Maternal-neonatal benefits of obstetric psychoprophylaxis.

Abstract

Objective: To identify the scientific evidence on the maternal and neonatal benefits of Obstetric Psychoprofilaxis. Methodology: Bibliographic review, qualitative and retrospective. Articles reviewed from 2011 to 2020, sourced from BASE, Pubmed, and Google Scholar. The final sample consisted of 13 original experimental articles with a high GRADE score. Results: Benefits of Obstetric Psychoprofilaxis for the mother: decreased postpartum depression and stress, reduced fear and anxiety, lower use of analgesia, reduced pain, lower emergency cesarean rate, reduced healthcare system costs, spontaneous onset of labor, shorter dilation and expulsion stages, higher vaginal delivery rate, no episiotomy, improved childbirth satisfaction, psychosocial support from a companion, appropriate weight for the mother, decreased blood pressure, increased manual pressure strength, decreased plasma flow, increased ischiocural flexibility, decreased dorsal kyphosis and lumbar lordosis. Benefits for the newborn: appropriate birth weight, early initiation of breastfeeding, APGAR score between 8 and 10. Conclusions: This bibliographic review shows that Obstetric Psychoprofilaxis has various benefits for both the mother and the newborn, making its recommendation safe and evidence-based.

El presente caso muestra una paciente de 41 años, gran multigesta con antecedentes de 5 partos vaginales uno de ellos macrosomico, se suma a ello una preeclampsia leve, se hospitaliza en 3 centímetros cursa con hipodinamia durante el trabajo de parto por lo cual se estimula el trabajo de parto, aparentemente el parto es normal para luego presentar una atonía uterina la misma que es remitida con la aplicación de la clave roja.