Intercorrencias fisicas e emocionais no puerperio e suas relações com intervenções na assistencia ao parto / Intercurrences physical and emotional in the puerperium and its relation with intervention to the delivery

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

The interventions during labor and delivery have been subject of national and international agency debates. In Brazil, health policies has been implemented in order to reduce the rates of surgical delivery, episiotomies, and other birth procedures revealed as inadequate when used without clinical indication. The aim of this study is to identify the relationship between interventions during labor and delivery and, the physical and psychological women s condition in the puerperal period in a public hospital in the State of São Paulo. It s a quantitative descriptive study that depicts the assistance received in the labor and its association to the kind of delivery, the interventions performed, the occurrence of depression and complications to the mothers in their puerperium. A sample of 278 women have been interviewed about their physical and psychological state on the 10th day of their puerperium, and 130 out of these 278 on the 40th day. An analysis was undertaken for potential risky factors, with outcome variable being presence or absence of complications. Confidence intervals at 95% level were calculated for each variable. Prevalence was calculated to identify the relationship between delivery clinical and surgical procedures and woman s health during puerperium period. The results showed a prevalence of analgesia and instrumental delivery above the expected by the current literature. Forceps delivery was a risk factor for more severe perineal lacerations and for newborns with and Apgar index lower than 7 in the first minute of life

ASSUNTO(S)

natural childbirth public policies obstetricia obstetric parto normal politicas publicas

ACESSO AO ARTIGO

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