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 4 publications

(5 citation statements)

References 26 publications

(43 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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“…(Duarte et al, 2021). Alves et al, (2021) destaca que mulheres que apresentam mais de três partos possuem um risco maior de TPP e tal fato pode estar ligado à forma de implantação do óvulo fecundado na parede uterina (Dias et al, 2018). Essa informação vai de encontro com os resultados desse estudo, no qual 13 dos 20 recém-nascidos pré-termo vieram de mães multíparas, e dessas, 8 estavam, no mínimo, na terceira gestação.…”

Section: Discussionunclassified

Perfil clínico e epidemiológico de pacientes internadas em uma UTI Materna COVID-19

Evangelista

Alves

Barros³

et al. 2023

RSD

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Objetivo: traçar o perfil clínico e epidemiológico de gestantes e puérperas internas em unidade de terapia intensiva COVID-19 em uma maternidade de alta complexidade na cidade de Teresina-PI. Métodos: trata-se de um estudo de cunho quantitativo, descritivo, retrospectivo de revisão de prontuário realizado em uma maternidade localizada na cidade de Teresina-Pioram englobados prontuários de gestantes com diagnóstico clínico ou sorológico de COVID-19. Foram excluídos prontuários com muitos dados incompletos (acima de 20), pacientes sem diagnóstico de COVID-19 e que os sintomas apareceram após o parto. Resultados: A amostra total desse estudo foi composta por 43 prontuários de pacientes que atenderam aos critérios estabelecidos, sendo a maioria mulheres na faixa de 18 a 30 anos de idade (60,4%; N=26), com um peso maior que 65kg (60,4%; N=26), multigestas (55,8%; N=24), que realizaram consultas pré-natais (88,3%; N=38) e apresentaram, no mínimo, uma intercorrência na gravidez (67,4%; N=29). As manifestações clínicas mais relatadas foram dispneia (95,3%; N=42) e tosse (81,3%; N=35). Além disso, a pesquisa revela alto índice de parto prematuro (80%; N=20) e cesariano (100%; N=25). 69,7% (N=30) da amostra precisou de suporte ventilatório. Faz-se necessária a realização de mais estudos para entender o verdadeiro perfil deste público e compreender as demais consequências que a doença traz para gestantes.

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

Cited by 4 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

Perfil clínico e epidemiológico de pacientes internadas em uma UTI Materna COVID-19

Premature Delivery Work: Associated Conditions

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