Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >MediSan >Year 2014, Issue 11

Nápoles MD, Montes de Oca GA, Couto ND
Active treatment with oxytocin and late artificial rupture of membranes in the dystocia of the latent phase of labor
MediSan 2014; 18 (11)

Language: Español
References: 20
Page: 1550-1559
PDF: 286.06 Kb.

[Full text - PDF]


A prospective, longitudinal intervention study, of the 90 pregnant women with prolonged latent phase of labor, from eight hours on, assisted in the Perinatology Service of "Mariana Grajales Coello" and "Juan Bruno Zayas Alfonso" Hospitals in Santiago de Cuba was carried out in the period 2011-2013, with the objective of demonstrating the usefulness of the active treatment with late artificial rupture of membrane, used in the prolonged latent phase of labor. It was obtained that the average time to reach the active phase after initiating the induction was of 5,08 hours and 80,3% of the women had a fast response; while the duration of the active phase was of 4,05 hours as average. The usefulness of the new therapeutic protocol for the dystocia of latent phase was demonstrated.

Key words: first period of labor, dystocia of latent phase, labor, late artificial rupture of membranes.


  1. Nápoles Méndez D, Cutié León ER. Nuevo protocolo diagnóstico y terapéutico en la distocia de fase latente del trabajo de parto [tesis doctoral]. 2008. Hospital Provincial Ginecoobstétrico "Mariana Grajales Coello", Santiago de Cuba [citado 12 Mar 20013].

  2. Cunningham FG, Kenneth L, Leveno SL, Blom JC, Hanth LC. Distocia: Trabajo de parto anormal. En: Williams. Tratado de obstetricia. La Habana: Editorial Ciencias Médicas; 2007.p.367- 89.

  3. Nápoles Méndez D, Bajuelo Páez AE, Socorro Téllez M, Couto Núñez D. El partograma y las desviaciones del trabajo parto. MEDISAN. 2004 [citado 12 Mar 2013];8(4).

  4. Nápoles Méndez D, Couto Núñez D, Montes de Oca García A. Modalidades terapéuticas en la fase latente prolongada del trabajo de parto. MEDISAN. 2012 [citado 12 Mar 2013];16(5).

  5. Dwight JR, St. John E. Trabajo de parto y parto normal. En: Danforth. Tratado de obstetricia y ginecología. 9 ed. México, DF: Mc Graw Hill; 2003:53-82.

  6. Friedman EA. Labor in multíparas. A graphicostatistical analysis. J Am Acad Obst Gynecol. 1956;8(6):691-703.

  7. Friedman EA. Primigravid labor. A graphicostatistical analysis. J Am Acad Obst Gynecol 1955; 6(6):567-89.

  8. Nápoles Méndez D. Nueva modalidad terapéutica en la distocia de la fase latente del trabajo de parto. MEDISAN. 2005 [citado 12 Mar 2013]; 9(4).

  9. Progreso insatisfactorio del trabajo de parto. En: Manejo de las complicaciones del embarazo y el parto. Guía para obstetrices y médicos. Ginebra: OMS; 2002:63-74.

  10. Sokol RJ, Brindley BA. Diagnóstico y tratamiento del trabajo de parto anormal. En: Danforth. Tratado de obstetricia y ginecología. 6 ed. México, DF: McGraw-Hill Interamericana; 1998. p.617-71.

  11. Chelmow D, Kilpatrick SJ, Laros RK. Maternal and neonatal outcomes after prolonged latent phase. Obstet Gynecol. 1993;81(4):486-91.

  12. Maghoma J. Maternal and fetal risks associated with prolonged latent phase of labour. J Obstet Gynaecol. 2002;22(1):16-9.

  13. Bailit JL, Dierker L, Blanchard MH, Mercer BM. Outcomes of women presenting in active versus latent phase of spontaneous labor. Obstet Gynecol. 2005;105(1):77-9.

  14. Peisner DB, Rosen MG. Latent phase of labor in normal patients: a reassessment. Obstet Gynaecol. 1985;66(5):644-8.

  15. Nápoles Méndez D. Misoprostol en la inducción y fase latente del trabajo de parto. Rev Cubana Obstet Ginecol. 2006 [citado 12 Mar 2013];32(2).

  16. Nachum Z, Garmi G, Kadan Y, Noah Z, Shalev E, Salim R. Comparison between amniotomy, oxytocin or both for augmentation of labor in prolonged latent phase: a randomized controlled trial. Reprod Biol Endocrinol. 2010;8:136.

  17. Rolland Souza A, Ribeiro Costa AA, Coutinho I, Noronha N, Ramos Amorin MM. Induction of labor: concepts and particularities. Femina. 2010;38:4.

  18. Fraser WD, Turcot L, Krauss I, Brisson-Carrol G. Amniotomy for shortening spontaneous labour. En: The Cochrane Library. 2007 [citado 9 Mar 2012];(3).

  19. Rouse DJ, Landon M, Leveno KJ. The maternal- fetal medicine units cesarean registry: chorioamnionitis at term and its duration - realtionship to outcomes. Am J Obstet Gynecol. 2004;191(1):1-2.

  20. Wei S, Wo BL, Xu H, Luo ZC, Roy C, Fraser WD. Early amniotomy and early oxytocin for prevention of or therapy for, delay in first stage spontaneous labour compared with routine care. Cochrane Database Syst Rev. 2009 [citado 9 Mar 2012];15(2).

>Journals >MediSan >Year 2014, Issue 11

· Journal Index 
· Links 

Copyright 2019