Obstetric analgesia in labor and its association with neonatal outcomes
ABSTRACT Objetives: To investigate the association between analgesia during labor and occurrence of neonatal outcomes. Methods: Retrospective cohort study with medical records of 850 parturient. The exposure variable of interest was receiving pharmacological analgesia during labor and neonatal out...
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Associação Brasileira de Enfermagem
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doaj-9cf015bee70a4c9995356f44f33940fe2020-11-25T03:17:03ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem0034-71671984-044673210.1590/0034-7167-2018-0757S0034-71672020000200164Obstetric analgesia in labor and its association with neonatal outcomesYasmin Aparecida Pires SilvaFernanda Gontijo AraújoTorcata AmorimEunice FranciscaMartinsMariana Santos Felisbino-MendesABSTRACT Objetives: To investigate the association between analgesia during labor and occurrence of neonatal outcomes. Methods: Retrospective cohort study with medical records of 850 parturient. The exposure variable of interest was receiving pharmacological analgesia during labor and neonatal outcomes were: one- and five-minute Apgar, resuscitation maneuvers and referral of the newborn to Neonatal ICU. A logistic regression was carried out to obtain Odds Ratios and 95% confidence interval, with adjustment for confounding factors. Results: Among the women studied, 35% received analgesia and this use was associated with a greater chance of neonatal outcomes such as one-minute Apgar < 7 (p <0.0001), resuscitation maneuvers (p <0.001) and referral to the Neonatal ICU (p = 0.004), mostly were among low-risk pregnant women, even after adjustments. Conclusions: The use of pharmacological analgesia during labor is associated with one-minute Apgar < 7, resuscitation maneuvers and referral to the Neonatal ICU.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000200164&lng=en&tlng=enanalgesia obstétricarecién nacidotrabajo de partotest de apgarunidad de cuidados intensivos neonatales (ucin) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasmin Aparecida Pires Silva Fernanda Gontijo Araújo Torcata Amorim Eunice FranciscaMartins Mariana Santos Felisbino-Mendes |
spellingShingle |
Yasmin Aparecida Pires Silva Fernanda Gontijo Araújo Torcata Amorim Eunice FranciscaMartins Mariana Santos Felisbino-Mendes Obstetric analgesia in labor and its association with neonatal outcomes Revista Brasileira de Enfermagem analgesia obstétrica recién nacido trabajo de parto test de apgar unidad de cuidados intensivos neonatales (ucin) |
author_facet |
Yasmin Aparecida Pires Silva Fernanda Gontijo Araújo Torcata Amorim Eunice FranciscaMartins Mariana Santos Felisbino-Mendes |
author_sort |
Yasmin Aparecida Pires Silva |
title |
Obstetric analgesia in labor and its association with neonatal outcomes |
title_short |
Obstetric analgesia in labor and its association with neonatal outcomes |
title_full |
Obstetric analgesia in labor and its association with neonatal outcomes |
title_fullStr |
Obstetric analgesia in labor and its association with neonatal outcomes |
title_full_unstemmed |
Obstetric analgesia in labor and its association with neonatal outcomes |
title_sort |
obstetric analgesia in labor and its association with neonatal outcomes |
publisher |
Associação Brasileira de Enfermagem |
series |
Revista Brasileira de Enfermagem |
issn |
0034-7167 1984-0446 |
description |
ABSTRACT Objetives: To investigate the association between analgesia during labor and occurrence of neonatal outcomes. Methods: Retrospective cohort study with medical records of 850 parturient. The exposure variable of interest was receiving pharmacological analgesia during labor and neonatal outcomes were: one- and five-minute Apgar, resuscitation maneuvers and referral of the newborn to Neonatal ICU. A logistic regression was carried out to obtain Odds Ratios and 95% confidence interval, with adjustment for confounding factors. Results: Among the women studied, 35% received analgesia and this use was associated with a greater chance of neonatal outcomes such as one-minute Apgar < 7 (p <0.0001), resuscitation maneuvers (p <0.001) and referral to the Neonatal ICU (p = 0.004), mostly were among low-risk pregnant women, even after adjustments. Conclusions: The use of pharmacological analgesia during labor is associated with one-minute Apgar < 7, resuscitation maneuvers and referral to the Neonatal ICU. |
topic |
analgesia obstétrica recién nacido trabajo de parto test de apgar unidad de cuidados intensivos neonatales (ucin) |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000200164&lng=en&tlng=en |
work_keys_str_mv |
AT yasminaparecidapiressilva obstetricanalgesiainlaboranditsassociationwithneonataloutcomes AT fernandagontijoaraujo obstetricanalgesiainlaboranditsassociationwithneonataloutcomes AT torcataamorim obstetricanalgesiainlaboranditsassociationwithneonataloutcomes AT eunicefranciscamartins obstetricanalgesiainlaboranditsassociationwithneonataloutcomes AT marianasantosfelisbinomendes obstetricanalgesiainlaboranditsassociationwithneonataloutcomes |
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