Métodos para indução do parto

Filho, Olímpio Barbosa de Moraes; Cecatti, José Guilherme; Feitosa, Francisco Edson de Lucena

doi:10.1590/s0100-72032005000800010

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…Among the most commonly used methods are the administration of prostaglandins (misoprostol and dinoprostone), oxytocin, and Foley probe, which either alone or in a combination thereof help in the process of uterine cervix maturation and stimulate labor. 2,[9][10][11] The traditional method to assess the ripeness of the cervix prior to labor induction is the cervical scoring system described by Bishop, known as the Bishop score. [12][13][14][15] Historically, there is no well-accepted definition to characterize labor induction failure.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction

Pfützenreuter

Cavalieri

Fragoso

et al. 2019

Rev Bras Ginecol Obstet

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Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florianópolis, state of Santa Catarina, Brazil. Methods A retrospective cross-sectional study that included all the pregnancies that resulted in single-fetus births, whose gestational-age was > 22 weeks and that had been submitted to labor induction at the HU/UFSC in the period from 2013 to 2016. Results During the proposed period, 1,491 pregnant women were submitted to the labor induction protocol. In 1,264 cases (84.8%), induction resulted in labor, with 830 (65.7%) progressing to vaginal delivery. Gestational age ≥ 41 + 0 weeks was the most common indication for induced labor (55.2%), and vaginal administration of misoprostol was the most commonly used method (72.0%). Among these pregnant women, the cesarean section rate was of 34.3%. Considering the cases of induction failure, the cesarean section rate rose to 44.3%. The factors associated with cesarean section were: previous history of cesarean delivery (PR [prevalence ratio] = 1.48; 95%CI [confidence interval]: 1.51–1.88), fetuses with intrauterine growth restriction (IUGR) (PR = 1.82; 95%CI: 1.32–2.19), Bishop score ≤ 6 (PR = 1.33; 95%CI: 1.01–1.82), and induction time either < 12 hours (PR = 1.44; 95%CI: 1.17–1.66) or > 36 hours (PR = 1.51; 95%CI 1.22–1.92) between the beginning of the induction and the birth. Conclusion Labor induction was successful in most patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction

Pfützenreuter

Cavalieri

Fragoso

et al. 2019

Rev Bras Ginecol Obstet

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“…Induction of labor refers to any procedure used to stimulate uterine contraction before it occurs spontaneously [ 1 ]. When the continuation of pregnancy represents a risk to the mother and/or the fetus that is greater than the risk of interrupting the pregnancy, labor induction is an option to allow vaginal delivery to occur [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Misoprostol administered sublingually at a dose of 12.5 μg versus vaginally at a dose of 25 μg for the induction of full-term labor: a randomized controlled trial protocol

et al. 2018

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BackgroundVarious methods are currently used for the induction of labor. Nevertheless, the most effective method with the fewest side effects remains to be established. Misoprostol, administered vaginally, has been routinely used for this purpose; however, other forms of administration are being proposed, including the use of sublingual tablets. No studies have yet compared the effectiveness and safety of 12.5-μg misoprostol administered sublingually compared to a 25-μg vaginal dose of the drug for the induction of labor.MethodsA triple-blind, multicenter, placebo-controlled, randomized clinical trial will be conducted in Brazil at the Instituto de Medicina Integral Prof. Fernando Figueira and at the Assis Chateaubriand Maternity Teaching Hospital of the Federal University of Ceará. A total of 140 patients with full-term pregnancies, a live fetus, a Bishop score ≤ 6 and a recommendation of induction of labor will be randomized to one of two groups. One group will receive 12.5-μg sublingual tablets of misoprostol and placebo vaginal tablets, while the other group will receive placebo sublingual tablets and vaginal tablets containing 25 μg of misoprostol. The principal endpoint is the rate of tachysystole. The secondary endpoints are vaginal delivery within 24 h of induction, uterine hyperstimulation, Cesarean section, severe neonatal morbidity or perinatal death, severe maternal morbidity or maternal death, and maternal preference regarding the route of administration of the drug. Student’s t-test, and the chi-square test of association or Fisher’s exact test, as appropriate, will be used in the data analysis. Risk ratios and their respective 95% confidence intervals will be calculated.DiscussionMisoprostol has been identified as a safe, inexpensive, easily administered option for the induction of labor, with satisfactory results. An experimental study has shown that misoprostol administered sublingually at a dose of 25 μg appears to be effective and is associated with greater maternal satisfaction when labor is induced in women with an unfavorable cervix. Nevertheless, the rate of tachysystole remains high; therefore, further studies are required to determine the ideal dose and the ideal interval of time between doses.Trial registrationClinicalTrial.gov, NCT01406392.

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Avaliação da intensidade e característica da dor no trabalho de parto e a ação do misoprostol

Bueno¹

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Dedico este trabalhoAos meus filhinhos, Willinho e Marquinho, que me fizeram compreender o poder do Criador, por vocês é que arrumo forças para continuar seguindo esta vida. Obrigada pelos dias infinitamente felizes. Dá-me um sorriso a brincarDá-me uma palavra a rir, Eu tenho por feliz Só de te ver e ouvir. Fernando Pessoa Dedico este trabalhoAos meus pais Willie e Sônia, Fontes de sabedoria e acolhimento, exemplos de vida e luta, agradeço pelo amor, pelo exemplo de luta constante e por muitas vezes cuidarem dos meus filhos como a mim mesma. A vocês devo mais esta conquista. Em reconhecimento do privilégio de ser sua filha. Dedico este trabalhoAos meus queridos irmãos, Luciana, Adriano e Cristiana e a meus adoráveis cunhados Rodrigo, Patrícia e Lucas por quem nutro grande admiração e pelo suporte emocional que nossa união nos oferece. Pela minha ausência nas conversas de família, por cuidarem com tanto carinho dos meus filhinhos neste momento de luta. Ao Ricardo, grande amigo de todas as horas, pelo incentivo nos momentos mais difíceis, o meu carinho e admiração. Agradecimento Especial À Ana Márcia, minha orientadora, pela tolerância, pela sabedoria, pelas importantes contribuições e por ter me ajudado em momentos em que achava impossível finalizar esta etapa. Sinto-me privilegiada por tê-la como orientadora. Agradeço imensamente pela realização deste sonho. Que Deus a ilumine hoje e sempre! Agradecimentos A Deus, pelo dom da vida. A toda minha família, pela alegria de um convívio gostoso. Á Maria Helena, amiga e companheira de todo dia, me serve de grande exemplo pela competência e pelos ensinamentos que contribuem diariamente em minha vida profissional e pessoal. Obrigada pelas boas conversas sinceras. Às enfermeiras residentes da Mater pela disponibilidade em me ajudar e por entenderem as minhas ausências. Em especial a Paula, Daniela e Lílian, pela grande responsabilidade. Às parturientes que aceitaram participar desta investigação, sem elas seria impossível este trabalho. A toda a equipe de enfermeiras, médicos e funcionárias da Maternidade do Complexo Aeroporto (Mater) que de alguma forma contribuíram para viabilizar este trabalho. Guardarei comigo um pouco de cada um deles. Em especial a Mônica pela ajuda e incentivo, a Clarice pela disponibilidade e carinho ao providenciar os prontuários, a Andréia pela boa vontade em ajudar quanto a informações sobre o misoprostol e a Gislaine pela disponibilidade e rapidez ao encaminhar as fotos. Agradeço a todos da EERP sem distinção de cargos ou setores, aqueles que de alguma forma contribuíram para viabilizar este trabalho e colaboraram para meu aprendizado. À Professora Doutora Cristine Hosmi Jorge Ferreira grande incentivadora, pela disponibilidade, pelo carinho e dedicação que me proporcionou desde o início do desenvolvimento deste trabalho e ao Dr. Marcos Roberto Ymayo pela disposição e pelas valiosas sugestões que enriqueceram esta pesquisa. À Professora Doutora Fátima Emm Faleiros Sousa, pelas importantes sugestões sobre o projeto no exame de qualificação. Ao P...

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Métodos para indução do parto

Cited by 5 publications

References 41 publications

Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction

Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction

Misoprostol administered sublingually at a dose of 12.5 μg versus vaginally at a dose of 25 μg for the induction of full-term labor: a randomized controlled trial protocol

Avaliação da intensidade e característica da dor no trabalho de parto e a ação do misoprostol

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