Cesáreas como consecuencia del fracaso de la inducto-conducción durante el trabajo de parto
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Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
El objetivo de la investigación fue determinar factores predisponentes que inciden en el fallo de la inducto-conducción durante el trabajo de parto en el Hospital Universitario de Guayaquil, por medio de un estudio de tipo transversal en 121 pacientes se pudo observar como factor predisponente a la dilatación fallida (19%), la principal complicación materna fue la hipotonía uterina transitoria (19,8%) y el sufrimiento fetal. Con los resultados se comprueba que en casos de inducto conducción fallida, las cesáreas son un método que disminuyen la morbilidad y/o mortalidad materna-neonatal. Como propuesta se aconseja realizar capacitaciones dirigidas al profesional de salud de dicha institución, sobre los aspectos a tomar en consideración para la correcta valoración obstétrica y fetal y el control de la dosificación adecuada de los fármacos uterotonicos para evitar el fracaso de la inducto conducción
The objective of the research was to determine predisposing factors that affect the failure of the induction-conduction during labor in the University Hospital of Guayaquil, through a cross-sectional study in 121 patients could be observed as a predisposing factor to the failed dilatation (19%), the main maternal complication was transitory uterine hypotonia (19.8%) and fetal distress. The results show that in cases of failed driving induction, caesarean sections are a method that decreases morbidity and / or maternal-neonatal mortality. As a proposal it is advisable to carry out trainings directed to the health professional of said institution, on the aspects to take into consideration for the correct obstetric and fetal assessment and the control of the adequate dosage of the uterotonics drugs to avoid the failure of the conduction induction
The objective of the research was to determine predisposing factors that affect the failure of the induction-conduction during labor in the University Hospital of Guayaquil, through a cross-sectional study in 121 patients could be observed as a predisposing factor to the failed dilatation (19%), the main maternal complication was transitory uterine hypotonia (19.8%) and fetal distress. The results show that in cases of failed driving induction, caesarean sections are a method that decreases morbidity and / or maternal-neonatal mortality. As a proposal it is advisable to carry out trainings directed to the health professional of said institution, on the aspects to take into consideration for the correct obstetric and fetal assessment and the control of the adequate dosage of the uterotonics drugs to avoid the failure of the conduction induction
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Cesárea, Inducto conducción, Trabajo de parto, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Estudios prospectivos