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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
JUAREZ-COELLO, Patricia. Threats to the safety of the patient due to the delivery management with oxytocin. Experience in a public hospital in Lima, Peru. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.5, pp.313-318. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i5.2055.
OBJECTIVE
Identify the threats to the safety of the patient in the practice of conducting labor with oxytocin and maternal and perinatal outcomes in a public tertiary hospital in Lima, during 2016.
MATERIALS AND METHODS
Quantitative, descriptive, retrospective and cross-sectional. A total 112 pregnants’ medical histories were review who underwent augmentation of labour with oxytocin. Inclusion criteria’s: term gestation, hospitalization with a 4 cm dilatation, fetuses in cephalic presentation. Exclusion criteria’s: patients with previous or intercurrent pathologies to pregnancy.
RESULT
The augmentation with oxytocin made in pregnant women without alterations in labor (29.5%; n = 33). The main type childbirth was vaginal delivery (73.2%; n = 82) and of the group that underwent cesarean section, the most usual reason was cephalopelvic disproportion (56.7%; n = 17). Obstetric complications were observed (25%; n = 28), of this group the main was postpartum hemorrhage (46.4%; n = 13). The weight of the newborns oscillated between 3401 ± 394 g, 93.7% and 96.4% obtained an Apgar 10 to 7 at the 1st and 5th minute respectively.
CONCLUSIONS
The threats to the safety of the patient identified were the practice of augmentation of labor with oxytocin in pregnant women without alterations in labor and in pregnant women with cephalopelvic disproportion, although it is a contraindication to the procedure.
Palabras llave : Oxytocin; Obstetric labor complications; Cephalopelvic disproportion; Contraindication.