CLINICAL AND SOCIODEMOGRAPHIC DESCRIPTION OF WOMEN WHO INDUCED THEIR LABOR WITH MISOPROSTOL IN A PUBLIC HOSPITAL IN THE FEDERAL DISTRICT
The induction of labor can be performed with the aim of initiating a vaginal delivery, a method defined by cervical maturation, through digital examination. As labor induction is an intervention, it is expected that it will come from a clear medical recommendation. Therefore, we were interested in u...
Saved in:
| Published in: | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Vol. 28; p. 100813 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier España, S.L.U
01-04-2024
|
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | The induction of labor can be performed with the aim of initiating a vaginal delivery, a method defined by cervical maturation, through digital examination. As labor induction is an intervention, it is expected that it will come from a clear medical recommendation. Therefore, we were interested in understanding the profile of women admitted to the Obstetric Center with the use of misoprostol, an induction method that stimulates cervical preparation.
Describe clinically and sociodemographic pregnant women that had labor induced by misoprostol in a public hospital in Distrito Federal, in 2019, differing the profile from the one's that had vaginal birth to the one's submitted to cesarean section.
This study consist in a descriptive, cross-sectional, retrospective research. Data were collected by the nursing records from the maternity. The inclusion criteria consist in labor induced using misoprostol with living newborn and from a single-fetus pregnancy.
309 women met the inclusion criteria of the study, with a higher prevalence of the age group between 20 and 34 years old (64,1%), brown skinned (64,1%), 9 to 11 years of education (53,7%), single marital status (42,1%), residence at a distance greater than 45 kilometers from the hospital (51.8%), with a minimum of 6 prenatal appointments completed (79.6%), between 37 to 40 weeks of pregnancy (75,1%), primiparous (50.2%), with gestational disease (50.8%), without previous cesarean section (97.7%) or previous disease (77.0%), with presence of a companion during labor (92.2%) and without the use of oxytocin after misoprostol (50.5%). Among these women, 72.2% had vaginal delivery as an outcome (223), and 27.8% evolved to a cesarean section (86). In the group that evolved to vaginal delivery, 42.60% were primiparous, 56.95% were multiparous, 56.95% are multiparous, 46.18% developed gestational disease, 53.36% were not diagnosed with gestational diseases. Among those who evolved to a cesarean section, 69.77% were primiparous, 30.23% were multiparous, 62.79% had gestational disease and 37.20% did not. Data missing to complete 100% are missing data.
The differences between the two groups were the parity and gestational diseases, because in the one's who achieved the vaginal birth, multiparous women and/or those who didn't developed gestational diseases were more prevalent, while women that had cesarean section were, most of them, primiparous and/or with a gestational disease. Regardless the misoprostol's use it's contraindicated in cases of previous cesarean section, 1,9% of the sample were women with this history.
There is a need for better hospital induction and childbirth protocols. In addition to new actions directed at pregnant women, with a focus on prenatal education. Analytical studies are also suggested, as well as the training of professionals to complete the hospital and public policies evolution to improve rates related to childbirth, such as the presence of more physiotherapists in maternity. |
|---|---|
| ISSN: | 1413-3555 1809-9246 |
| DOI: | 10.1016/j.bjpt.2024.100813 |