Labor analgesia and its impact on the maternal and perinatal outcomes
Guesine, Georgeana Debs; Paschoini, Marina Carvalho; Melo, Giselle Agreli; Araujo Júnior, Edward; Peixoto, Alberto Borges.
Rev. Assoc. Med. Bras. (1992, Impr.)
; 69(7): e20230500, 2023. tab, graf
Artigo
em Inglês
|
LILACS-Express
| ID: biblio-1449087
SUMMARY
OBJECTIVE:
This study aimed to assess adverse maternal and perinatal outcomes in parturients undergoing labor analgesia.METHODS:
This was a retrospective cohort study in parturients who underwent labor analgesia. Parturients were categorized into three groups Group 1 (n=83)—analgesia performed with cervical dilatation ≤4.0 cm; Group 2 (n=82)—analgesia performed with cervical dilatation between 5.0 and 8.0 cm; and Group 3 (n=83)—analgesia performed with cervical dilatation ≥9.0 cm.RESULTS:
Analgesia in parturients with cervical dilatation ≥9.0 cm showed a higher prevalence and a 3.86-fold increase (OR 3.86; 95%CI 1.50-9.87; p=0.009) in the risk of forceps delivery. Analgesia in parturients with cervical dilatation ≤4.0 cm showed a higher prevalence and a 3.31-fold increase (OR 3.31; 95%CI 1.62-6.77; p=0.0016) in the risk of cesarean section. Analgesia in parturients with cervical dilatation ≥9.0 cm was associated with a higher prevalence of fetal bradycardia (20.7%), a need for neonatal oxygen therapy (6.1%), and a need for admission to a neonatal intensive care unit (4.9%). Analgesia in parturients with cervical dilatation ≤4 cm was associated with a higher prevalence of Apgar score <7 at 1st minute (44.6%).CONCLUSION:
Performing labor analgesia in parturients with cervical dilatation ≤4.0 or ≥9.0 cm was associated with a higher prevalence of adverse maternal and perinatal outcomes.
Biblioteca responsável:
BR1.1
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