Cumplimiento de la norma técnica de atención del recién nacido en hospitales del nivel I y III de Barranquilla y Soledad / Fulfillment of the technical norm for the appropriate attention of a newborn of Barranquilla and Soledad

ABSTRACT

Objectives: To value the execution of the norm 0412 of 2000 for the appropiate atention ofa newborn in the clinical institutions of Barranquilla and Soledad, Jun-Dic 2005.Materials and Methods: A descriptive study of 210 childbirths was observed and aquestionnaire was applied in order to assess the observance of the norm for the childbirthand the newborn care. One questionnaire was implemented for each institution to judge theresolution capacity. The 210 events were observed to assess the condition of the humanizedcare through the observation and the response to one survey by the mother. The tabulationand analysis of the data were computerized by using the EpiInfo software version 6.04d.Results: In the results, the nurse assistant participated in the care up to a 98.6 percent, thesurgeon attended 58.1percent of the childbirths, and the gynecologist/obstetrician (17.6percent) andthe pediatrician (17.1percent). The Apgar evaluation 5 minutes after birth was applied in 64.3percentof the newborns and the 10 minutes 28.6percent of the newborn. The newborn was identifiedtimely only in 49.5percent of the cases. It was found that poor attitude occurs during teamworkin 48.3percent of the service staff in the childbirth and maternity ward, and 46.7percent of them hadno attitude for teamwork. The evidences showed lack of humanization in the followinginstitutions. Little resolution capacity was found in the Institutions.Conclusions: Although the evidences showed certain knowledge of the norm, many of itsactivities are not being implemented. The context in which is applied isn’t satisfactory.