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Relationship between gestational risk and type of delivery in high risk pregnancy.
Antunes, Marcos Benatti; Rossi, Robson Marcelo; Pelloso, Sandra Marisa.
Afiliação
  • Antunes MB; Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brazil.
  • Rossi RM; Departamento de Estatística, Universidade Estadual de Maringá, Maringá, PR, Brazil.
  • Pelloso SM; Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brazil.
Rev Esc Enferm USP ; 54: e03526, 2020.
Article em Pt, En | MEDLINE | ID: mdl-32667388
OBJECTIVE: To analyze the association between gestational risk factors and type of delivery in high-risk pregnancies. METHOD: A cross-sectional epidemiological study involving a retrospective analysis of secondary data from 4,293 medical records of high-risk pregnant women. The primary outcome was composed of risks associated with cesarean delivery and spontaneous abortion compared with normal delivery. RESULTS: There were 3,448 women analyzed in the study. The primary outcome rates were cesarean delivery (72.8%), spontaneous abortion (0.9%) versus vaginal delivery (26.2%). Common risk factors for cesarean delivery and spontaneous abortion were age ≥35 years (OR = 1.4; 95% CI 1.1-1.7 / OR = 11.5; 95% CI 4.2-31.0), evangelical religion (OR = 1.4; 95% CI 1.2-1.7 / OR = 2.6; 95% CI 1.0-6.7), high blood pressure (OR = 1.4; 95% CI 1.1-1.8 / OR = 74.9; 95% CI 13.7-410.2) and twinning (OR = 3.1; 95% CI 1.9-5.0 / OR = 68.6, 95% CI 9.7-487.7). CONCLUSION: Identifying the relationship of gestational risks with the type of delivery and abortion can contribute to developing strategies and assist in planning actions in women's healthcare networks, developing specific and individualized lines of care for each gestational risk.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Resultado da Gravidez / Aborto Espontâneo / Cesárea / Parto Obstétrico Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En / Pt Revista: Rev Esc Enferm USP Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Resultado da Gravidez / Aborto Espontâneo / Cesárea / Parto Obstétrico Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En / Pt Revista: Rev Esc Enferm USP Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil