Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0327

Juan Ignacio Calcagno, Sarah Iribarren, Cristiane Flora Villarreal, Patricia Santos de Oliveira, Amado Nizarala de Ávila

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引用次数: 0

Abstract

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.

查看原文本刊更多论文

治疗阴道分娩疼痛的镇痛处方的普遍性和有效性。

目的：评估分娩过程中的疼痛管理。方法：通过查阅病历和产后访谈进行横断面研究。结果：在产科中心的 215 名产妇中，非药物镇痛的使用率为 61.86%；在助产士主导的 62 名产妇中，非药物镇痛的使用率为 82.51%。非药物镇痛前后的视觉模拟量表显示，产科中心的剧痛发生率从92.16%降至64.04%（P=0.00），助产士主导单元的剧痛发生率从85.96%降至52.63%（P=0.01）。产科中心的药物镇痛率为 15.81%，剧烈疼痛率没有变化（p=0.57）。患者要求镇痛与教育程度（p=0.00）和疼痛强度（p=0.02）有关。结论：非药物镇痛可改善疼痛强度，药物镇痛处方的使用率低于发达国家。疼痛管理需要考虑产妇的偏好和需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.