ABSTRACT
Unripe cervix is the most important factor in failure of labor induction. This study is conducted to compare the efficacy and side effects of Dinoproston and high dose oxytocin as ripening agents in labor induction. In this double blinded randomized clinical trial, 1290 women with unfavorable cervix who underwent labor induction were randomly assigned to vaginal Dinoproston [9 mg] or intravenous high dose Oxytocin [6miu/min] groups. Initial 12 hours Bishop-Score, labor induction to labor duration, delivery type, 1 and 5 minute APGAR, side effects on mother or neonate, hospitalization duration and hospitalization costs were recorded. Data were analysed using t and Chi-square tests by means of Minitab statistical shoftware. The results showed that vaginal Dinoproston was effective in shortening latent phase of labor [P<0.01]. But, mean Bishop-Score over the initial 12 hours, the interval between labor induction to delivery, and side effects for mother or neonate were not different between the two groups. Based on the results, although hospitalization duration was not different between the groups, hospitalization costs for Dinoproston group was significantly higher [P<0.05] It seems that inspite of shortening the latent phase of labor in vaginal Dinoproston group, it is not more effective than high dose Osytocin as an adjuvant to labor induction in women with unfavorable cervix
Subject(s)
Humans , Female , Oxytocin/pharmacology , Labor, Induced/methods , Labor, Induced/economics , Length of Stay , Double-Blind Method , Administration, Intravaginal , Apgar Score , Random AllocationABSTRACT
Se evaluaron de forma comparativa los costos de 2 métodos inductores del parto: el de venoclisis con oxitocina y el de autoestimulación del pezón, en 2 grupos de gestantes (80) ingresadas en el Hospital Ginecoobstétrico Docente Este de Santiago de Cuba, durante el primer semestre de 1993. Se calcularon las siguientes variables: consumo de medicamentos y gastos de material, promedio de estadía, calidad. Se aplica un formulario para la recogida de estas variables. A los datos se les aplicó el porcentaje y el chi cuadrado. Se representan los datos en tablas. El autoestímulo del pezón resultó ser el más económico por el ahorro de material gastable y medicamentos; pero la estadía hospitalaria y los resultados perinatales en cuanto al tipo de parto y estado del recién nacido fueron similares con ambos métodos
Subject(s)
Humans , Female , Pregnancy Complications/pathology , Oxytocin , Health Expenditures , Labor, Induced , Labor, Induced/economics , Nipples , Self Stimulation , Health Care Costs , Length of Stay/economicsSubject(s)
Humans , Female , Labor, Obstetric/drug effects , Oxytocin/therapeutic use , Treatment Outcome , Misoprostol/therapeutic use , Labor, Induced , Fetal Membranes, Premature Rupture/drug therapy , Pregnancy, Prolonged/drug effects , Oxytocin/administration & dosage , Misoprostol/administration & dosage , Misoprostol/adverse effects , Labor, Induced/economics , Labor, Induced/statistics & numerical dataABSTRACT
Se realizó una investigación en forma comparativa en dos grupos de gestantes utilizando como métodos inductores del parto la autoestimulación del pezón y venoclisis con oxitocina. Concluye que el autoestimulo del pezón es más económico por el ahorro de material gastable y medicamentos, no siendo relevante la estadía hospitalaria. Los resultados perinatales respecto al tipo de parto y estado del recién nacido son similares en ambos métodos