Keywords
Conduction
Labor.
How to Cite
Abstract
Objectives: To describe labor induction and conduction risk factors induction and consequences in the Maternity Clinic Rafael Calvo, Cartagena, Colombia. Materials and methods: were included all the patients (n = 98 of a total of 859) whose labor were induced or driven in the Maternity Clinic Rafael Calvo from Cartagena, during the month of August-2004. They were considered clinical and not clinical variables. It was studied by means of stratified analysis. Results: The induction and conduction occurred in 11, 4%. The risk factors were the following ones. Age <18 years 22,4%; 19-34 years: 73,5%. Primary Education: 26,6%; secondary: 69%. Nuliparidad: 44,9%. The medical complication but it frequents it was the premature rupture of membranes. Conclusions: They were variations in the inductions and conductions of the childbirth work, without direct relationships with conditions as age marital status or education. The nuliparidad was the factor but frequently observed. But the induction of the childbirth work didn’t increase the rate of childbirths for Caesarean. Being obtained good perinatal outcomes.References
Nicoll AE, Mackenzie F, Norman JE. Fetal Vaginal application of the nitric oxide donor isosorbide mononitrate for preinduction cervical ripening: A randomized controlled trial to determine effects on maternal and hemodynamics Am J Obstet. Gynecol. 2001.184(5):958-64.
Simpson KR, Thorman KE. Obstetric «Conveniences»: Elective induction of labor, cesarean birth on demand, and other potentially unnecessary interventions. J.Perinat Neonat Nurs. 2005; 19(2):134-144.
Guinn D, Davies JK, Jones RO, Sullivan L, Wolf D. Labor induction in women with an unfavorable Bishop score: Randomized controlled trial of intrauterine Foley catheter with concurrent oxytocin infusion versus Foley catheter with extra-amniotic saline infusion with concurrent oxytocin infusion. Am. J. Obstet Gynecol. 2004. 191(1)
Conrood DV, Curtis R; Kishi GY. The epidemiology of labor induction: Arizona, 1997. Am. J Obstet. Gynecol. 2000. 182 (6):1355-62
Borre O, Rodríguez B, Angarita W, Chamat A, Gómez E. Inducción electiva del trabajo de parto con misoprostol en pacientes de bajo riesgo: estudio clínico controlado. Rev. Colomb. Obstet. Ginecol. 2005. 55(2):107-113.
Borre O, Rodríguez B, Mendivil C, Angarita W, Borre J. Inducción del trabajo de parto con misoprostol vs oxitocina. Rev. Colomb. Obstet. Ginecol. 2000. 51(1):8-11.
Bojanini JF, Gómez JG. Resultados obstétricos y perinatales en adolescentes. Rev. Colomb. Obstet. Ginecol. 2005. 55(2):114- 121.
Stubbs TM. Oxitocina para inducción del trabajo de parto. Clin. Obstet Ginecol. 2000; 43(3):457-461.
Cammu H, Martens G, Ruyssinck G, Amy J-J. Outcome after elective labor induction in nulliparous women: A matched cohort study. Am J Obstet Gynecol 2002; 186 (2):240-4.
Gurewitsch ED, Diament P, Fong J, Huang G, Popoytzer A, Weinstein D. et al. The labor curve of the grand multipara: Does progress of labor continue to improve with additional childbearing? Am J Obstet Gynecol 2002; 186:1331-8.
Petrikovsky B, Roshan D. Is cervical index a useful predictory value for successful induction of labor in nulliparous patients? Am J Obstet Gynecol. 2006;193 (S6): S156.
Goldberg AB, Greenberg MB, Darney PD. Drug therapy: misoprostol and pregnancy. NEJ Med. 2001;344(1):38-47
Mozurkewich E, Horrocks J, Daley S, Von Ooeyen P, Halvorson M, Johnson M. et al. The MisoPROM study: A multicenter randomized comparison of oral misoprostol and oxytocin for premature rupture of membranes at term. Am J Obstet Gynecol. 2003; 189(4): 11026-1030.
Yuan H, Platt RW, Morin L, Joseph KS, Kramer MS. Fetal deaths in the United States, 1997 vs 1991. Am J Obstet Gynecol. 2005.193(2): 489–495
Divon M, Ferber A, Olausson PO, Westgren M. Maternal consequences of delivery for prolonged pregnancy. Am J Obstet Gynecol. 2006; 193(S6): S110.
Wing D, Tran S, Paul R. Factors affecting the likelihood of successful induction after intravaginal misoprostol application for cervical ripening and labor induction. Am J Obstet Gynecol 2002;186:1237-43.
Ramsay PS, Owen J. Maduración cervicouterina e inducción del trabajo de parto en el segundo trimestre. Clin. Obstet Ginecol. 2000; 43(3): 463-474.
Hannah ME, Ohlsson A, Farine D, Hewson SA, Hodnett ED, Myhr T. et al. Induction of labor compared with expectant management for prelabor rupture of the membranes at term. 1996; 334(16): 1005-1010.
Bebbington M, Pevzner L, Schmuel E, Bernstein P, Dayal A, Barnhard J. et al. Uterine tachysystole and hyperstimulation during induction of labor. Am J Obstet Gynecol. 2003; 189 (6): S211.
Caughey AB, Nicholson JM, Cheng YW, Lyell DJ, Washington A.E. Induction of labor and cesarean delivery by gestational age. Am J Obstet Gynecol. 2006; 193 (S6):39.
Glantz JC, Woods Jr. JR. Significance of amniotic fluid meconium. IN: CREASY RK; Resnik R. Maternal-fetal medicine. 4 edt. Saunders Philadelphia. 1999.