Sánchez CI

Language: Spanish
References: 12
Page: 995-101
PDF size: 193.12 Kb.

ABSTRACT

An epidemiological, observational, analytic, longitudinal and prospective study of 44 pregnant women with childbirth date at 42 weeks or more, assisted in "Dr. Nelia I. Delfín Ripoll" Teaching Gynecological and Obstetrical Hospital from Santiago de Cuba municipality was carried out from January to December, 2013, with the objective of characterizing them clinically and epidemiologically and to determine the influence of prolonged pregnancy in the binomial mother-son. Among the excellent results there were: the high incidence of non reliable date of the last menstruation in the nulliparous group (51.9%), the childbirth through caesarean section (29.5%) whose main cause was the failed induction (38.4%), followed by the cephalopelvic disproportion (23.1%); the syndrome of meconium aspiration as complication in the newborns (29.5%), and the uterine atony and bleeding (6.8%, respectively) as complications in the mothers. It could be concluded that in the series, the prolonged pregnancy generally took place in women with reliable last menstruation date, the indicator of primitive cesarean section was increased and the presence of complications was more frequent in the newborns than in mothers.

REFERENCES

1. Bochner CJ, Williams J, Castro L, Medearis A, Hobel CJ, Wade M. The efficacy of starting post-term antenatal testing at 41 weeks as compared with 42 weeks of gestational age. Am J Obstet Gynecol. 1988; 159(3): 550-4.

2. Clark SL. Intrapartum management of the postdate patient. Clin Obstet Gynecol. 1989; 32(2): 278-84.

3. Donoso E, Pérez A. Embarazo prolongado. En: Pérez Sánchez A, Donoso Siña E. Obstetricia. Santiago de Chile: Editorial Mediterráneo; 2009. p. 506-10.

4. Espinoza R. Edad gestacional y embarazo en vías de prolongación. Boletín Escuela de Medicina. Pontificia Universidad Católica de Chile. 1993; 22(2): 131-4.

5. University Health Care. Embarazo prolongado. Utah: University of Utah Hospitals and Clinics; 2013 [citado 16 Dic 2013]. Disponible en: http://healthcare.utah.edu/ healthlibrary/related/doc.php?type=90&id=P05597

6. Espinoza R. Embarazo prolongado y en vías de prolongación. En: Oyarzún Ebensperger E, Badía Arnaiz JI. Alto riesgo obstétrico. Santiago de Chile: Pontificia Universidad Católica de Chile; [s.a.] [citado 16 Dic 2013]. Disponible en: http://escuela.med.puc.cl/paginas/departamentos/obstetricia/altoriesgo/embarazo_pr olongado.html

7. Rodríguez Hidalgo N. Manual de diagnóstico y tratamiento en obstetricia y perinatología. La Habana: Editorial Ciencias Médicas; 2000.

8. The National Institute of Child Health and Human Development Network Maternal Medicine Units. A Clinical trial of induction of labor versus expectant management in postterm pregnancy. Am J Obstet Gynecol. 1994; 170(3): 716-23.

9. Cunninghan FG, Leveno KJ, Gilstrap LC, Hauth JC, Wenstrom KD, Bloom SL. Obstetricia de Williams. 22 ed. México, D.F.: McGraw-Hill Interamericana; 2006.

10. Oliva Rodríguez JA. Temas de obstetricia y ginecología. La Habana: Infomed/CNICM; [s.a.] [citado 16 Dic 2013]. Disponible en: http://bvs.sld.cu/libros/obstetricia/

11. Creasy RK, Resnik R, Iams JD. Maternal-fetal medicine: principles and practice. 5 ed. Philadelphia: Saunders; 2004.

12. Leveno KJ, Quirk JG, Cunningham FG, Nelson SD, Santos-Ramos R, Toofanian A, et al. Prolonged pregnancy. I. Observations concerning the causes of fetal distress. Am J Obstet Gynecol. 1984; 150(5 Pt 1): 465-73.