Epidural analgesia and its implications in the maternal health in a low parity comunity
| Autor: | Mario López, Pilar Isasi-Nebreda, Hedylamar Almeida, Ivan Penuela, Esther Gómez-Sánchez, Eduardo Tamayo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Desgarro perineal
Maternal outcomes Perineal tears Epidural analgesia medicine.medical_treatment Logistic regression Perineum Lacerations Labor Presentation 0302 clinical medicine Pregnancy Risk Factors Perineal tear Odds Ratio Caesarean section 030212 general & internal medicine Analgesia epidural 030219 obstetrics & reproductive medicine Obstetrics Obstetrics and Gynecology Analgesia Epidural Parity Female Delivery Cohort study Research Article Adult medicine.medical_specialty Reproductive medicine lcsh:Gynecology and obstetrics 03 medical and health sciences medicine Humans lcsh:RG1-991 Retrospective Studies business.industry Odds ratio Delivery Obstetric Labor Confidence interval Obstetric Labor Complications Logistic Models Spain Multivariate Analysis Tears Analgesia Obstetrical business Cesárea |
| Zdroj: | UVaDOC: Repositorio Documental de la Universidad de Valladolid Universidad de Valladolid BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-9 (2019) UVaDOC. Repositorio Documental de la Universidad de Valladolid instname |
| DOI: | 10.1186/s12884-019-2191-0 |
| Popis: | Producción Científica Background: In regard to obstetrical analgesia management there are different results related to the use of epidural analgesia versus mechanical adverse outcomes at delivery. Methods: Cohort study of 23,183 consecutive, term, singleton vaginal deliveries, including spontaneous and induced labours, at a single institution from January 2004 to June 2016 to determine the association between epidural analgesia and different mechanical complications affecting maternal health such as severe perineal tears (SPT), abnormal foetal head position at delivery, instrumental delivery and caesarean section (CS). Multivariate logistic regression models were constructed to evaluate the risk factors of these mechanical complications with respect to possible cofounders. Results: Epidural analgesia was used in 15,821 (68.24%) women. The logistic regression model showed a non-significant association between the use of epidural analgesia and SPT (odds ratio [OR], 078; 95% confidence interval [CI], 0.48–1.26; p = 0.310). Instrumental delivery and CSs were more frequently performed in cases than controls (p = |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|