Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study

ABSTRACT Objective: Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route. Methods: Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitt...

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Main Authors: Tamara Lopes Terto (Author), Thales Philipe Rodrigues da Silva (Author), Thamara Gabriela Fernandes Viana (Author), Ana Maria Magalhães Sousa (Author), Eunice Francisca Martins (Author), Kleyde Ventura de Souza (Author), Fernanda Penido Matozinhos (Author)
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Published: Associação Brasileira de Enfermagem.
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Summary:ABSTRACT Objective: Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route. Methods: Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables. Results: 73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller's maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization. Conclusion: Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.
Item Description:1984-0446
10.1590/0034-7167-2020-0397