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http://hdl.handle.net/1843/63303
Type: | Artigo de Periódico |
Title: | Obstetric analgesia in labor and its association with neonatal outcomes |
Authors: | Yasmin Aparecida Piressilva Fernanda Gontijo Araújo Torcata Amorim Eunice Francisca Martins Mariana Santos Felisbino-mendes |
Abstract: | Objetive: To investigate the association between analgesia during labor and occurrence of neonatal outcomes. Method: Retrospective cohort study with medical records of 850 parturient. The exposure variable of interest was receiving pharmacological analgesia during labor and neonatal outcomes were: one- and five-minute Apgar, resuscitation maneuvers and referral of the newborn to Neonatal ICU. A logistic regression was carried out to obtain Odds Ratios and 95% confidence interval, with adjustment for confounding factors. Results: Among the women studied, 35% received analgesia and this use was associated with a greater chance of neonatal outcomes such as one-minute Apgar < 7 (p <0.0001), resuscitation maneuvers (p <0.001) and referral to the Neonatal ICU (p = 0.004), mostly were among low-risk pregnant women, even after adjustments. Conclusion: The use of pharmacological analgesia during labor is associated with one-minute Apgar < 7, resuscitation maneuvers and referral to the Neonatal ICU. |
Abstract: | Objetivo: Investigar a associação entre analgesia no trabalho de parto e ocorrência de desfechos neonatais. Método: Estudo de coorte retrospectiva com dados de prontuários de 850 parturientes. A exposição foi receber analgesia farmacológica no trabalho de parto e os desfechos: Apgar do primeiro e quinto minuto < 7, manobras de reanimação e encaminhamento para Unidade de Terapia Intensiva Neonatal (UTI). Utilizou-se regressão logística para obter Odds Ratio (OR) e intervalo de 95% de confiança (IC95%), sendo ajustados por confundidores. Resul tados: Das mulheres estudadas, 35% receberam analge sia e seu uso esteve associado a maior chance de desfechos, como: Apgar do primeiro minuto < 7 (p<0,0001), manobras de reanimação (p<0,001) e encaminhamento para UTI Neonatal (p=0,004), principalmente entre gestantes de risco habitual, mesmo após ajustes. Conclusão: O uso de analgesia farmacológica durante o trabalho de parto foi associado a Apgar do primeiro minuto < 7, manobras de reanimação e encaminhamento para UTI neonatal. |
Subject: | Analgesia, Obstetrical Labor, Obstetric Apgar Score Intensive Care Units, Neonatal |
language: | eng |
metadata.dc.publisher.country: | Brasil |
Publisher: | Universidade Federal de Minas Gerais |
Publisher Initials: | UFMG |
metadata.dc.publisher.department: | ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA |
Rights: | Acesso Aberto |
metadata.dc.identifier.doi: | 10.1590/0034-7167-2018-0757 |
URI: | http://hdl.handle.net/1843/63303 |
Issue Date: | 2020 |
metadata.dc.url.externa: | https://doi.org/10.1590/0034-7167-2018-0757 |
metadata.dc.relation.ispartof: | Revista Brasileira de Enfermagem |
Appears in Collections: | Artigo de Periódico |
Files in This Item:
File | Description | Size | Format | |
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Born in Belo Horizonte the trajectory of parturient pdfa.pdf | 239.11 kB | Adobe PDF | View/Open |
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