Labor analgesia related to obstetric outcomes
Keywords:Children; Analgesia; Children’s pain.
The issue of the use of analgesia in childbirth, even though it is not commonly adopted in Brazil, has been largely replaced in respect of how to make this moment less painful and with less unfavorable outcomes, both for the newborn and for the mother. Objective: This article aims to assess the relationship between the use of anesthetic techniques and the obstetric outcome of pregnant women during labor, based on articles published in the database. Methods: This is an integrative review that aims to analyze and synthesize that the literature brings about labor analgesia and its possible obstetric outcomes. The search for articles was carried out in the following databases: Scientific Eletronic Library Online (SciELO) and in Latin American and Caribbean Literature (LILACS); in addition to the PUBMED portal. Results and Discussion: Despite being satisfactory to control pain, the administration of local anesthetics can trigger several unfavorable effects. During a study, the length of the expulsive period of labor, an important fetal bradycardia, in addition to the increase in the number of instrumental deliveries, stood out among the studies. Final considerations: This article considers that there is a benefit of using analgesia for pain relief and comfort during childbirth, but it was observed that there is a relationship between its use and: assisted vaginal delivery, delay in the beginning of lactation, increase in the second stage of delivery and fetal bradycardia.
Amaral, H. R. M., Filho, E. D. S., Silva, D. M., Barbosa, T. L. d. A., & Gomes, L. M. X. (2015, June 15). Repercussões maternas e fetais da analgesia obstétrica: uma revisão integrativa. Av Enferm, 33(2), 282-294.
American Academy of Pediatrics, Committee on Fetus and Newborn, American College of Obstetricians and Gynecologists, & Committee on Obstetric Practice (2006). The Apgar score. Advances in neonatal care: official journal of the National Association of Neonatal Nurses, 6(4), 220–223.
Braga, A. F. A., Carvalho, V. H., Braga, F. S. S., & Pereira, R. I. C.. (2019). Bloqueio combinado raquiperidural para analgesia de parto. Estudo comparativo com bloqueio peridural contínuo. Revista Brasileira de Anestesiologia, 69(1), 7-12. https://doi.org/10.1016/j.bjane.2018.08.003.
Cecatti, J. G., Pereira, R. I. C., Oliveira, A. S., & Cecarelli, M J.. (1998). Analgesia peridural para o trabalho de parto e para o parto: efeitos da adição de um opióide. Revista Brasileira de Ginecologia e Obstetrícia, 20(6), 325-331. https://doi.org/10.1590/S0100-72031998000600005.
Dąbrowska W. M., Szypenbejl K. C., Pietrzak J, et al. A review of randomized trials comparisons of epidural with parenteral forms of pain relief during labour and its impact on operative and cesarean delivery rate. Ginekologia Polska 2018, vol. 89, no. 8, pág. 459-466.
Felisbino-Mendes, M. S., Santos, L. O., Amorim, T., Costa, I. N., & Martins, E. F. (2017, October 11). O uso de analgesia farmacológica influencia no desfecho de parto? Acta Paul Enferm, 30(5), 458-464.
Fernandes, R. L. V., de Castro Damasceno, A. K., Herculano, M. M. S., Martins, R. D. S. T., & Oriá, M. O. B. (2017). Analgesia obstétrica farmacológica: um estudo sobre os desfechos obstétricos e neonatais. Revista da Rede de Enfermagem do Nordeste, 18(5), 687-694.
Hillmann B. R., Stamm A. M. N. F, et al. Knowledge, attitude and practice regarding pharmacological methods of labor analgesia. BrJP. São Paulo, 2019 jan-mar;2(1):14-9.
Hoult I. J, MacLennan A. H, Carrie L. E. Lumbar epidural analgesia in labour: relation to fetal malposition and instrumental delivery. Br Med J. 1977; 1(6052): 14–16.
Hung, T. H., & Liu, H. P. (2015). Differential effects of epidural analgesia on modes of delivery and perinatal outcomes between nulliparous and multiparous women: a retrospective cohort study. PLoS One, 10(3), e0120907.
Lausin L. G, Botella M. P, Duran X, Vicente M. F. M, Martin M. J. G, Cuesta E. G. E, Escuriet R., et al. Relation between Length of Exposure to Epidural Analgesia during Labour and Birth Mode. Int. J. Environ. Res. Public Health 2019, 2916-2928.
Penuela I., Nebreda P.I., Almeida H., López M., Sanchez E.G., Tamayo E., et al. Epidural analgesia and its implications in the maternal health in a low parity comunity. BMC Pregnancy and Childbirth. 2019;19:52.
Piedrahíta-Gutiérrez, D. L., España-Chamorro, J. A., Piedrahíta-Gutiérrez, W. E., López-Clavijo, C. A., & Henao-Flórez, R. E. (2016, September 1). Resultados obstétricos y perinatales en pacientes con o sin analgesia obstétrica durante el trabajo de parto. IATREIA, 29(3), 263-268.
The American College of Obstetricians and Gynecologists. Operative Vaginal Delivery. Obstet Gynecol. 2015; 126(5): e56-e65.
Vieira G.M., Morais T.B., Lima E.F.A., Pontes M.B., Brandão M.A.G., Primo C.C. Nursing protocol for assistance to women in lactation process. Rev Fun Care Online. 2017 out/dez; 9(4): 1040-1047. DOI: http://dx.doi. org/10.9789/2175-5361.2017.v9i4.1040-1047
World Health Organization. 10 facts on breastfeeding. Retirado em 05/01/2021 de http://www.who.int/features/ factfiles/breastfeeding/facts/en/index9.html. Mascarenhas VH, Lima TR, Silva FM, Negreiros FS, Santos JD, Moura MA, et al. Evidências científi cas sobre métodos não farmacológicos para alívio a dor do parto. Acta Paul Enferm. 2019;32(3):350-7.
How to Cite
Copyright (c) 2021 Ana Vitória Meireles Veiga; Ariane Oliveira Dinato ; Marinice Saraiva Attem; Raysa Maria Silva de Araujo; Luma Nunes Pereira da Silva ; Lucas de Carvalho Techi; Eduardo de Carvalho Carneiro; Igor dos Santos Cavalcante; Lúcia Maria de Sousa Aguiar dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.