Cumplimiento inadecuado de las recomendaciones para el proceso de la inducción del trabajo de parto como desencadenante de la cesárea en mujeres con embarazo simple a término. Estudio descriptivo
Elkin Alonso Álvarez-Zapata,Liza María González Hernández,Nidia Beatriz Jiménez Arango,John Jairo Zuleta Tobón +3 more
- 01 Jun 2019
- Vol. 70, Iss: 2, pp 103-114
TL;DR: Failure to adhere to the recommendations for adequate induction was found, added to a mistaken diagnosis of failed induction in women subjected to this intervention.
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Abstract: Objective To describe the characteristics of the labor induction process associated with the excess number of cesarean sections in women subjected to this intervention. Methods Descriptive historical. cohort that included pregnant women without a history of previous cesarean section, with single term pregnancy and cephalic presentation who were subjected to labor induction in a Level III com- plexity hospital in Medellin, Colombia, during the time period between May 2015 and October 2016. Consecutive sampling was used. Measured variables were maternal age, parity, gestational age, indica- tion for labor induction, cervical favorability, time of induction, quality of uterine activity achieved, type of delivery, and time point during induction when the decision of cesarean section was made. The clinical practice guidelines of international organizations of the specialty and the new guides arising from the 2012 proposal of limiting the first cesarean section were used in order to define ad- herence to the recommendations for induction. Results Of the 2402 births, 289 which met the inclusion criteria were selected. Cesarean section was performed in 48% of the women subjected to induction, 60.8% nulliparous and 32.1% multiparous. Of those with unfavorable cervix, 72.2% received oxytocin for cervical maturation. Of the women subjected to delivery induction, 108 (37%) underwent cesarean section due to a diagnosis of failed induction. This was considered inadequate in all of them, considering that the diagnosis was made before reaching a dilatation of 6 cm in 88 (81.5%), with intact membranes in 67 (62%), with no uterine activity in 42 (38.9%), with poor quality uterine activity in 23 (21.3%) and in 55 (61%) who did not have at least 24 hours of latent phase before undergoing cesarean section. Conclusions Failure to adhere to the recommendations for adequate induction was found, added to a mistaken diagnosis of failed induction.
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Citations
Inconsistent definitions of prolonged labor in international literature: a scoping review
Wouter Bakker,Evelien M. Sandberg,Sharon Keetels,Jan W. Schoones,Monica Lauridsen Kujabi,Nanna Maaløe,Salome Maswime,Thomas H. van den Akker +7 more
TL;DR: Inconsistent definitions of prolonged labor in international literature. Many definitions overestimate the speed of physiological labor. There is a need for consensus on a definition of prolonged labor to ensure consistency and comparability across studies.
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References
Safe prevention of the primary cesarean delivery
TL;DR: Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of the most common indications, including labor dystocia, abnormal or indeterminate fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia.
1.3K
Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America
José Villar,Eliette Valladares,Daniel Wojdyla,Nelly Zavaleta,Guillermo Carroli,Alejandro Velazco,Archana Shah,Liana Campodonico,Vicente Bataglia,Anibal Faundes,Ana Langer,Alberto Narváez,Allan Donner,Mariana Romero,Sofia Reynoso,Karla Simônia de Pádua,Daniel Giordano,Marius Kublickas,Arnaldo Acosta +18 more
TL;DR: In this paper, the association between caesarean delivery and pregnancy outcome at the institutional level, adjusting for the pregnant population and institutional characteristics, was assessed for the 2005 WHO global survey on maternal and perinatal health, comprising 24 geographic regions in eight countries in Latin America.
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Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term
TL;DR: The risks of severe maternal morbidity associated with planned cesarean delivery are higher than those associated with plans to deliver vaginally, and should be considered by women contemplating an elective cesAREan delivery and by their physicians.
Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health
João Paulo Souza,Ahmet Metin Gülmezoglu,Pisake Lumbiganon,Malinee Laopaiboon,Guillermo Carroli,Bukola Fawole,P. Ruyan +6 more
TL;DR: It is concluded that caesarean sections should be performed when a clear benefit is anticipated, a benefit that might compensate for the higher costs and additional risks associated with this operation.
Preventing the First Cesarean Delivery: Summary of a Joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, and American College of Obstetricians and Gynecologists Workshop
TL;DR: Key points were identified to assist with reduction in cesarean delivery rates including that labor induction should be performed primarily for medical indication; if done for nonmedical indications, the gestational age should be at least 39 weeks or more and the cervix should be favorable, especially in the nulliparous patient.
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