Maternal outcomes associated with interventions in labor for low-risk nulliparous women
DOI:
https://doi.org/10.21527/2176-7114.2024.48.13932Keywords:
Maternal Health, Obstetrics, Obstetric Nursing, Labor of Childbirth, Childbirth Assistance, Humanized birthAbstract
This study aimed to analyze maternal outcomes associated with interventions performed during low-risk nulliparous women labor. This is a cross-sectional study, with 534 nulliparous pregnant women. Gamma and logistic regression models were used for the p<0.05 significance level. The use of partogram, venoclysis, non-pharmacological methods for pain relief, neuraxial analgesia and Valsalva maneuver are associated with a reduction in the expulsive period duration. Cardiotography on admission (OR=0.20), oxytocin (OR=0.22) and fasting (OR=0.15) during labor decreased the chances of vaginal delivery, whereas partogram (OR=11.00) and non-pharmacological pain relief methods increased the chances (OR=2.12).. The study revealed no association between the interventions and the degree of perineal laceration. The use of oxytocin (OR=3.04) and the Kristeller maneuver (OR=9.03) were shown to increase the chances of complications after childbirth, with a prevalence of postpartum hemorrhage. It is concluded that interventions during labor of nulliparous women must be individualized and minimized, in order to be implemented to obtain favorable outcomes for parturients and their fetuses.
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