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

AI Article Synopsis

  • - The study assessed how early hospitalization during pregnancy (before 6 cm cervical dilation) relates to the use of various obstetric interventions and the likelihood of cesarean delivery.
  • - Data was gathered from 758 women at childbirth, revealing that 73.22% experienced early hospitalization, leading to significantly higher rates of certain interventions like Kristeller's maneuver and oxytocin infusion.
  • - Results indicated that women who were early hospitalized had a greater chance (8 times more) of having a cesarean delivery compared to those who were not, suggesting a link between early hospitalization and increased medical interventions.

Article 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.

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Source
http://dx.doi.org/10.1590/0034-7167-2020-0397DOI Listing

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