RESUMO
The objective of our study was prospectively compare the effect in the rate of cesarean section of active labor management and of traditional labor management in primiparas with physiological term pregnancy. From september 1, 1993 to may 31, 1994, 145 primiparas with physiological term pregnancy were randomly assigned to one group of active labor management (study group, n = 75) and to one group of traditional labor management (control group, n = 70). Cesarean section rate was 9.3% in the study group and 20% in the control group (p < 0.05). There was no increase in fetal morbidity or mortality. Active labor management can reduce cesarean section rate in primiparas with physiological term pregnancy.
Assuntos
Cesárea , Trabalho de Parto , Paridade , Adulto , Âmnio/cirurgia , Distocia/terapia , Feminino , Monitorização Fetal , Humanos , Trabalho de Parto Induzido , Parto Normal , Gravidez , Estudos ProspectivosRESUMO
Thyrotropin Releasing Hormone (THR) induce fetal pulmonary maturation by direct stimulation, and increase of fetal T3 and T4 which produce biochemical and structural pulmonary maturation. To evaluate the effectivity of TRH associated to corticoides in the prevention of respiratory distress syndrome (RDS) in premature labor, we administered TRH plus Cidoten to patients with imminent premature labor and gestational age (GA) < or = 32 weeks. In a total of 12 patients, tolerance was good in 85% (n = 10), birthweight was 1.782 +/- 488 g (x +/- 2 SD). RDS incidence of only 15.3% and chronic lung disease (CLD) incidence = 0. Newborn of mothers treated with TRH plus corticoids form in evident premature labor in our unit, showed laser rates of RDS and CLD than the described in literature for newborn of similar weight and GA treated only with corticoids.
