Abstract
Objective: to analyze neonatal outcomes associated with obstetric interventions performed during labor in low-risk nulliparous women. Methods: a cross-sectional observational study of 534 low-risk nulliparous women. Results: interruption of skin-to-skin contact after delivery was shown to be associated with obstetric interventions such as cardiotocography at admission, oxytocin in labor, amniotomy, and episiotomy. The need for positive pressure ventilation and oxygen therapy was associated with the encouragement of the Valsalva maneuver; the performance of this maneuver was also associated with interventions such as amniotomy, episiotomy and directed pulling. Conclusion: the study showed that the use of obstetric interventions during labor in low-risk women is associated with unfavorable neonatal outcomes that lead to the need for further interventions after delivery.
Highlights
Nas últimas duas décadas, com o intuito de resgatar a experiência do nascimento como um evento familiar, centrado na mulher e no seu protagonismo, onde as influências hospitalocêntricas intervencionistas são minimizadas, foram criadas estratégias para garantir uma atenção mais humanizada na gestação, parto e puerpério
analyze neonatal outcomes associated with obstetric interventions performed during labor
interruption of skin-to-skin contact after delivery was shown to be associated with obstetric interventions
Summary
Com o intuito de resgatar a experiência do nascimento como um evento familiar, centrado na mulher e no seu protagonismo, onde as influências hospitalocêntricas intervencionistas são minimizadas, foram criadas estratégias para garantir uma atenção mais humanizada na gestação, parto e puerpério. Para a avaliação do parto, foram consideradas as variáveis independentes, quais sejam as intervenções realizadas no trabalho de parto e parto, tais como: cardiotocografia na admissão; uso de ocitocina; amniotomia; analgesia neuroaxial; incentivo à manobra de Valsalva; puxo dirigido; episiotomia; e manobra de Kristeller.
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