Uso de ocitocina e fatores associados em maternidades públicas

Keli Regiane Tomeleri da Fonseca Pinto, Giovanna Moreira de Pontes, Adriana Valongo Zani, Cátia Campaner Ferrari Bernardy, Cristina Maria Garcia de Lima Parada, Thelma Malagutti Sodré

Resumo


Objetivos: medir a prevalência da utilização de ocitocina no trabalho de parto e parto em maternidades públicas e identificar os fatores associados. Método: estudo transversal, realizado em duas maternidades públicas no município de Londrina, entre janeiro e junho de 2017, com 344 puérperas. Os dados foram coletados por meio da análise dos prontuários. Para análise dos fatores associados, utilizada uma regressão multivariada de Poisson, considerada p <5%. Os dados foram analisados no Statistical Package for the Social Sciences 22.0. Resultados: a prevalência de uso de ocitocina foi de 50,0%. Uma variável aborto anterior (RP = 0,64; p = 0,001)apresenta como fator de risco para uso ocitocina, enquanto presença de dilatação maior ou igual a 5 cm de internação (RP = 1,36, p = 0,004) e rotura espontânea de membranas (RP = 2,33, p = 0,003) proteção para uso da ocitocina. Conclusões: os resultados demonstraram uma prevalência elevada de uso de ocitocina e a diferença estatisticamente significativa na presença de aborto anterior. Por outro lado, a presença de amniotomia espontânea e a internação de mulheres na fase ativa do trabalho de parto são fatores de proteção para uso ocitocina, evidência de comprometimento do processo fisiológico da participação.


Palavras-chave


Ocitocina; Parto Normal; Trabalho de Parto; Trabalho de Parto Induzido; Saúde da Mulher; Saúde Materno-Infantil.

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DOI: https://doi.org/10.5205/1981-8963.2021.244982



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