Stress during spontaneous and induced labor:a prospective, predictive study
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.212338Keywords:
Cortisol, Labor obstetric, Stress mechanical, Stress psychologicalAbstract
Objective: to evaluate the changes in physiological and psychological stress during labor, measured by salivary cortisol concentrations and stress inventory, respectively, between spontaneous and induced labor in each assessment measurement. Method: This is a prospective study, carried out with 193 pregnant women in normal-risk labor, at term, in a reference hospital for normal delivery in southern Brazil. Stress was assessed during the latent and active phases, and also two hours after birth. Data were analyzed according to a generalized linear mixed model
adopting α 0.05. Results: The concentration of salivary cortisol was different between the evaluation times and the type of delivery. In the intragroup analysis, the difference was present
in the active phase (p< 0.000), with higher concentrations in induced labor (2.5 ±0.2 nmol/l). On the other hand, the psychological assessment showed differences in the latent (32.5 ± 1.0) and active (44.4 ± 1.0) phases between the groups. The type of delivery, delivery method, visual pain scale, duration of labor, cervical dilation, and gestational age were able to predict outcomes. Conclusion: physiological stress and psychological stress present different variations depending on the type of delivery, either spontaneous or induced, and the time of evaluation. Such measurements can be used as a reference to assess the progression of birth.
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Copyright (c) 2024 Erica de Brito Pitilin, Vanessa Aparecida Gasparin, Taize Sbardelotto, Vander Monteiro da Conceição, Brenda Socovoski de Castro, Letícia Jesus Soresina, Janine Schirmer
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