Tocolysis among Women with Preterm Birth: Associated Factors and Outcomes from a Multicenter Study in Brazil

Dias, Tábata Z.; Fava, Mariana; Júnior, Renato Passini; Cecatti, José Guilherme; Tedesco, Ricardo Porto; Lajos, Giuliane J.; Rehder, Patrícia Moretti; Nomura, Marcelo Luís; Oliveira, Paulo; Costa, Maria Laura

doi:10.1055/s-0038-1642025

Cited by 3 publications

(4 citation statements)

References 26 publications

(27 reference statements)

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“…The history of preterm labor is another factor inducing preterm labor pain [10]. From this study, it was found that preterm labor history is not a factor relating to unsuccessful uterus contraction inhibition.…”

Section: Table 1 Baseline Maternal Characteristics Of Pregnant Women mentioning

confidence: 67%

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Seevilai

Aswakul

2021

ijsr

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The objective is aimed to Assessing risk factors for unsuccessful rate of uterus contraction inhibition in pregnant women 240/7-336/7 weeks of gestation in Maharat Nakhon Ratchasima Hospital The retrospective cohort study approved by the Research Ethics committee of, Maharat Hospital, Nokhon Ratchasima Province Thailand studying pregnant women who were diagnosed with preterm labor pain with gestrational age of 240/7-336/7 weeks at the delivery ward of Maharat Nakhon Ratchasima Hospital and received Dexamethasone(corticosteroid) for the first time in every case between 1 January 2016 – 31 December 2018. From 361 pregnant women with preterm labor pain, 169 women were successful inhibition which was 54.29%. The group with failure inhibition were 165 women which was 45.71%. The factors relating to unsuccessful inhibition of uterus contraction were ANC less than 5 times, Adjusted odd ratios(AORs) 1.74; 95%CI 1.01-3.03, multiple pregnancy AORs 4.42 ; 95%CI 1.96-9.97 Cervical dilatation ≥3 cm AORs 5.93; 95%CI 3.44-10.22, the Effacement ≥ 80%, AORs 3.39; 95%CI 2.07-5.55, transfer from another hospital AORs 13.96; 95%CI 5.24-37.19. The research concludes that the factors relating to unsuccessful inhibition of uterus contraction were ANC less than 5 times, multiple pregnancy, Cervical dilatation ≥3 centimeters, Effacement ≥ 80%,and pregnant women referred from Secondary care center

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Section: Table 1 Baseline Maternal Characteristics Of Pregnant Women mentioning

confidence: 67%

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Seevilai

Aswakul

2021

ijsr

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“…Pontua-se, que a multiparidade é um dos fatores de risco mais importantes na história de parto prematuro prévio, e mulheres que apresentam mais de três partos possuem um risco maior que aquelas com dois ou menos partos, e isso pode estar ligado à forma de implantação do óvulo fecundado na parede uterina. 10 Nota-se, com relação à exposição ao tabagismo durante a gestação, que é possível que este atue como um indicador de risco para o nascimento prematuro. Aumentar-se-ia, pelo efeito acumulativo do tabagismo, o risco de nascimento prematuro ocasionado pelo TPP, o que não foi visualizado no estudo, pois o número de gestantes tabagistas foi baixo entre as gestantes entrevistadas.…”

Section: Discussionunclassified

Premature Delivery Work: Associated Conditions

Alves

Santos

Sanches

et al. 2021

Rev enferm UFPE on line.

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Objective: to identify which risk factors / clinical conditions are frequently associated with premature labor in a reference maternity for high risk. Method: this is a quantitative, descriptive, documentary study. In the population studied, it was understood that pregnant women diagnosed with premature labor admitted to the maternity ward of a public hospital from June to September 2018. Results: it was identified that, of the 40 pregnant women, 21 (52.5% ) were 20 to 34 years old and, in relation to parity, 24 (60%) were multigravid; of the cases that presented some clinical condition associated with the diagnosis of premature labor, Urinary Tract Infection was the most incident complication, corresponding to 27 (65%) of the cases. Conclusion: it appears that the most incident risk factors for the development of premature labor were: maternal age, parity and complications such as Urinary Tract Infection. It was seen that it is up to the professionals involved in prenatal care to provide adequate support for mothers and family members, based on solidarity and welcome, also combining technical and scientific knowledge in order to reduce morbidity and mortality.

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“…La rotura prematura de membranas fue la principal causa de prematuridad en este estudio y prevalente en el 32,5% de los nacimientos. Un estudio brasileño destaca que la rotura prematura de membranas es un factor frecuente en los partos prematuros, especialmente en embarazos con más de 30 semanas de EG, que valida la razón principal para el parto prematuro de este trabajo en una población de prematuros que no son extremos (18) .…”

Section: Discussionunclassified

“…En cuanto a la correlación del mayor número de partos prematuros anteriores y la edad gestacional más baja al nacer (IC=0,522, p=0,008), los estudios destacan y corroboran estas declaraciones (11,18) sin embargo, las prácticas de tocólisis son aún pocas consideradas para las mujeres con este factor de riesgo. Según un estudio multicéntrico brasileño, los esfuerzos para retrasar el parto prematuro no diferenciaron las madres con partos prematuros previos de aquellos que aún no habían experimentado prematuridad (18) , lo que indica la identificación temprana necesaria de esta condición en los servicios de salud.…”

Section: Discussionunclassified

Fatores obstétricos associados ao nascimento de bebês prematuros moderados e tardíos

Jantsch¹,

Canto²,

Melo³

et al. 2021

Enf Global

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Objetivo: Analizar las variables obstétricas asociadas con el nacimiento de bebés prematuros moderados y tardíos en una ciudad de la región sur de Brasil. Método: Estudio transversal que analizó las variables obstétricas de 151 recién nacidos prematuros moderados y tardíos desde mayo de 2016 hasta mayo de 2017 que residen en Santa Maria/RS. Los datos fueron recolectados, por medio de un instrumento específico, diariamente, y posteriormente analizados de manera descriptiva y por comparación de frecuencia y correlación. Resultados: La gemelaridad (14,6%) fue la característica más frecuente entre los tardíos, en comparación con el grupo de moderados (p = 0,019). Los otros factores no mostraron diferencias significativas. El mayor número de partos prematuros anteriores tiene una correlación significativa con la menor edad gestacional al nacer (IC = -0.522, p = 0.008). Conclusión: Para los dos grupos de recién nacidos prematuros estudiados, los motivos no mostraron ninguna diferencia significativa, lo que sugiere homogeneidad con respecto a los motivos obstétricos para el parto prematuro. Objective: To analyze obstetric variables associated with the birth of moderate and late premature babies in a city in the southern region of Brazil.Method: Cross-sectional study that analyzed the obstetric variables of 151 moderate and late preterm infants from May 2016 to May 2017 resident in Santa Maria/RS. Data were collected by means of their own instrument daily, and subsequently analyzed descriptively and by comparison of frequency and correlation. Results: Twinning (14.6%) was the most frequent feature among late twins when compared to the moderate group (p = 0.019). The other factors showed no significant difference. The higher number of previous premature births has a significant correlation with the lower gestational age at birth (CI = -0.522, p = 0.008). Conclusion: For the two groups of premature infants studied, the reasons did not present significant difference, which suggests homogeneity regarding the obstetric reasons for early birth. Objetivo: Analisar variáveis obstétricas associadas ao nascimento de bebês prematuros moderados e tardios em um município da região sul do Brasil.Método: Estudo transversal que analisou as variáveis obstétricas de 151 neonatos prematuros moderados e tardios no período de maio de 2016 a maio de 2017 residentes em Santa Maria/RS. Os dados foram coletados, por meio de instrumento próprio, diariamente, e posteriormente analisados de forma descritiva e por comparação de frequência e correlação. Resultados: A gemelaridade (14,6%) foi a característica mais frequente entre os tardios, quando comparados ao grupo de moderados (p=0,019). Os demais fatores não apresentaram diferença significativa. O maior número de partos prematuros anteriores possui correlação significativa com a menor idade gestacional ao nascer (IC= -0,522, p=0,008). Conclusão: Para os dois grupos de prematuros estudados, os motivos não apresentaram diferença significativa, o que sugere homogeneidade quanto aos motivos obstétricos de nascimento precoce.

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Tocolysis among Women with Preterm Birth: Associated Factors and Outcomes from a Multicenter Study in Brazil

Cited by 3 publications

References 26 publications

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Premature Delivery Work: Associated Conditions

Fatores obstétricos associados ao nascimento de bebês prematuros moderados e tardíos

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