Obstetric analgesia in labor and its association with neonatal outcomes
| dc.creator | Yasmin Aparecida Piressilva | |
| dc.creator | Fernanda Gontijo Araújo | |
| dc.creator | Torcata Amorim | |
| dc.creator | Eunice Francisca Martins | |
| dc.creator | Mariana Santos Felisbino-mendes | |
| dc.date.accessioned | 2024-01-24T21:17:59Z | |
| dc.date.accessioned | 2025-09-08T23:54:10Z | |
| dc.date.available | 2024-01-24T21:17:59Z | |
| dc.date.issued | 2020 | |
| dc.description.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. | |
| dc.format.mimetype | ||
| dc.identifier.doi | 10.1590/0034-7167-2018-0757 | |
| dc.identifier.issn | 19840446 | |
| dc.identifier.uri | https://hdl.handle.net/1843/63303 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.relation.ispartof | Revista Brasileira de Enfermagem | |
| dc.rights | Acesso Aberto | |
| dc.subject | Analgesia, Obstetrical | |
| dc.subject | Labor, Obstetric | |
| dc.subject | Apgar Score | |
| dc.subject | Intensive Care Units, Neonatal | |
| dc.subject.other | Analgesia, Obstetrical | |
| dc.subject.other | Infant, Neonatal | |
| dc.subject.other | Labor, Obstetric | |
| dc.subject.other | Apgar Score | |
| dc.subject.other | Intensive Care Units neonatal | |
| dc.title | Obstetric analgesia in labor and its association with neonatal outcomes | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 6 | |
| local.citation.issue | 5 | |
| local.citation.spage | 1 | |
| local.citation.volume | 73 | |
| local.description.resumo | 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. | |
| local.publisher.country | Brasil | |
| local.publisher.department | ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://doi.org/10.1590/0034-7167-2018-0757 |