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Longitud cervical como predictor de exito en induccion de trabajo de parto en nuliparas

dc.contributor.advisorNiño González, Jorge Ernesto
dc.creatorHasbón Carreño, Sara Lucía
dc.creatorMonsalve Pinto, Diego Leonardo
dc.creator.degreeEspecialista en Ginecología y Obstericia
dc.date.accessioned2013-01-11T04:37:34Z
dc.date.available2013-01-11T04:37:34Z
dc.date.created2012-12-10
dc.date.issued2012
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.spa
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.eng
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_4066
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4066
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Ginecología y Obstericiaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectLongitud cervicalspa
dc.subjectInduccion de trabajo de partospa
dc.subjectPuntaje de Bishopspa
dc.subjectCesareaspa
dc.subjectParto vaginalspa
dc.subject.keywordCervical lengtheng
dc.subject.keywordLabor inductioneng
dc.subject.keywordBishop scoreeng
dc.subject.keywordCesareaneng
dc.subject.keywordVaginal deliveryeng
dc.subject.lembEmbarazospa
dc.subject.lembParto normalspa
dc.subject.lembCesárea (Operación)spa
dc.subject.lembCirugía obstétricaspa
dc.titleLongitud cervical como predictor de exito en induccion de trabajo de parto en nuliparasspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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