Bloco de Partos: do dia para a noite

• Autor(a) principal: Dagge,Ana
• Data de Publicação: 2020
• Outros Autores: Centeno,Mónica, Pinto,Luísa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302020000400226
• topic: Pregnancy; Labor; Obstetrics.

Abstract Overview and aims: Obstetric care during delivery is guaranteed for 24 hours a day in the national health system. The aim of this work is to assess the differences in the clinical activity of a labour ward between day and night periods. Study design: Descriptive retrospective study. Population: Pregnant women whose deliveries occurred at a tertiary Portuguese hospital between 1 st January 2018 and 29 th February 2020. Methods: We included all the deliveries of a tertiary Portuguese hospital, divided in two periods - day (9am-9pm) and night (9pm-9am). Results: A total of 5306 births have occurred during this period. Of these, 43.1 % (2286) occurred during the night. The distribution of deliveries was balanced between the two periods considered in this study. Urgent or emergent caesareans took place mainly between 23pm and 1am. There were no differences regarding adverse maternal or perinatal outcomes, except for a higher rate of admissions into the neonatal intensive care unit during the day (p=0.01). Conclusions: There were no differences in the number of deliveries or complications between the day and the night periods. This reinforces the need to guarantee an adequate number of members composing the emergency teams, both doctors and nurses, 24 hours a day. It is also of paramount importance to guarantee the support of both Neonatologists and Anaesthesiologists.