Clinical and epidemiological features of inducing labor in post-term pregnancy

Authors

  • Migdalia de las Mercedes Peña Abraham Especialista de Segundo Grado. Profesora Auxiliar de Ginecología y Obstetricia. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Manuel Piloto Morejón Especialista de Segundo Grado. Profesor Auxiliar de Ginecología y Obstetricia. Universidad de Ciencias Médicas de Pinar del Río.
  • Carlos Romero Díaz Especialista de Segundo Grado. Asistente de Ginecología y Obstetricia. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Eddy González Ungo Especialista de Segundo Grado en Pediatría. Cuidados Intensivos y Asistente. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Marta Valladares Hernández Especialista de Segundo Grado. Asistente de Ginecología y Obstetricia.Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Abstract

Post-term pregnancy is a controversial obstetric entity in medical literature due to the different criteria used regarding to its diagnosis, prenatal control, treatment to be followed and intra-labor management. Aimed at determining the behavior of the induction of labor in post-term pregnancy a case and control study was conducted at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio, during a three-year period (2005-2007). The universe was comprised of all the births occurring in the institution, women surpassing 42 weeks of pregnancy and inducing labor (n=239) and a control group for the first 10 pregnant women of each month with spontaneous labor and gestational age of 37-41 weeks, live fetus and with apex presentation (n=360). Maternal age, previous parity, ending of labor, Apgar score of the newborn, Bishop rate, maternal and neonatal mortality were the variables studied. Absolute frequency, percentage method, chi square test and Odss ratio to 95% of certainty were used. Post-term pregnancy with inducing labor had as risk factors: adolescence (OR=5), multiparity (OR=7.5) and the Bishop rate <7 points (OR =6.6); prevailing cesarean section in post-term pregnancy, newborns presented a high incidence of low Apgar scores (p<0.001) and with a maternal morbidity (p<0.001).

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Published

2010-03-19

How to Cite

1.
Peña Abraham M de las M, Piloto Morejón M, Romero Díaz C, González Ungo E, Valladares Hernández M. Clinical and epidemiological features of inducing labor in post-term pregnancy. Rev Ciencias Médicas [Internet]. 2010 Mar. 19 [cited 2025 Sep. 19];14(1):49-5. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/579

Issue

Vol. 14 No. 1 (2010)

Section

ORIGINAL ARTICLES

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