Desfechos maternos associados às intervenções no trabalho de parto de nulíparas de baixo risco

Autores

DOI:

https://doi.org/10.21527/2176-7114.2024.48.13932

Palavras-chave:

Saúde Materna, Obstetrícia, Enfermagem Obstétrica, Trabalho de Parto, Assistência ao Parto, Parto Humanizado

Resumo

Este estudo objetivou analisar os desfechos maternos associados às intervenções realizadas durante o trabalho de parto de nulíparas de baixo risco. Trata-se de um estudo transversal, com 534 parturientes nulíparas. Foram utilizados modelos de regressão Gamma e regressão logística, para o nível de significância p<0,05. O uso do partograma, venóclise, métodos não farmacológicos para alívio da dor, analgesia neuroaxial e manobra de valsalva estão associados à redução do tempo do período expulsivo. A cardiotocografia na admissão (OR=0,20), ocitocina (OR=0,22) e jejum (OR=0,15) durante o trabalho de parto diminuíram as chances de parto vaginal, enquanto que partograma (OR=11,00) e métodos não farmacológicos para alívio da dor no parto aumentaram as chances (OR=2,12). O estudo não revelou associação entre as intervenções e o grau de laceração perineal. O uso de ocitocina (OR=3,04), a realização da manobra de Kristeller (OR=9,03) demonstraram aumentar as chances de intercorrências após o parto, com prevalência para a hemorragia pós-parto. Conclui-se que as intervenções durante o trabalho de parto de nulíparas devem ser individualizadas e minimizadas, de modo a serem realizadas para obtenção de desfechos favoráveis às parturientes e seus conceptos.

 

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Publicado

2024-02-21

Como Citar

Coelho, T. da S. ., Castro, R. C. M. B. ., da Costa, C. C., Carneiro, J. L. ., Maciel, N. de S., & Damasceno, A. K. de C. . (2024). Desfechos maternos associados às intervenções no trabalho de parto de nulíparas de baixo risco. Revista Contexto &Amp; Saúde, 24(48), e13932. https://doi.org/10.21527/2176-7114.2024.48.13932

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Artigo Original