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ORIGINAL ARTICLE
Factors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190899
10-05-2020
Resumo
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190899
10-05-2020DOI 10.1590/0034-7167-2019-0899
Visualizações0Ver maisABSTRACT
Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
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ORIGINAL ARTICLE
Influence of maternal age and hospital characteristics on the mode of delivery
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20180955
07-31-2020
Resumo
ORIGINAL ARTICLEInfluence of maternal age and hospital characteristics on the mode of delivery
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20180955
07-31-2020DOI 10.1590/0034-7167-2018-0955
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the relationship between maternal age and the source of healthcare payment with mode of delivery in public and private national hospitals between the years 2012 to 2017, and the length of hospital stay.
Methods:
cross-sectional study of 91,894 women who had children in public and private hospitals between 2012 and 2017. Data were collected from the Diagnosis-Related Groups Brazil system and a comparative analysis was performed between patients in public care and those in supplementary healthcare.
Results:
in public care, the majority were vaginal deliveries and the reverse occurred in supplementary health. The proportion of cesarean sections was higher in the age group 31 to 40 years old in both services. The hospital stay was longer among women who underwent a cesarean section.
Conclusions:
high maternal age and the source of healthcare payment influence the mode of delivery, which interfere with the length of hospital stay.