USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES

Detalhes bibliográficos
Autor(a) principal: Brito, Angelita Lívia da Silveira
Data de Publicação: 2024
Outros Autores: Brito, Gezebely de Oliveira Rodrigues, Esteche, Cinthia Maria Gomes da Costa Escoto, Carvalho Neto, Raimundo Homero de, Maciel, Nathanael Souza, Fayma Lopes Chaves, Anne, Costa, Camila Chaves da
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Enfermagem Atual In Derme
Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1857
Resumo: Objective: To describe the use of pharmacological analgesia during labor and obstetric outcomes. Method: descriptive study carried out in a reference maternity hospital in Ceará with 85 women undergoing analgesia during labor. Data were collected using indicators of good labor and birth practices and a sociodemographic and obstetric data form prepared by the author, managed with the electronic tool REDCap and analyzed using chi-square tests. Results: 12.9% of the parturients started analgesia in the latent phase of dilation, 70.5% in the active phase of dilation and 8.2% during the expulsive period. Most (63.5%) were continuous epidural analgesia, followed by 24.7% spinal analgesia and 5.9% combined analgesia. Of the 85 patients that constituted the sample, 68.2% gave birth vaginally without instruments, 29.4% evolved to cesarean section and only 2.4% gave birth with the aid of forceps. Of the 68.2% of women who had a vaginal delivery, only 3.4% underwent the procedure. It is noteworthy that no case of Kristeller's maneuver was registered. Conclusion: Pharmacological analgesia did not negatively influence the evaluated maternal and neonatal outcomes
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spelling USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMESUSO DE ANALGESIA FARMACOLÓGICA DURANTE EL TRABAJO DE PARTO Y LOS RESULTADOS OBSTÉTRICOS USO DE ANALGESIA FARMACOLÓGICA DURANTE O TRABALHO DE PARTO E DESFECHOS OBSTÉTRICOSTrabalho de PartoPartoAnalgesia ObstétricaEnfermagem ObstétricaLabor, ObstetricParturitionAnalgesiaObstetricalObstetric NursingTrabajo de PartoPartoAnalgesia Obstétrica Enfermería ObstétricaObjective: To describe the use of pharmacological analgesia during labor and obstetric outcomes. Method: descriptive study carried out in a reference maternity hospital in Ceará with 85 women undergoing analgesia during labor. Data were collected using indicators of good labor and birth practices and a sociodemographic and obstetric data form prepared by the author, managed with the electronic tool REDCap and analyzed using chi-square tests. Results: 12.9% of the parturients started analgesia in the latent phase of dilation, 70.5% in the active phase of dilation and 8.2% during the expulsive period. Most (63.5%) were continuous epidural analgesia, followed by 24.7% spinal analgesia and 5.9% combined analgesia. Of the 85 patients that constituted the sample, 68.2% gave birth vaginally without instruments, 29.4% evolved to cesarean section and only 2.4% gave birth with the aid of forceps. Of the 68.2% of women who had a vaginal delivery, only 3.4% underwent the procedure. It is noteworthy that no case of Kristeller's maneuver was registered. Conclusion: Pharmacological analgesia did not negatively influence the evaluated maternal and neonatal outcomesObjetivo: Describir el uso de analgesia farmacológica durante el trabajo de parto y los resultados obstétricos. Método: estudio descriptivo realizado en una maternidad de referencia en Ceará con 85 mujeres sometidas a analgesia durante el trabajo de parto. Los datos fueron recolectados utilizando indicadores de buenas prácticas de trabajo de parto y nacimiento y un formulario de datos sociodemográficos y obstétricos elaborado por el autor, manejado con la herramienta electrónica REDCap y analizados mediante pruebas de chi-cuadrado. Resultados: el 12,9% de las parturientas iniciaron la analgesia en la fase latente de dilatación, el 70,5% en la fase activa de dilatación y el 8,2% durante el período expulsivo. La mayoría (63,5%) fueron analgesia epidural continua, seguida de analgesia raquídea 24,7% y analgesia combinada 5,9%. De las 85 pacientes que constituyeron la muestra, el 68,2% parió por vía vaginal sin instrumentos, el 29,4% evolucionó a cesárea y solo el 2,4% parió con ayuda de fórceps. Del 68,2% de las mujeres que tuvieron parto vaginal, solo el 3,4% se sometió al procedimiento. Cabe destacar que no se registró ningún caso de maniobra de Kristeller. Conclusión: La analgesia farmacológica no influyó negativamente en los resultados maternos y neonatales evaluados.Objetivo: Descrever o uso de analgesia farmacológica durante o trabalho de parto e desfechos obstétricos. Método: estudo descritivo realizado em uma maternidade de referência do Ceará com 85 mulheres submetidas à analgesia durante o trabalho de parto. Os dados foram coletados por meio dos indicadores de boas práticas de parto e nascimento e de um formulário de dados sociodemográficos e obstétricos elaborado pela autora, gerenciados com a ferramenta eletrônica REDCap e analisados a partir dos testes Qui-quadrado. Resultados: O quantitativo de 12,9% das parturientes iniciou a analgesia na fase latente da dilatação, 70,5% na fase ativa da dilatação e 8,2% durante o período expulsivo. A maioria (63,5%), tratava-se de analgesia peridural contínua, seguida de 24,7% de raquianalgesia e 5,9% de analgesia combinada. Das 85 pacientes que constituíram a amostra, 68,2% pariu via vaginal sem instrumentalização, 29,4% evoluíram para cirurgia cesariana e somente 2,4% pariram com auxílio de fórceps. O quantitativo de 68,2% das mulheres que tiveram parto vaginal, apenas 3,4% foram submetidas ao procedimento. Destaca-se que nenhum caso de realização de manobra de Kristeller foi registrado. Conclusão: a analgesia farmacológica não influenciou negativamente nos desfechos maternos avaliados.SOBENFeE2024-04-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://revistaenfermagematual.com/index.php/revista/article/view/185710.31011/reaid-2024-v.98-n.1-art.1857Journal Enfermagem Atual In Derme; Vol. 98 No. 1 (2024): Jan. Fev. Mar.; e024278Revista Enfermagem Atual In Derme; v. 98 n. 1 (2024): Jan. Fev. Mar.; e0242782447-2034reponame:Revista Enfermagem Atual In Dermeinstname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)instacron:SOBENFeEporhttps://revistaenfermagematual.com/index.php/revista/article/view/1857/2324https://revistaenfermagematual.com/index.php/revista/article/view/1857/2325Copyright (c) 2024 Revista Enfermagem Atual In Dermehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBrito, Angelita Lívia da Silveira Brito, Gezebely de Oliveira RodriguesEsteche, Cinthia Maria Gomes da Costa Escoto Carvalho Neto, Raimundo Homero deMaciel, Nathanael SouzaFayma Lopes Chaves, Anne Costa, Camila Chaves da 2024-04-10T14:18:12Zoai:revistae_ojs.revistaenfermagematual.a2hosted.com:article/1857Revistahttps://revistaenfermagematual.com/index.php/revista/indexONGhttps://revistaenfermagematual.com/index.php/revista/oaikatia.simoes@gmail.com || contato@revistaenfermagematual.com.br2447-20342447-2034opendoar:2024-04-10T14:18:12Revista Enfermagem Atual In Derme - Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)false
dc.title.none.fl_str_mv USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
USO DE ANALGESIA FARMACOLÓGICA DURANTE EL TRABAJO DE PARTO Y LOS RESULTADOS OBSTÉTRICOS
USO DE ANALGESIA FARMACOLÓGICA DURANTE O TRABALHO DE PARTO E DESFECHOS OBSTÉTRICOS
title USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
spellingShingle USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
Brito, Angelita Lívia da Silveira
Trabalho de Parto
Parto
Analgesia Obstétrica
Enfermagem Obstétrica
Labor, Obstetric
Parturition
Analgesia
Obstetrical
Obstetric Nursing
Trabajo de Parto
Parto
Analgesia Obstétrica
Enfermería Obstétrica
title_short USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
title_full USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
title_fullStr USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
title_full_unstemmed USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
title_sort USE OF PHARMACOLOGICAL ANALGESIA DURING LABOR AND OBSTETRIC OUTCOMES
author Brito, Angelita Lívia da Silveira
author_facet Brito, Angelita Lívia da Silveira
Brito, Gezebely de Oliveira Rodrigues
Esteche, Cinthia Maria Gomes da Costa Escoto
Carvalho Neto, Raimundo Homero de
Maciel, Nathanael Souza
Fayma Lopes Chaves, Anne
Costa, Camila Chaves da
author_role author
author2 Brito, Gezebely de Oliveira Rodrigues
Esteche, Cinthia Maria Gomes da Costa Escoto
Carvalho Neto, Raimundo Homero de
Maciel, Nathanael Souza
Fayma Lopes Chaves, Anne
Costa, Camila Chaves da
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Brito, Angelita Lívia da Silveira
Brito, Gezebely de Oliveira Rodrigues
Esteche, Cinthia Maria Gomes da Costa Escoto
Carvalho Neto, Raimundo Homero de
Maciel, Nathanael Souza
Fayma Lopes Chaves, Anne
Costa, Camila Chaves da
dc.subject.por.fl_str_mv Trabalho de Parto
Parto
Analgesia Obstétrica
Enfermagem Obstétrica
Labor, Obstetric
Parturition
Analgesia
Obstetrical
Obstetric Nursing
Trabajo de Parto
Parto
Analgesia Obstétrica
Enfermería Obstétrica
topic Trabalho de Parto
Parto
Analgesia Obstétrica
Enfermagem Obstétrica
Labor, Obstetric
Parturition
Analgesia
Obstetrical
Obstetric Nursing
Trabajo de Parto
Parto
Analgesia Obstétrica
Enfermería Obstétrica
description Objective: To describe the use of pharmacological analgesia during labor and obstetric outcomes. Method: descriptive study carried out in a reference maternity hospital in Ceará with 85 women undergoing analgesia during labor. Data were collected using indicators of good labor and birth practices and a sociodemographic and obstetric data form prepared by the author, managed with the electronic tool REDCap and analyzed using chi-square tests. Results: 12.9% of the parturients started analgesia in the latent phase of dilation, 70.5% in the active phase of dilation and 8.2% during the expulsive period. Most (63.5%) were continuous epidural analgesia, followed by 24.7% spinal analgesia and 5.9% combined analgesia. Of the 85 patients that constituted the sample, 68.2% gave birth vaginally without instruments, 29.4% evolved to cesarean section and only 2.4% gave birth with the aid of forceps. Of the 68.2% of women who had a vaginal delivery, only 3.4% underwent the procedure. It is noteworthy that no case of Kristeller's maneuver was registered. Conclusion: Pharmacological analgesia did not negatively influence the evaluated maternal and neonatal outcomes
publishDate 2024
dc.date.none.fl_str_mv 2024-04-10
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dc.identifier.uri.fl_str_mv https://revistaenfermagematual.com/index.php/revista/article/view/1857
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url https://revistaenfermagematual.com/index.php/revista/article/view/1857
identifier_str_mv 10.31011/reaid-2024-v.98-n.1-art.1857
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dc.relation.none.fl_str_mv https://revistaenfermagematual.com/index.php/revista/article/view/1857/2324
https://revistaenfermagematual.com/index.php/revista/article/view/1857/2325
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Enfermagem Atual In Derme
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Enfermagem Atual In Derme
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/html
dc.publisher.none.fl_str_mv SOBENFeE
publisher.none.fl_str_mv SOBENFeE
dc.source.none.fl_str_mv Journal Enfermagem Atual In Derme; Vol. 98 No. 1 (2024): Jan. Fev. Mar.; e024278
Revista Enfermagem Atual In Derme; v. 98 n. 1 (2024): Jan. Fev. Mar.; e024278
2447-2034
reponame:Revista Enfermagem Atual In Derme
instname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)
instacron:SOBENFeE
instname_str Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)
instacron_str SOBENFeE
institution SOBENFeE
reponame_str Revista Enfermagem Atual In Derme
collection Revista Enfermagem Atual In Derme
repository.name.fl_str_mv Revista Enfermagem Atual In Derme - Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)
repository.mail.fl_str_mv katia.simoes@gmail.com || contato@revistaenfermagematual.com.br
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