Desfechos neonatais associados às intervenções obstétricas realizadas no trabalho de parto em nulíparas

Abstract

Objective: to analyze neonatal outcomes associated with obstetric interventions performed during labor in low-risk nulliparous women. Methods: a cross-sectional observatio-nal study of 534 low-risk nulliparous women. Results: in-terruption of skin-to-skin contact after delivery was shown to be associated with obstetric interventions such as cardio-tocography at admission, oxytocin in labor, amniotomy, and episiotomy. The need for positive pressure ventilation and oxygen therapy was associated with the encouragement of the Valsalva maneuver; the performance of this maneuver was also associated with interventions such as amniotomy, episiotomy and directed pulling. Conclusion: the study sho-wed that the use of obstetric interventions during labor in low-risk women is associated with unfavorable neonatal ou-tcomes that lead to the need for further interventions after delivery.