Eficacia del misoprostol en primigesta con embarazo a término de 15 a 30 años de edad en el Hospital Materno Infantil Matilde Hidalgo de Procel de mayo del 2014 hasta abril del 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
El misoprostol, es una prostaglandina sintética (PGE1) ampliamente utilizada en Obstetricia, para el manejo de aborto, hemorragia postparto, inducción del trabajo de parto etc. En el presente estudio se utilizó la vía sublingual por tener una mejor biodisponibilidad, costo bajo, se almacena con facilidad a temperatura ambiente y posee pocos efectos secundarios a nivel sistémicos. En los resultados encontradosal manejo de inducción del trabajo de parto con misoprostol en embarazos a término en pacientes primigestas de 15-30 años en el Hospital materno-infantil Matilde hidalgo de Procel durante el período de Mayo del 2014 - Abril 2015 fueron. En un total de 438 casos (77%) de partos vaginales y cesáreas 131 casos (23%). En los casos decesáreas, la mayor causa fue fracaso de inducción con 59 casos (45%),la tasa de éxito del misoprostol con la 1ra dosis fue 258 casos (59%) de parto vaginal, con la segunda dosis 140 casos (32%), con la tercera 40 casos (9%). duración del trabajo de parto; de 1 a 6 horas 40 casos (9%), de 7 a 12 horas 223 casos (51%), de 13 a 24 horas 149 casos (34%) y más de 24 horas 26 casos (6%). De acuerdo al peso;adecuado para edad gestacional 524 casos (92%), pequeño, para edad gestacional 28 casos (5%) y grande, para edad gestacional 17 casos (3%). Con un APGAR a los 5 minutos, se obtuvo 565 casos (99,30%).
El presente estudio fue retrospectivo, descriptivo, no experimental.
Nuestro universo de estudio lo conformaron 1423 pacientes en elhospital Materno- Infantil Matilde Hidalgo de Procel con diagnóstico de embarazo a término, en trabajo de parto (fase latente). La muestra con 569 casos.
Concluimos que el presente estudio reporta una tasa de partos vaginales 77% y cesáreas con 23%.
Misoprostol, is a synthetic prostaglandin (PGE1) widely used in obstetrics for the management of abortion, postpartum hemorrhage, induction of labor etc. in this study it was usedsublingually for a better bioavailability, low cost, easily stored at room temperature and has few side effects to systemic level. The results found in the management of labor induction with misoprostol in pregnancies to term in primiparous patients 15-30 years in the Maternity-Infant Hospital Matilde Hidalgo ofProcel- during the period May 2014 - April 2015. In a total of 438 cases (77%) of 131 vaginal deliveries and cesarean cases (23%). In cases of cesarean, the major cause was the failure of induction with 59 cases (45%), the success rate of misoprostol with the 1st dose was 258 cases (59%) of vaginal delivery, with the second dose 140 cases (32%) , with the third 40 cases (9%). duration of labor; 1-6 hours was 40 cases (9%) of 7 to 12 hours 223 cases (51%) of 13-24 hours was 149 cases (34%) and more than 24 hours 26 cases (6%). According to weight; appropriate for gestational age 524 cases (92%), small for gestational age 28 cases (5%) and large for gestational age 17 cases (3%) in 565 cases (99.30%) has a Apgar scores at 5 minutes. The present study was retrospective, descriptive, not experimental. Our universe of study was made up 1423 patients in the Maternal and Child Hospital Matilde Hidalgo of Procel diagnosed with term pregnancy, in labor (latent). The sample comprised 569 cases. We concluded that this study reports a rate of vaginal births and cesarean sections 77% to 23%.
Misoprostol, is a synthetic prostaglandin (PGE1) widely used in obstetrics for the management of abortion, postpartum hemorrhage, induction of labor etc. in this study it was usedsublingually for a better bioavailability, low cost, easily stored at room temperature and has few side effects to systemic level. The results found in the management of labor induction with misoprostol in pregnancies to term in primiparous patients 15-30 years in the Maternity-Infant Hospital Matilde Hidalgo ofProcel- during the period May 2014 - April 2015. In a total of 438 cases (77%) of 131 vaginal deliveries and cesarean cases (23%). In cases of cesarean, the major cause was the failure of induction with 59 cases (45%), the success rate of misoprostol with the 1st dose was 258 cases (59%) of vaginal delivery, with the second dose 140 cases (32%) , with the third 40 cases (9%). duration of labor; 1-6 hours was 40 cases (9%) of 7 to 12 hours 223 cases (51%) of 13-24 hours was 149 cases (34%) and more than 24 hours 26 cases (6%). According to weight; appropriate for gestational age 524 cases (92%), small for gestational age 28 cases (5%) and large for gestational age 17 cases (3%) in 565 cases (99.30%) has a Apgar scores at 5 minutes. The present study was retrospective, descriptive, not experimental. Our universe of study was made up 1423 patients in the Maternal and Child Hospital Matilde Hidalgo of Procel diagnosed with term pregnancy, in labor (latent). The sample comprised 569 cases. We concluded that this study reports a rate of vaginal births and cesarean sections 77% to 23%.
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MISOPRESTOL, PRIMIGESTAS, EMBARAZO, ESTUDIOS RETROSPECTIVOS, EPIDEMIOLOGÍA DESCRIPTIVO, HOSPITAL MATERNO INFANTIL DRA. MATILDE HIDALGO DE PROCEL, CANTÓN GUAYAQUIL, ECUADOR, TRABAJO DE PARTO INDUCIDO, ASFIXIA PERINATAL