Practices and obstetric interventions in women from a state in the Northeast of Brazil

Revista da Associação Médica Brasileira
Daniela Siqueira PradoRicardo Queiroz Gurgel

Abstract

To describe practices and interventions used during labor and childbirth and factors associated with such practices in puerperae in the state of Sergipe. A cross-sectional study with 768 postpartum women from 11 maternity hospitals interviewed 6 hours after delivery, and hospital records review. The associations between best practices and interventions used during labor and delivery with exposure variables were described using simple frequencies, percentages, crude and adjusted odds ratio (ORa) with the confidence interval. Of the women in the study, 10.6% received food and 27.8% moved during labor; non-pharmacological methods for pain relief were performed in 26.1%; a partogram was filled in 39.4% of the charts; and an accompanying person was present in 40.6% of deliveries. Oxytocin, amniotomy and labor analgesia were used in 59.1%, 49.3% and 4.2% of women, respectively. Lithotomy position during childbirth was used in 95.2% of the cases, episiotomy in 43.9% and Kristeller maneuver in 31.7%. The variables most associated with cesarean section were private financing (ORa=4.27, 95CI 2.44-7.47), higher levels of education (ORa=4.54, 95CI 2.56-8.3) and high obstetric risk (ORa=1.9, 95CI 1.31-2.74). Women whose delivery was funded ...Continue Reading

References

Nov 17, 2001·BMJ : British Medical Journal·J E PotterM C Formiga
Nov 6, 2008·American Journal of Obstetrics and Gynecology·Vincenzo BerghellaSuneet P Chauhan
Jun 30, 2010·Acta Obstetricia Et Gynecologica Scandinavica·Fernanda RebeloGilberto Kac
Apr 16, 2014·BMC Pregnancy and Childbirth·Ramón EscurietVicente Ortún
May 26, 2016·Revista latino-americana de enfermagem·Carmen Ballesteros-MeseguerM Emilia Martínez-Roche
Jan 15, 2017·BMC Pregnancy and Childbirth·Carol BedwellDame Tina Lavender

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Citations

Mar 16, 2019·International Journal of Environmental Research and Public Health·Antonio Hernández-MartínezJuan Gómez-Salgado
Sep 11, 2021·BMC Pregnancy and Childbirth·Karina Cristina Rouwe de SouzaFernanda Penido Matozinhos

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