Relation between induced labour indications and neonatal morbidity

Hernández‐Martínez, Antonio; Pascual-Pedreño, Ana; Baño-Garnés, Ana Belén; Melero-Jiménez, Maria del Rocío; Molina‐Alarcón, Milagros

doi:10.1007/s00404-014-3349-7

Cited by 5 publications

(7 citation statements)

References 21 publications

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“…We have used this composite outcome as we believe this is a global summarizing result that includes objective criteria (umbilical artery pH) and subjective criteria (Apgar and degree of resuscitation), in addition to its previous use by other authors. [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Main outcome variables: pH umbilical artery <7.10, Apgar score after 5 min <7, degree of neonatal resuscitation (basic/advanced) and composite morbidity (created on the basis of the other three variables) [ 24 , 25 ]. Neonatal resuscitation was considered basic when required drying and temperature maintenance, oronasopharyngeal suction and indirect administration of oxygen.…”

Section: Methodsmentioning

confidence: 99%

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Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study

Martínez¹,

Rodríguez‐Almagro

García-Suelto³

et al. 2018

IJERPH

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(1) Background: Epidural analgesia (EA), at the present time, is one of the most effective methods to reduce labor pain. In recent years its use has increased, being used between 20–70% of all deliveries; (2) Methods: Historical cohort on a total of 2947 deliveries during the years 2012–2016 at the “Mancha-Centro Hospital” of Alcázar de San Juan. The main outcome variables were four neonatal morbidity (NM) criteria: umbilical artery pH of <7.10, Apgar score at 5 min < 7, need for advanced resuscitation and composite morbidity. We used the multivariate analysis to control confounding bias. (3) Results: No statistical relationship between EA and the second stage of labor duration with none of the four criteria of NM used (p > 0.005). However, the type of delivery was associated with three criteria (pH, resuscitation, and composite morbidity). The instrumental delivery presented an OR of pH < 7.10 of 2.68 95% CI [1.15, 6.27], an OR of advanced resuscitation of 2.44 95% CI [1.17, 5.08] and OR of composite morbidity of 2.86 95% CI [1.59, 5.12]; (4) Conclusions: The EA and the second stage of labor duration are not related to the NM. While the instrumental delivery doubles the risk of NM compared to the normal vaginal delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study

Martínez¹,

Rodríguez‐Almagro

García-Suelto³

et al. 2018

IJERPH

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“…The neonatal outcome was assessed by the umbilical cord blood pH to evaluate fetal asphyxia, the Apgar score at five minutes, respiratory status, birth weight, birth weight ≥ 4000 g, the rate of neonatal intensive care unit (NICU) admissions and neonatal death. According to the literature [25][26][27], an umbilical cord blood pH below 7,1 has been defined as critical to evaluate fetal asphyxia. As a final point, we analysed all above-named variables concerning primiparous women.…”

Section: Data Collectionmentioning

confidence: 99%

Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Thangarajah

Scheufen

Kirn

et al. 2016

Geburtshilfe Frauenheilkd

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!Introduction: This study aimed to determine the effects of induction of labour in late-term pregnancies on the mode of delivery, maternal and neonatal outcome. Methods: We retrospectively analyzed deliveries between 2000 and 2014 at the University Hospital of Cologne. Women with a pregnancy aged between 41 + 0 to 42 + 6 weeks were included. Those who underwent induction of labour were compared with women who were expectantly managed. Maternal and neonatal outcomes were evaluated. Results: 856 patients were included into the study. The rate of cesarean deliveries was significantly higher for the induction of labour group (33.8 vs. 21.1 %, p < 0.001). Aside from the more frequent occurrence of perineal lacerations (induction of labour group vs. expectantly managed group = 38.1 % compared with 26.4 %, p = 0.002) and all types of lacerations (induction of labour group vs. expectantly managed group = 61.5% vs. 52.2 %, p = 0.021) in women with vaginal delivery, there were no significant differences in maternal outcome. Besides, no differences regarding neonatal outcome were observed. Conclusions: Our study suggests that induction of labour in late and postterm pregnancies is associated with a significantly higher cesarean section rate. Other maternal and fetal parameters were not influenced by induction of labour.

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“…en el presente estudio la incidencia de eclampsia fue 0,5% con respecto al total de nacimientos reportaron esta como complicación; sin embargo, se describe en la literatura al oligoamnios como una de las complicaciones intraparto secundarias a los trastornos hipertensivos del embarazo 24 . en tercer lugar aparece el patrón de frecuencia cardíaca fetal anormal y hemorragia posparto con 11 casos para cada complicación.…”

Section: Discussionunclassified

“…algunos autores describen complicaciones que no se observaron en la presente serie, como ceguera transitoria, cardiomegalia y embolismo pulmonar 7,9,14,22,23 . las muertes maternas debidas a hemorragia intracerebral y coagulación intravascular diseminada se comunicaron en otros estudios 21,24,26 . si bien no se presentan de manera frecuente, son complicaciones graves por el alto riesgo de mortalidad.…”

Section: Discussionunclassified

Resultados maternos y perinatales en gestantes con eclampsia

Dillon¹,

Pérez-Roncero²,

López‐Baena³

et al. 2015

rcslibre

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ResumenObjetivo: analizar los resultados maternos y perinatales de gestantes con eclampsia. Método: estudio retrospectivo, descriptivo y analítico de 133 gestantes diagnosticadas con eclampsia, asistidas durante el año 2012 en el Hospital Gineco-Obstétrico enrique c. sotomayor de Guayaquil, ecuador. se accedió a la base de datos del hospital para obtener los resultados clínicos y de laboratorio de las maternas y los neonatos. Resultados: la incidencia de eclampsia fue 0,5% (133/26.113 nacidos vivos). la muestra correspondió a 67 (50,4%) adolescentes (≤19 años) y 103 (77,4%) nulíparas. La principal complicación fue el síndrome de hemolisis, enzimas hepáticas elevadas, trombocitopenia (Hellp) en 21 (15,8%) de las embarazadas. Se produjeron dos muertes maternas, una por hemorragia intracerebral y otra por coagulación intravascular diseminada. en cuanto a la resultante perinatal 59 (52,7%) nacieron pretérminos y hubo 7 (6,2%) muertes fetales intrauterinas y 7 (6,2%) muertes neonatales. Conclusión: la eclampsia tiene impacto negativo sobre los resultados maternos y perinatales. como la mayoría de casos suele ir precedido de preeclampsia, la prevención debe ir orientada a tratar precozmente la preeclampsia. Palabras clave: Eclampsia, Mortalidad materna, Mortalidad perinatal, Prematuridad, Síndrome de HELLP. AbstractObjective: To analyze maternal and perinatal outcomes among gestations with eclampsia. Methods: This was a retrospective study of 133 gestations complicated with eclampsia attended during the year 2012 at the enrique c. sotomayor Obstetrics and Gynecology Hospital of Guayaquil, ecuador. For this, the hospital database was accessed in order to obtain clinical and laboratory data of mother and infants. Results: The incidence of eclampsia was 0.5% (133/26.113 live births). Of cases 67 (50.4%) were adolescents (≤19 years) and 103 (77.4%) were nulliparous. The main complication was the Hellp syndrome (hemolysis, elevated liver enzymes, thrombocytopenia) in 21 (15.8%) patients. There were 2 r e v i s ta c o l o m b i a n a salud libre 84Volumen 10 • Número 2 • julio -diciembre de 2015 maternal deaths, one due to intracerebral hemorrhage and the other to disseminated intravascular coagulation. Regarding perinatal outcome 59 (52.7%) were born preterm and there were 7 (6.2%) intrauterine fetal and 7 (6.2%) neonatal deaths. Conclusions: eclampsia has a negative impact on the maternal perinatal outcome. as preeclampsia precedes the majority of cases of eclampsia, prevention should be orientated toward early detection.

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Relation between induced labour indications and neonatal morbidity

Abstract: No relation was found between induced labour and the neonatal morbidity indicators. The highest neonatal risk indicator is when a intrauterine growth restriction, hypertensión/preeclampsia or a postterm pregnancy is suspected.

Cited by 5 publications

References 21 publications

Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study

Epidural Analgesia and Neonatal Morbidity: A Retrospective Cohort Study

Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome

Resultados maternos y perinatales en gestantes con eclampsia

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