Movimentos gerais de recém-nascidos pré-termos em unidade neonatal e os sinais de alerta na alta hospitalar: um estudo correlacional
DOI:
https://doi.org/10.17267/2238-2704rpf.2026.e6479Palavras-chave:
Desenvolvimento Infantil, Prematuridade , Unidade de Terapia Intensiva NeonatalResumo
INTRODUÇÃO: Recém-nascidos pré-termo (RNPT) requerem maiores cuidados, muitas vezes precisando passar por Unidades de Terapia Intensiva Neonatal (UTIN), onde são submetidos a diversos procedimentos invasivos. Estes lactentes precisam ser avaliados e acompanhados até a alta hospitalar. OBJETIVOS: Correlacionar os dados obtidos na avaliação dos General Movements (GMs) com a escala de sinais de alerta Valoración Al Alta de Neonatología em pré-termos nascidos em um hospital público de referência. METODOLOGIA: Após a assinatura do Termo de Consentimento Livre e Esclarecido (TCLE) pelos responsáveis, foram avaliados dados de prontuário eletrônico e aplicadas as escalas em até 48 horas antes da alta. Utilizou-se estatisticamente análises comparativas e o teste T para a avaliação da correlação dos dados. Foram excluídos todos os lactentes que tiveram a guarda judicializada. RESULTADOS: A amostra contou com 12 bebês, dos quais 3 foram excluídos. Entre os participantes elegíveis, o sinal de alerta alterado que mais predominou foi o de tônus cervical. Nos GMs, foi a complexidade que se associou positivamente com lactentes com menos sinais de alerta alterados. CONCLUSÃO: Evidenciou-se que a complexidade dos GMs apresentou a associação mais consistente com sinais neurológicos adequados, demonstrando a eficácia dos GMs e dos sinais de alerta, reforçando a utilidade conjunta das duas avaliações para o rastreamento precoce do neurodesenvolvimento em RNPT.
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1. Bradley E, Blencowe H, Moller AB, Okwaraji YB, Sadler F, Gruending A, et al. Born Too Soon: Global epidemiology of preterm birth and drivers for change. Reprod Health. 2025;22:105. https://doi.org/10.1186/s12978-025-02033-x
2. Ohuma E, Moller AB, Bradley E, Chakwera S, Hussain-Alkhateeb L, Lewin A, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet. 2023;402(10409):1261-71. https://doi.org/10.1016/S0140-6736(23)00878-4
3. Matoba N, Kim C, Branche T, Collins JW. Social determinants of preterm birth. Clin Perinatol. 2024;51:33-43. https://doi.org/10.1016/j.clp.2024.02.002
4. Toneli LS, Silva MB, Pinto AAM, Queiroz FC, Queiroz LMP. Influence of biopsychosocial factors on the development of preterm and full-term infants. Res Soc Dev. 2024;13:e11113345370. https://doi.org/10.33448/rsd-v13i3.45370
5. Cheong JLY, Burnett AC, Treyvaud K, Spittle AJ. Early environment and long-term outcomes of preterm infants. J Neural Transm. 2020;127:1-8. https://doi.org/10.1007/s00702-019-02121-w
6. Chaves BF, Gerzson LR, Almeida CS. Comparison of neurological assessment and general movements of at-risk babies with 40 and 52 weeks of life from a public hospital of reference in the maternal-infant area. Movimenta. 2022;15(3):e20220032. https://doi.org/10.31668/movimenta.v15i3.13287
7. Boas FPV, Costa MGR, Borges RM, Martins CDC, Stopa GO, Vieira TDO, et al. Prevalência de infecções e de terapia intensiva neonatal. Braz J Infect Dis. 2023;27:103219. https://doi.org/10.1016/j.bjid.2023.103219
8. Govaert P, Arena R, Dudink J, Steggerda S, Agut T, Marissens G, et al. Developmental anatomy of the thalamus, perinatal lesions, and neurological development. Dev Med Child Neurol. 2025;67:15–34. https://doi.org/10.1111/dmcn.15992
9. Clowry GJ. Is there a consensus on the location and composition of the human subplate? J Comp Neurol. 2024;532:e25605. https://doi.org/10.1002/cne.25605
10. Wu Y-C, Straathof EJM, Heineman KR, Hadders-Algra M. Typical general movements at 2–4 months: movement complexity, fidgety movements, and their associations with risk factors and SINDA scores. Early Hum Dev. 2020;149:105135. https://doi.org/10.1016/j.earlhumdev.2020.105135
11. Hadders-Algra M. Early diagnosis and early intervention in neurodevelopmental disorders: age-dependent challenges and opportunities. J Clin Med. 2021;10:861. https://doi.org/10.3390/jcm10040861
12. Martins KP, Freire MHDS, Pechepiura EP, Lage SDM, Saganski GF. Care and development of the premature infant in a neonatal intensive care unit: a scoping review. REME Rev Min Enferm. 2021;25:e20210062. https://doi.org/10.5935/1415.2762.20210062
13. García-Alix A, Arnáez J. Neurología neonatal de un vistazo. 1ª edição. Madrid: Cabeza de Chorito; 2022.
14. Morinel CS, Almeida CSD, Gerzson LR. Comparison of neurological assessment and general movements of infants at risk at different time points. Fisioter Bras. 2024;24:751–69. https://doi.org/10.33233/fb.v24i6.5434
15. Hadders-Algra M. General movements: a window for early identification of children at high risk for developmental disorders. J Pediatr. 2004;145(Suppl 2):S12–8. https://doi.org/10.1016/j.jpeds.2004.05.017
16. Alberton M, Rosa VM, Iser BPM. Prevalence and temporal trend of prematurity in Brazil before and during the COVID-19 pandemic: a historical time series analysis, 2011–2021. Epidemiol Serv Saude. 2023;32:e2022603. https://doi.org/10.1590/s2237-96222023000200005
17. Dassios T, Harris C, Williams EE, Greenough A. Sex differences in preterm respiratory morbidity: a recent whole population study. Acta Paediatr. 2024;113:745–50. https://doi.org/10.1111/apa.17071
18. Dondé JP, Soncini TCB, Nunes RD. Fatores associados ao baixo índice de Apgar no quinto minuto de vida em recém-nascidos. Rev. Arq Catarin Med. 2020;49:69–80. https://doi.org/10.63845/2err4z87
19. Silva B, Friedrich L, Biazus G, Bueno R, Almeida C. Abnormal neurological and motor function in newborns treated for congenital syphilis. Infect Dis Rep. 2025;17:34. https://doi.org/10.3390/idr17020034
20. Yu WH, Chu CH, Chen LW, Lin YC, Koh CL, Huang CC. The developmental phenotype of motor delay in extremely preterm infants after early respiratory adversity is influenced by parietal lobe brain dysmaturation. J Neurodev Disord. 2024;16:38. https://doi.org/10.1186/s11689-024-09546-9
21. Gada S, editor. Neurodisability and community child health. 2nd ed. Oxford: Oxford University Press; 2022. p. 29–88. https://doi.org/10.1093/med/9780198851912.003.0002
22. Bresciani EP, Aere DG, Camargo KG, Esposito NCO, Santos DCC. Evaluation of cervical control in preterm infants
after discharge from neonatal intensive care unit. Movimenta [Internet]. 2020;26:389–99. Available from: https://www.revista.ueg.br/index.php/movimenta/article/view/10812
23. Krynauw R, du Preez JCF, van Zyl JI, Burger M. The trajectory of general movements from birth to 12–14 weeks corrected age in very low and extremely low birth weight preterm infants. S Afr J Child Health. 2022;16:99–104. https://doi.org/10.7196/SAJCH.2022.v16i2.1893
24. Zlatanovic D, Čolović H, Živković V, Stanković A, Kostić M, Vučić J, et al. The importance of general movement assessment in preterm infants for the prediction of neurological outcomes. Folia Neuropathol. 2022;60:427–35. https://doi.org/10.5114/fn.2022.119593
25. Christovão IS, Rodrigues LA, Machado ACCP, Pascoal AFS, Fontes DE, Mendonça KTD, et al. Hybrid follow-up of preterm infant development in Brazil: a feasibility study. Early Hum Dev. 2024;195:106069. https://doi.org/10.1016/j.earlhumdev.2024.106069
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Copyright (c) 2026 Gabriela dos Santos Saballa, Mylena Francini da Rosa, Carla Skilhan de Almeida

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
