Parto operatorio fallido / Failed operative vaginal delivery
Prog. obstet. ginecol. (Ed. impr.)
; 55(9): 453-457, nov. 2012.
Article
in Spanish
| IBECS
| ID: ibc-105739
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La tasa de parto vaginal instrumental está disminuyendo en todos los países desarrollados a costa de un aumento generalizado de la tasa de cesáreas. El parto operatorio vaginal fallido es una situación indeseada por los obstetras, que puede conllevar en algunas ocasiones un aumento de la morbilidad materno-fetal y en casos extremos un aumento de la mortalidad fetal. Estos riesgos pueden minimizarse o evitarse mediante una evaluación individualizada de cada gestante, feto y situación clínica, aplicando los protocolos recomendados por las sociedades científicas para la realización de un parto instrumental y abandonando la vía vaginal en el momento adecuado, sin prolongar el número de intentos o sin aumentar la intensidad de la tracción realizada. La experiencia en parto operatorio vaginal es imprescindible, debiéndose abandonar dicho procedimiento ante la inseguridad del obstetra (AU)
ABSTRACT
Globally, the rate of instrumental vaginal delivery is declining in all developed countries at the expense of a general increase in the rate of cesarean sections. Failed operative vaginal delivery is an undesirable situation for all obstetricians and can sometimes lead to increased maternal and fetal morbidity and, in extreme cases, to fetal mortality. These risks can be minimized or avoided through individualized assessment of each patient, fetus, and clinical situation by using the protocols recommended by scientific societies to perform instrumental delivery and abandoning the vaginal route at the appropriate moment without extending the number of attempts or increasing the intensity of the traction performed. Experience of vaginal surgery is essential, and the procedure should be abandoned whenever the obstetrician feels uncertain (AU)
Search on Google
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.1: Reduce maternal mortality
/
Other Malignant Neoplasms
Database:
IBECS
Main subject:
Surgical Instruments
/
Labor, Obstetric
/
Parturition
/
Obstetrical Forceps
Type of study:
Diagnostic study
/
Practice guideline
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Prog. obstet. ginecol. (Ed. impr.)
Year:
2012
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Virgen de las Nieves/España