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Type: Artigo de periódico
Title: Factors And Outcomes Associated With The Induction Of Labour In Latin America.
Author: Guerra, G V
Cecatti, J G
Souza, J P
Faúndes, A
Morais, S S
Gülmezoglu, A M
Parpinelli, M A
Passini, R
Carroli, G
Abstract: To describe the prevalence of labour induction, together with its risk factors and outcomes in Latin America. Analysis of the 2005 WHO global survey database. Eight selected Latin American countries. All women who gave birth during the study period in 120 participating institutions. Bivariate and multivariate analyses. Indications for labour induction per country, success rate per method, risk factors for induction, and maternal and perinatal outcomes. Of the 97,095 deliveries included in the survey, 11,077 (11.4%) were induced, with 74.2% occurring in public institutions, 20.9% in social security hospitals and 4.9% in private institutions. Induction rates ranged from 5.1% in Peru to 20.1% in Cuba. The main indications were premature rupture of membranes (25.3%) and elective induction (28.9%). The success rate of vaginal delivery was very similar for oxytocin (69.9%) and misoprostol (74.8%), with an overall success rate of 70.4%. Induced labour was more common in women over 35 years of age. Maternal complications included higher rates of perineal laceration, need for uterotonic agents, hysterectomy, ICU admission, hospital stay>7 days and increased need for anaesthetic/analgesic procedures. Some adverse perinatal outcomes were also higher: low 5-minute Apgar score, very low birthweight, admission to neonatal ICU and delayed initiation of breastfeeding. In Latin America, labour was induced in slightly more than 10% of deliveries; success rates were high irrespective of the method used. Induced labour is, however, associated with poorer maternal and perinatal outcomes than spontaneous labour.
Subject: Adolescent
Age Factors
Epidemiologic Methods
Fetal Diseases
Infant, Low Birth Weight
Infant, Newborn
Intensive Care
Labor, Induced
Latin America
Maternal Age
Pregnancy Complications
Pregnancy Outcome
Puerperal Disorders
Young Adult
Citation: Bjog : An International Journal Of Obstetrics And Gynaecology. v. 116, n. 13, p. 1762-72, 2009-Dec.
Rights: fechado
Identifier DOI: 10.1111/j.1471-0528.2009.02348.x
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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