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dc.contributor.advisorNiño González, Jorge Ernesto 
dc.creatorHasbón Carreño, Sara Lucía 
dc.creatorMonsalve Pinto, Diego Leonardo 
dc.date.accessioned2013-01-11T04:37:34Z
dc.date.available2013-01-11T04:37:34Z
dc.date.created2012-12-10
dc.date.issued2012
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4066
dc.descriptionLa inducción del trabajo de parto ha demostrado aumentar simultáneamente las tasas de cesárea, especialmente en nulíparas con cérvix clínicamente desfavorables. Ya que la valoración clínica del cérvix es un método subjetivo, aunque ampliamente utilizado, el objetivo del presente estudio fue determinar la utilidad de la medición ecográfica de la longitud cervical comparándola con el puntaje de Bishop, en la predicción del éxito de la inducción del parto en las pacientes nulíparas en el servicio de Obstetricia del Hospital Universitario Clínica San Rafael, Bogotá. Materiales y métodos: Se realizó un estudio observacional, evaluando una cohorte prospectiva de 80 gestantes a quienes se les realizó valoración ultrasonográfica y clínica del cérvix antes de iniciar la inducción del trabajo de parto. Resultados: El análisis bivariado demostró que las pacientes con longitud cervical >20mm tienen 1.57 veces la probabilidad de tener parto por cesárea (RR 1.57 IC95% 1.03-2.39 p <0.05). De manera similar las pacientes con puntaje de Bishop 0 a 3 tienen 2.33 veces la probabilidad de tener parto por cesárea (RR 2.33 IC95% 1.28-4.23 p <0.05). La regresión logística binaria demostró que la edad materna y la longitud cervical fueron los únicos parámetros independientes con significancia estadística para predecir el éxito de la inducción. Conclusiones: La medición ecográfica de la longitud cervical tiene mayor utilidad que la valoración clínica del cérvix en la predicción del éxito de la inducción del parto en nulíparas.
dc.description.abstractThe labor induction has demonstrated a simultaneous increment on Caesarean operation ratios, specifically in nulliparous patients with clinically unfavorable cervix. Although widely used, the clinical evaluation of the cervix is a subjective method; for this reason, the purpose of the present manuscript is to determine the usefulness of the cervix length ultrasound measurement, compared with the Bishop score, in the prediction of labor induction success in nulliparous patients at Hospital Universitario Clinica San Rafael Obstetrics Department. Materials and methods: We describe an observational study with the evaluation of a prospective cohort of 80 pregnant patients, all of them were performed ultrasound and clinical evaluation of the cervix before the labor induction. Results: The bivariate analysis demonstrated that patients with cervix length >20 mm are 1.57 times more likely to end in caesarean delivery (RR 1.57 IC95% 1.03-2.39 p <0.05). Similarly, patients with Bishop score 0 to 3 are 2.33 more likely to end in Caesarean delivery (RR 2.33 IC95% 1.28-4.23 p <0.05). Binary logistic regression showed that maternal age and cervical length were the only independent parameters with statistical significance for the prediction of labor induction success. Conclusions: Cervix length ultrasound measurement is more useful than clinical evaluation in the prediction of labor induction success in nulliparous patients.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectLongitud cervical
dc.subjectInduccion de trabajo de parto
dc.subjectPuntaje de Bishop
dc.subjectCesarea
dc.subjectParto vaginal
dc.subject.lembEmbarazo
dc.subject.lembParto normal
dc.subject.lembCesárea (Operación)
dc.subject.lembCirugía obstétrica
dc.titleLongitud cervical como predictor de exito en induccion de trabajo de parto en nuliparas
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Ginecología y Obstericia
dc.publisher.programEspecialización en Ginecología y Obstericia
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordCervical length
dc.subject.keywordLabor induction
dc.subject.keywordBishop score
dc.subject.keywordCesarean
dc.subject.keywordVaginal delivery
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.


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