ABSTRACT
To compare labour and delivery outcomes in women undergoing induction and those having spontaneous onset for pregnancies past the estimated date of delivery, a prospective study of 395 singleton, uncomplicated pregnancies was performed. Labour was induced in 175 women. Overall caesarean section rate was 9.4%, with no significant difference between the 2 groups. Overall rate of assisted vaginal deliveries was 7%, higher in the induction group than the spontaneous onset group but the difference was not significant. There was no significant difference in occurrence of intrapartum meconium, nor for maternal morbidity. No neonate needed intubation. No perinatal deaths occurred. Perinatal mortality and morbidity are preventable, and induction of labour before 42 weeks is justifiable to prevent adverse outcomes
Subject(s)
Adult , Female , Humans , Cesarean Section/adverse effects , Delivery, Obstetric/methods , Fetal Distress/epidemiology , Gestational Age , Hospitals, Military , Incidence , Labor, Induced/statistics & numerical data , Maternal Age , Morbidity , Obstetric Labor Complications/epidemiology , Patient Selection , Pregnancy , Pregnancy, Prolonged/therapyABSTRACT
En vista del gran volume que para un hospsital de concentración como el nuestro, representan las pacientes con embarazo prolongado, la aplicación de protocolos de manejo muy complicados, que en otros lugares han dado buenos resultados, para nuestro medio resultan ser poco prácticos. Es por ello que se inició el tratamiento de estas pacientes con un protocolo de manejo con un enfoque básicamente clínico; se analizan 433 casos donde 269 pacientes fueron manejados con este protocolo y se hace la comparación con 114 pacientes manejadas con otro criterio. En las conclusiones se analiza el avance en el logro de los objetivos iniciales del protocolo y el valor de la amniocentesis en el manejo de esta pacientes