Inducto-conducción fallida en la labor de parto que termina en cesárea
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Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
El trabajo de parto en un proceso fisiológico que origina cambios biológicos y químicos
a nivel cervicales y en actividad uterina, como resultado produce la expulsión del
neonato. Cuando el trabajo de parto se torna prolongado, descartando desproporción
cefalopélvica la inducto-conducción es la elección para disminuir la morbi-mortalidad
materna neonatal. Sin embargo, existe un alto índice de cesáreas por inductoconducción
fallida. El presente estudio se realizó en el Hospital General Teófilo Dávila
y establece las causas por las que una inducto-conducción fallida ocasiona una
cesárea. Es una investigación cuantitativa, modalidad de campo, transversal, donde
se investigaron 139 gestantes sometidas a inducto-conducción. Se llego a la
conclusión que existe un elevado número de cesáreas en curso de parto (66.2%). La
ruptura prematura de membrana y los embarazos a término fueron las principales
indicaciones para el manejo con agentes uterotónicos. Por lo que se propuso un plan
de capacitación dirigida a los profesionales con el objetivo de mejorar la atención
durante el trabajo de parto.
Labor in a physiological process that causes biological and chemical changes at the cervical level and in uterine activity, as a result produces the expulsion of the newborn. When labor becomes prolonged, discarding cephalopelvic disproportion, the inductoconduction is the choice to reduce neonatal maternal morbidity and mortality. However, there is a high rate of C-sections due to failed inducto-conduction. The present study was conducted at Teófilo Dávila General Hospital and establishes the reasons why a failed inducto-conduction causes a cesarean section. It is a quantitative investigation, cross-sectional field modality, where 139 pregnant women undergoing inductoconduction were investigated. It was concluded that there is a high number of cesarean sections in the process of delivery (66.2%). Premature membrane rupture and term pregnancies were the main indications for handling with uterotonic agents. Therefore, a training plan aimed at professionals was proposed with the aim of improving care during labor.
Labor in a physiological process that causes biological and chemical changes at the cervical level and in uterine activity, as a result produces the expulsion of the newborn. When labor becomes prolonged, discarding cephalopelvic disproportion, the inductoconduction is the choice to reduce neonatal maternal morbidity and mortality. However, there is a high rate of C-sections due to failed inducto-conduction. The present study was conducted at Teófilo Dávila General Hospital and establishes the reasons why a failed inducto-conduction causes a cesarean section. It is a quantitative investigation, cross-sectional field modality, where 139 pregnant women undergoing inductoconduction were investigated. It was concluded that there is a high number of cesarean sections in the process of delivery (66.2%). Premature membrane rupture and term pregnancies were the main indications for handling with uterotonic agents. Therefore, a training plan aimed at professionals was proposed with the aim of improving care during labor.
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EMBARAZO, CESÁRIA, AGENTES ATEROTÓNICOS, INDICADORES DE MORBIMORTALIDAD, HOSPITAL GENERAL TÉOFILO DÁVILA, CANTÓN MACHALA, ECUADOR, TRABAJO DE PARTO