Desfechos neonatais associados às intervenções obstétricas realizadas no trabalho de parto em nulíparas

• Autores: Paloma Gabrielly Amorim Monteiro, Tatiane da Silva Coelho, Adriana Moreno de Lima, Uly Reis Ferreira, Maria Salete Barbosa Monteiro, Cinthia Maria Gomes da Costa Escoto Esteche, Ana Kelve Castro Damasceno
• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 22, Nº. 1, 2021
• Idioma: portugués
• DOI: 10.15253/2175-6783.20212267921
• Títulos paralelos:
  • Neonatal outcomes associated with obstetric interventions performed during labor in nulliparous women
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• Resumen
  • English

    Objective: to analyze neonatal outcomes associated with obstetric interventions performed during labor in low-risk nulliparous women. Methods: a cross-sectional observational study of 534 low-risk nulliparous women. Results: interruption of skin-to-skin contact after delivery was shown to be associated with obstetric interventions such as cardiotocography at admission, oxytocin in labor, amniotomy, and episiotomy. The need for positive pressure ventilation and oxygen therapy was associated with the encouragement of the Valsalva maneuver; the performance of this maneuver was also associated with interventions such as amniotomy, episiotomy and directed pulling. Conclusion: the study showed that the use of obstetric interventions during labor in low-risk women is associated with unfavorable neonatal outcomes that lead to the need for further interventions after delivery.

  • português

    Objetivo: analisar os desfechos neonatais associados às intervenções obstétricas realizadas no trabalho de parto em nulíparas de baixo risco. Métodos: estudo observacional de corte transversal, realizado com 534 nulíparas de baixo risco. Resultados: a interrupção do contato pele a pele após o parto se mostrou associado às intervenções obstétricas como cardiotocografia na admissão, ocitocina no trabalho de parto, amniotomia e episiotomia. A necessidade de ventilação por pressão positiva e oxigenoterapia tiveram associação ao incentivo à manobra de Valsalva; a realização desta manobra está associada, também às intervenções amniotomia, episiotomia e puxo dirigido. Conclusão: o estudo evidenciou que a utilização das intervenções obstétricas durante o trabalho de parto de mulheres de baixo risco está associada aos desfechos neonatais desfavoráveis que acarretam a necessidade de mais intervenções após o parto.

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