Factors associated with obstetric interventions in public maternity hospitals

Detalhes bibliográficos
Autor(a) principal: Pinto,Keli Regiane Tomeleri da Fonseca
Data de Publicação: 2020
Outros Autores: Zani,Adriana Valongo, Bernardy,Cátia Campaner Ferrari, Rossaneis,Mariana Angela, Rodrigues,Renne, Parada,Cristina Maria Garcia de Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Saúde Materno Infantil (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000401081
Resumo: Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.
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spelling Factors associated with obstetric interventions in public maternity hospitalsNatural childbirthLaborMedicalizationMaternal and child health.Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.Instituto de Medicina Integral Prof. Fernando Figueira2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000401081Revista Brasileira de Saúde Materno Infantil v.20 n.4 2020reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042020000400009info:eu-repo/semantics/openAccessPinto,Keli Regiane Tomeleri da FonsecaZani,Adriana ValongoBernardy,Cátia Campaner FerrariRossaneis,Mariana AngelaRodrigues,RenneParada,Cristina Maria Garcia de Limaeng2021-01-29T00:00:00Zoai:scielo:S1519-38292020000401081Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2021-01-29T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false
dc.title.none.fl_str_mv Factors associated with obstetric interventions in public maternity hospitals
title Factors associated with obstetric interventions in public maternity hospitals
spellingShingle Factors associated with obstetric interventions in public maternity hospitals
Pinto,Keli Regiane Tomeleri da Fonseca
Natural childbirth
Labor
Medicalization
Maternal and child health.
title_short Factors associated with obstetric interventions in public maternity hospitals
title_full Factors associated with obstetric interventions in public maternity hospitals
title_fullStr Factors associated with obstetric interventions in public maternity hospitals
title_full_unstemmed Factors associated with obstetric interventions in public maternity hospitals
title_sort Factors associated with obstetric interventions in public maternity hospitals
author Pinto,Keli Regiane Tomeleri da Fonseca
author_facet Pinto,Keli Regiane Tomeleri da Fonseca
Zani,Adriana Valongo
Bernardy,Cátia Campaner Ferrari
Rossaneis,Mariana Angela
Rodrigues,Renne
Parada,Cristina Maria Garcia de Lima
author_role author
author2 Zani,Adriana Valongo
Bernardy,Cátia Campaner Ferrari
Rossaneis,Mariana Angela
Rodrigues,Renne
Parada,Cristina Maria Garcia de Lima
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Pinto,Keli Regiane Tomeleri da Fonseca
Zani,Adriana Valongo
Bernardy,Cátia Campaner Ferrari
Rossaneis,Mariana Angela
Rodrigues,Renne
Parada,Cristina Maria Garcia de Lima
dc.subject.por.fl_str_mv Natural childbirth
Labor
Medicalization
Maternal and child health.
topic Natural childbirth
Labor
Medicalization
Maternal and child health.
description Abstract Objectives: to identify the prevalence and factors associated with obstetric interventions in parturients assisted in public maternity hospitals. Methods: a cross-sectional study with 344 puerperal women, from two public maternity hospitals, referring to childbirth by Sistema Único de Saúde (SUS) (Public Health Service System) in Londrina City, Paraná, Brazil, between January and June 2017. The medical records were the data source. The following obstetric interventions were considered: oxytocin use, artificial rupture of the membranes, instrumental childbirth and episiotomy. Multivariate Poisson regression was used to analyze associated factors, with p<5% being significant. Results: the prevalence of obstetric intervention was 55.5%, the maximum number of interventions in the same parturient woman was three. The most frequent interventions were the use of oxytocin (50.0%) and artificial rupture of membranes (29.7%). The variables associated on maternal disease (p=0.005) and intrapartum meconium (p=0.022) independently increased, the risk of obstetric intervention, while dilation was equal to or greater than 5 cm at admission, there was a protective factor against this outcome (p=0.030). Conclusion: the prevalence of obstetric interventions was high. In the case of maternal disease and intrapartum meconium, special attention should be given to the parturient woman, in order to avoid unnecessary interventions. Thus, the maternity hospitals need to review their protocols, seeking good practices in childbirth care.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000401081
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000401081
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-93042020000400009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
dc.source.none.fl_str_mv Revista Brasileira de Saúde Materno Infantil v.20 n.4 2020
reponame:Revista Brasileira de Saúde Materno Infantil (Online)
instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron:IMIPFF
instname_str Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
instacron_str IMIPFF
institution IMIPFF
reponame_str Revista Brasileira de Saúde Materno Infantil (Online)
collection Revista Brasileira de Saúde Materno Infantil (Online)
repository.name.fl_str_mv Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
repository.mail.fl_str_mv ||revista@imip.org.br
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