Associação entre os reflexos de preensão palmar e plantar e os aspectos clínicos ao nascimento de bebês prematuros

Abstract

To investigate the integrity of the central nervous system of premature infants, there is a perform an assessment of primitive reflexes. Noteworthy is the evaluation of the Palmar and Plantar Gripping Reflexes soon after the baby's birth. This research aimed to perform a descriptive analysis of the clinical aspects after the birth of preterm infants born in a public hospital in a inland city's of Ceará, as well as to analyze an association between the Palmar and Plantar Gripping Reflexes with the analyzed aspects. It is a documentary, retrospective, correlational study with quantitative approach and exploratory objective. The sample consisted of 120 premature infants medical records between March 2017 and March 2018, in which information was collected in the Nursery File. The medical records analyzed revealed that there was a prevalence of premature limitrophe, as well as most changes related to color at birth, cyanosis, pulmonary and cardiac auscultation, difficulty breathing, abdomen, reactivity, tone, Moro reflex, suction reflex, palmar grip and Plantar grip and Apgar from the 1st and 5th minute. According to Pearson's Square (p <0.05), the Palmar and Plantar Gripping Reflexes show a significant association with most evaluated aspects. Thus, the study highlighted the importance of evaluating both reflexes soon after birth, demonstrating that their presence is related to the baby's respiratory and circulatory conditions, and, also, responsiveness and a tone.