RESUMO
BACKGROUND: Public attitude towards labor pain and pain relief in labor is not fully formed. PURPOSE: To study the frequency of formation of acute and chronic pain during delivery. MATERIALS AND METHODS: Retrospectively we surveyed 300 women 18-48 years old, who had childbirth naturally or by caesarean section for 4-6 months before the survey and analyzed the history of their childbirth. RESULTS: The obtained data showed that the problem with generic pain has real medical and social consequences, significantly altering the quality of life of women as during childbirth and the postpartum period. Of those surveyed, 74.9% of women in childbirth experienced severe pain during labor; which had 16.7% of women had led to a complete loss of mobility. With approximately 20% of women believed the use of methods of anaesthesia was dangerous and 63% thought that anaesthesia is possible only under strict obstetric indications. Only 20% of pregnant women expected to give birth without pain. In 3-6 months. after labor representation mothers opinion was not changed significantly. In 1 month or more after delivery or cesarean section pain was presented in 21% of women, in 2-3 months--13.7%, in more than 3 months--7%. In 4.3% of the patients the pain persistedfor 5-6 months. CONCLUSIONS: Significant relationship between persistent for a long time after childbirth pain and the way the urgency of delivery, the method of anesthesia for caesarean section, the expression of acute pain during childbirth was not revealed.
Assuntos
Parto Obstétrico/efeitos adversos , Dor do Parto , Parto , Período Pós-Parto , Qualidade de Vida , Adolescente , Adulto , Analgesia Obstétrica/métodos , Anestesia Obstétrica/métodos , Cesárea/efeitos adversos , Cesárea/psicologia , Parto Obstétrico/psicologia , Feminino , Humanos , Dor do Parto/psicologia , Pessoa de Meia-Idade , Parto/psicologia , Período Pós-Parto/psicologia , Gravidez , Qualidade de Vida/psicologia , Inquéritos e Questionários , Adulto JovemRESUMO
An analysis of features of the deliveries in HIV-infected patients with blood clotting failure, thrombocytopenia and anaemia developed during antiretroviral therapy was carried out. The article represents the anaesthesia care tactics and features of treating those patients during surgical delivery.
Assuntos
Anestesia Obstétrica/métodos , Raquianestesia/métodos , Antirretrovirais/uso terapêutico , Cesárea/métodos , Cuidados Críticos/métodos , Infecções por HIV/tratamento farmacológico , Complicações Infecciosas na Gravidez/tratamento farmacológico , Adulto , Antirretrovirais/administração & dosagem , Antirretrovirais/efeitos adversos , Feminino , Infecções por HIV/transmissão , Humanos , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Gravidez , Complicações Infecciosas na Gravidez/virologia , Resultado da Gravidez , Resultado do TratamentoRESUMO
This is a brief review of the literature on the use of noninvasive ventilation in intensive care units. The physiological bases of the use of noninvasive ventilation and some technical aspects are discussed. The data on the clinical effectiveness of this mode of ventilation are given. In addition, indications for and contraindications to the use of noninvasive ventilation and the specific features of its application in patients of different nosological entities are considered.
