Influence of non-pharmacological obstetric interventions on adverse outcomes of childbirth under regional analgesia

Gisèle P.C. Gribelhttp://orcid.org/https://orcid.org/0000-0002-0573-392X 1 , Luis Guillermo Coca-Velarde 2  and Renato A. Moreira de Sá 3
  • 1 Department of Anesthesiology, Maternity School Hospital, Federal University of Rio de Janeiro, Rua das Laranjeiras, 180 (Laranjeiras), Rio de Janeiro, RJ 22240-003, Brazil
  • 2 Department of Statistics, Fluminense Federal University, Rua Professor Marcos Waldemar de Freitas Reis, Campus do Gragoatá (São Domingos), Niterói, RJ, Brazil
  • 3 Department of Obstetrics, Fluminense Federal University, Hospital Universitário Antônio Pedro (HUAP-UFF), Niterói, RJ, Brazil
Gisèle P.C. GribelORCID iD: https://orcid.org/0000-0002-0573-392X, Luis Guillermo Coca-Velarde
  • Department of Statistics, Fluminense Federal University, Rua Professor Marcos Waldemar de Freitas Reis, Campus do Gragoatá (São Domingos), Niterói, RJ, Brazil
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and Renato A. Moreira de Sá
  • Department of Obstetrics, Fluminense Federal University, Hospital Universitário Antônio Pedro (HUAP-UFF), Niterói, RJ, Brazil
  • Search for other articles:
  • degruyter.comGoogle Scholar

Abstract

Background

We examined the influence of companionship and the use of complementary therapies on adverse outcomes in parturients under regional analgesia.

Methods

This study is a single-center retrospective cohort of 986 term pregnant women, and it was based on data from medical records (hospitalization period: November 2012–November 2018). The women were in the active phase of labor under regional analgesia. A statistical program was used to search for an association between companionship and the use of complementary therapies with sample data. Bi- and multivariate logistic regressions based on significant associations were used to analyze the potential intervening variables in the adverse outcomes.

Results

Models were constructed for each of the maternal adverse outcomes. Childbirth complications were significantly associated with complementary therapies [adjusted odds ratio (AOR) = 0.42; 95% confidence interval (CI) = 0.28–0.63; P < 0.001] and companionship (AOR = 0.36; 95% CI = 0.22–0.57; P < 0.001). Prolonged maternal hospitalization was significantly associated with companionship (AOR = 0.57; 95% CI = 0.36–0.92; P < 0.05). Unplanned cesarean section showed a significant association with complementary therapies (AOR = 0.05; 95% CI = 0.01–0.47; P < 0.01).

Conclusion

The likelihood of childbirth complications and prolonged maternal hospitalization is reduced by companionship, whereas the likelihood of childbirth complications and cesarean section rates is reduced by the use of complementary therapies.

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