Department of Anesthesiology, Maternity School Hospital, Federal University of Rio de Janeiro, Rua das Laranjeiras, 180 (Laranjeiras), Rio de Janeiro, RJ 22240-003, Brazil.
Department of Statistics, Fluminense Federal University, Rua Professor Marcos Waldemar de Freitas Reis, Campus do Gragoatá (São Domingos), Niterói, RJ, Brazil.
J Perinat Med. 2020 Jun 25;48(5):495-503. doi: 10.1515/jpm-2019-0366.
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.
我们研究了陪伴和使用补充疗法对接受区域镇痛的产妇不良结局的影响。
这是一项单中心回顾性队列研究，纳入了 986 名足月妊娠妇女，数据来自病历（住院期间：2012 年 11 月至 2018 年 11 月）。这些妇女在区域镇痛下处于活跃分娩期。统计程序用于搜索陪伴和使用补充疗法与样本数据之间的关联。基于显著关联的双变量和多变量逻辑回归用于分析不良结局的潜在干预变量。
为每种产妇不良结局构建了模型。分娩并发症与补充疗法显著相关（调整后的优势比 [AOR] = 0.42；95%置信区间 [CI] = 0.28-0.63；P < 0.001）和陪伴（AOR = 0.36；95%CI = 0.22-0.57；P < 0.001）。产妇住院时间延长与陪伴显著相关（AOR = 0.57；95%CI = 0.36-0.92；P < 0.05）。计划外剖宫产与补充疗法显著相关（AOR = 0.05；95%CI = 0.01-0.47；P < 0.01）。
陪伴可降低分娩并发症和产妇住院时间延长的可能性，而使用补充疗法可降低分娩并发症和剖宫产率的可能性。
