Labour pain relief in women with assisted conception and its effects on labour and birth outcomes.
Background: Increased use of assisted reproduction technology has resulted in concerns about its impact on maternal and neonatal wellbeing. Aims: To evaluate the labour and birth outcomes in women who had and had not undertaken assisted conception and how the use of labour pain relief affected their...
| Publicado en: | British Journal of Midwifery Vol. 26; no. 4; pp. 239 - 248 |
|---|---|
| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Apr2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128954861&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128954861 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09694900 GHC jtl: British Journal of Midwifery issn: 09694900 maglogo: N pubinfo: dt: Apr2018 vid: 26 iid: 4 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 128954861 128954861 128954861 10.12968/bjom.2018.26.4.239 128954861 ppf: 239 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Labour pain relief in women with assisted conception and its effects on labour and birth outcomes. aug: au: Khajehei, Marjan Assareh, Hasan affil: Clinical midwifery consultant women's health research, Women's and Newborn Health Conjoint senior lecturer, University of New South Wales, Sydney Senior research Fellow, University of Sydney sug: subj: Labor Pain Prevention and Control Pain Management Reproduction Techniques Pregnancy Outcomes Pregnancy Female Analgesia, Epidural Body Mass Index Pregnancy-Induced Hypertension Regression Retrospective Design Chi Square Test Fisher's Exact Test Descriptive Statistics T-Tests Univariate Statistics Multivariate Analysis Logistic Regression Odds Ratio Confidence Intervals Female ab: Background: Increased use of assisted reproduction technology has resulted in concerns about its impact on maternal and neonatal wellbeing. Aims: To evaluate the labour and birth outcomes in women who had and had not undertaken assisted conception and how the use of labour pain relief affected their outcomes Methods: Women who had and had not undertaken assisted conception were studied, and the effects of labour pain relief on labour and birth outcomes evaluated. Findings: The results showed that women who had undertaken assisted conception were more likely to have had epidural analgesia during labour. However, after adjusting for country of birth, body mass index (BMI), maternal age, model of care during pregnancy and gestational hypertension, this difference was not statistically significant. Regression analysis showed no differences between the groups in use of oxytocin, mode of birth, episiotomy or tear, postpartum blood loss, Apgar score at 5 minutes and neonatal complications at birth (<italic>P</italic>>0.05). Conclusions: These findings demonstrate the factors leading to poor outcomes in women who undertake assisted conception, and will help to reduce obstetric complications in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|