did not correlate statistically with the results of the procedures performed (p> 0.05). Due to the level of significance (p> 0.05), there were no statistically significant differences between the groups of place of residence regarding the performance of the procedures.
Conclusions. The vast majority of medical procedures based on the organizational standard of perinatal care were performed in all children, providing the highest quality service by medical personnel. Most mothers do not know about the perinatal procedures performed in their babies. The greatest demand for education on medical procedures in the newborn is seen in women with lower education and elements