治疗阴道分娩疼痛的处方和镇痛效果的流行率。
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain.
机构信息
Maternidade Maria da Conceição de Jesus. Salvador, Bahia, Brazil.
University of Washington. Seattle, Washington, United States of America.
出版信息
Rev Bras Enferm. 2024 Nov 22;77(5):e20230327. doi: 10.1590/0034-7167-2023-0327. eCollection 2024.
OBJECTIVES
to assess pain management during labor.
METHODS
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
RESULTS
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients' request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
CONCLUSIONS
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
目的
评估分娩过程中的疼痛管理。
方法
通过回顾病历和进行产后访谈进行了一项横断面研究。评估了镇痛的流行率和效果。
结果
在产科中心，215 名分娩妇女中，非药物性镇痛的流行率为 61.86%，62 名助产士主导单位的流行率为 82.51%。在产科中心，非药物性镇痛前后视觉模拟量表上严重疼痛的流行率从 92.16%降至 64.04%（p=0.00），在助产士主导单位从 85.96%降至 52.63%（p=0.01）。产科中心的药物性镇痛流行率为 15.81%，严重疼痛无变化（p=0.57）。患者对镇痛的需求与教育（p=0.00）和疼痛强度（p=0.02）有关。
结论
非药物性镇痛可改善疼痛强度。药物性镇痛处方的流行率低于发达国家。疼痛管理需要考虑分娩妇女的偏好和需求。
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