Centro de Ciências da Saúde, Universidade Federal do Maranhão. Av. dos Portugueses 1966, Vila Bacanga. 65080-805 São Luís MA Brasil.
Ministério da Saúde. Brasília DF Brasil.
Cien Saude Colet. 2021 Mar;26(3):909-918. doi: 10.1590/1413-81232021263.21652020. Epub 2020 Aug 12.
Neonatal units should be organized as a progressive care line, with intermediate and intensive care beds (conventional and kangaroo). The aim of this study was to evaluate the status and adequacy of neonatal beds in maternity hospitals linked to the 'Stork Network' ("Rede Cegonha"). A descriptive study was conducted in 606 maternity hospitals in all regions of Brazil. The databases used belonged to the Stork Network Evaluation Survey and the National Live Birth System. To assess the distribution of neonatal beds by typology, the parameters proposed in Ordinance N. 930/2012 of the Ministry of Health were used. Most neonatal units are not organized as a progressive care line with the three types of bed planned. Kangaroo intermediate care beds comprise the minority of implanted beds. There is a concentration of intensive and intermediate beds in the Southeast and South regions, which show a kangaroo intermediate care bed deficit. Analyzing the adequacy of beds by the number of live births, one can observe an inadequacy of Kangaroo care beds in all regions of Brazil, as well as intensive bed deficit in the North and Northeast regions, and adequacy of conventional intermediate care beds in all regions.
新生儿病房应组织为渐进式护理线，配备中级和重症监护病床（常规和袋鼠式）。本研究旨在评估与“鹳鸟网络”（“Rede Cegonha”）相关的产科医院新生儿病床的现状和充足程度。在巴西所有地区的 606 家产科医院进行了描述性研究。使用的数据库属于鹳鸟网络评估调查和国家活产系统。为了按类型评估新生儿病床的分布，使用了卫生部第 930/2012 号法令提出的参数。大多数新生儿病房没有按照计划的三种病床类型组织为渐进式护理线。袋鼠式中级护理病床占植入病床的少数。东南部和南部地区集中了重症和中级病床，显示袋鼠式中级护理病床不足。根据活产人数分析病床的充足程度，可以观察到巴西所有地区的袋鼠式护理病床不足，以及北部和东北部地区的重症病床不足，以及所有地区的常规中级护理病床充足。
