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

Relación entre internación precoz de embarazadas y uso de intervenciones obstétrica y cesarianas: estudio transversal

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.

Descriptors:
Obstetric Nursing; Perinatal Care; Childbirth; Labor, Obstetric; Clinical Protocols

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