Obstetric interventions in vaginal delivery in a public maternity hospital in São Luís, Maranhão.: Obstetric interventions in vaginal delivery in a public maternity hospital in São Luís, Maranhão.

• Autor(a) principal: Costa Ribeiro, Larissa
• Data de Publicação: 2023
• Outros Autores: Costa Pereira, Sanailson, Neves Souza, Thaynara, Brasil Silva, Vanessa, Gomes Bogea, Eduarda
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista de Atenção à Saúde
• Texto Completo: http://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/8455
• topic: Natural Childbirth. Episiotomy. Oxytocin. Amniotomy.; parto normal; episiotomia; ocitocina; amniotomia

Abstract Introduction: Vaginal delivery is a physiological and spontaneous delivery. However, currently, care for normal childbirth has been routinely used invasive methods, which accelerate this natural process of women. Objective: To evaluate the use of childbirth interventions and their related factors. Materials and methods: This is a cross-sectional and quantitative study carried out with parturients at a public maternity hospital in São Luís. Data collection was carried out through interviews and assessment of medical records. The questionnaire was structured in blocks referring to sociodemographic, obstetric and childbirth characteristics. Statistical analyzes were performed using the STATA® program, using Pearson's Chi-square test. Results: According to the medical records, 14.75% of the puerperal women underwent amniotomy and 37.70% oxytocin. There was a significant difference between illiterate/incomplete primary mothers and amniotomy; primiparous women were more often submitted to episiotomy; oxytocin was higher in postpartum women without a partner. The questions about analgesia and conditions of the perineum were mostly unrecorded in the medical records, 74.86% and 77.60%, respectively. Conclusion: Therefore, a careful review should be carried out by the multidisciplinary team, mainly medical, on the interventions deemed necessary in childbirth and a concern with the complete filling of these records, to avoid underreporting of these interventions performed. Keywords: Normal delivery. episiotomy. oxytocin. amniotomy.