AI Article Synopsis
- - The study aimed to explore the link between the use of pain relief (analgesia) during labor and various neonatal outcomes, including Apgar scores and the need for medical interventions.
- - Researchers analyzed medical records from 850 women, finding that 35% used analgesia, which correlated with lower one-minute Apgar scores, increased use of resuscitation measures, and more referrals to Neonatal ICU, particularly among low-risk pregnancies.
- - The results indicate that pharmacological analgesia during labor is associated with worse neonatal outcomes, prompting concerns about its effects despite adjustments for other influencing factors.
Article Abstract
Objetive: To investigate the association between analgesia during labor and occurrence of neonatal outcomes.
Method: 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.
Conclusion: The use of pharmacological analgesia during labor is associated with one-minute Apgar < 7, resuscitation maneuvers and referral to the Neonatal ICU.
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Source |
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| http://dx.doi.org/10.1590/0034-7167-2018-0757 | DOI Listing |
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