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1.
J Gynecol Obstet Hum Reprod ; 48(8): 669-672, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31075432

RESUMO

OBJECTIVE: To compare the efficiency of double balloon catheters with that of intravaginal prostaglandins alone for the labor induction of unfavourable cervices in term nulliparous women. METHODS: 50 nulliparous patients induced with a double balloon device were compared to 53 patients induced using intravaginal prostaglandins alone. The main outcome measure was labour induction failure, characterized by the absence of active labour. The secondary outcome measures were the improvement of the Bishop score, the average durations of ripening and labour induction, the average time to active labour, the need for a second cervical ripening agent, the total dose of prostaglandins used in each group, the use of oxytocins, as well as the rates of vaginal delivery, abnormal foetal heart rate during labour and perinatal maternal infection. RESULTS: The rate of failed labour induction was of 28% in the double balloon group, against 13% in the prostaglandins group. The average durations of ripening and labour induction, as well as the time to active labour were higher in the double balloon group. The improvement of the Bishop score was significantly lower in the double balloon group. DISCUSSION AND CONCLUSION: In our study, the use of double balloon catheters does not seem to reduce the rate of failed labour induction in nulliparous women when compared to the use of prostaglandins alone. In addition, it could lengthen the labour induction duration, although more powerful studies would be necessary not to recommend its use for nulliparous women.


Assuntos
Cateterismo , Maturidade Cervical/fisiologia , Trabalho de Parto Induzido/métodos , Ocitócicos/administração & dosagem , Administração Intravaginal , Adulto , Cateterismo/efeitos adversos , Cateterismo/instrumentação , Cateterismo/métodos , Cateterismo/estatística & dados numéricos , Catéteres/efeitos adversos , Catéteres/estatística & dados numéricos , Maturidade Cervical/efeitos dos fármacos , Parto Obstétrico/métodos , Parto Obstétrico/estatística & dados numéricos , Desenho de Equipamento , Feminino , Humanos , Trabalho de Parto Induzido/estatística & dados numéricos , Ocitócicos/efeitos adversos , Paridade , Gravidez , Resultado da Gravidez/epidemiologia , Estudos Retrospectivos , Nascimento a Termo/efeitos dos fármacos , Nascimento a Termo/fisiologia , Resultado do Tratamento , Adulto Jovem
2.
Case Rep Obstet Gynecol ; 2015: 687975, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25834750

RESUMO

Carbon monoxide poisoning during pregnancy is a rare and potentially serious condition. Fetal complications are uncommon, related to anoxic lesions. The severity of these complications does not depend on the level of maternal COHb. We report the case of a 22-year-old pregnant woman who at 30 weeks of gestation had carbon monoxide poisoning secondary to a fire in her home, complicated by cardiac arrest and severe fetal damage. The child had not brain damage, but presented bladder lesions not previously described, with urinary ascites complicating megacystis.

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