Relationship between gestational risk and type of delivery in high risk pregnancy

Abstract

Objective: To analyze the association between gestational risk factors and type of delivery in high-risk pregnancies. Method: A cross-sectional epidemiological study involving a retrospective analysis of secondary data from 4,293 medical records of high-risk pregnant women. The primary outcome was composed of risks associated with cesarean delivery and spontaneous abortion compared with normal delivery. Results: There were 3,448 women analyzed in the study. The primary outcome rates were cesarean delivery (72.8%), spontaneous abortion (0.9%) versus vaginal delivery (26.2%). Common risk factors for cesarean delivery and spontaneous abortion were age ≥35 years (OR = 1.4; 95% CI 1.1-1.7 / OR = 11.5; 95% CI 4.2-31.0), evangelical religion (OR = 1.4; 95% CI 1.2-1.7 / OR = 2.6; 95% CI 1.0-6.7), high blood pressure (OR = 1.4; 95% CI 1.1-1.8 / OR = 74.9; 95% CI 13.7-410.2) and twinning (OR = 3.1; 95% CI 1.9-5.0 / OR = 68.6, 95% CI 9.7-487.7). Conclusion: Identifying the relationship of gestational risks with the type of delivery and abortion can contribute to developing strategies and assist in planning actions in women’s healthcare networks, developing specific and individualized lines of care for each gestational risk.

Effect of Oxytocin Combined with Different Volume of Water Sac in High-Risk Term Pregnancies

“…Patients who were in line with the diagnostic criteria of high-risk pregnancy [ 13 ] and water-sac-induced labor indications [ 14 ] with singleton pregnancy and fetal presentation were enrolled. In contrast, pregnant women with premature rupture of membranes, vaginitis, liver and kidney dysfunction, or fetal cardiac distress that need to stop pregnancy immediately were ruled out.…”

Sociodemographic factors and type of delivery: systematic review / Fatores sociodemográficos e via de parto: revisão sistemática

“…Table 1 shows the methodological characteristics and the main results of the included articles, organized in chronological order according to the date of publication. Thirteen studies assessed maternal age, of these, eleven [11][12][13][14][17][18][19][21][22][23][24] found an association of maternal age (≥35 years) with the performance of cesarean section and two 15,16 found no such association.…”

“…Twelve studies evaluated the level of maternal education and its association with types of delivery, among these, four studies 14,18,20,21 found no association between this exposure and outcomes, eight studies 11,13,17,19,[21][22][23] found a higher chance of cesarean section among those with higher education level and one 12 found a lower chance of cesarean section in women with more than eight years of schooling.…”

“…37 Another factor associated with cesarean section in this review was maternal age. [11][12][13][14][17][18][19][21][22][23][24] A cohort 38 shows that age alone is not a risk factor. In this age group, adequate prenatal and delivery follow-up make maternal and perinatal prognoses similar to those of younger women 39 .…”

Pharmaceutical care during pregnancy: An integrative revie

“…No entanto, em 20% dos casos a gestação pode evoluir para um desfecho desfavorável, podendo ocorrer tanto para mulher quanto para seu bebê. Mesmo com todos os cuidados pré-natais, os parâmetros clínicos, obstétricos, ou sociais, podem gerar complicações, comprometendo a integridade física do binômio mãe-feto, caracterizando uma gravidez de alto risco (Antunes et al, 2020;Rodrigues et al, 2017).…”