Impact of medication correction of labor weakness on obstetrical complications and newborn status
نویسندگان
چکیده
Objectives: To analyze the impact of medical correction labor weakness with oxytocin on obstetric and newborn complications.Materials methods. 100 cases childbirth activity (main group) 50 without (control were analyzed. The analysis included pregnancy histories mothers aged 20–32 years a gestation period 37– 41 weeks uncomplicated pregnancies, significant somatic obstetric-gynecological pathology, who gave birth in Perinatal Center Kyiv during last 3 years.Depending method delivery, women main group divided into subgroups: Iа – natural vaginal, spontaneous delivery (n = 60), Ib operative vaginal using vacuum extractor 22), Іc by cesarean section 18).The following factors studied each group: assessment newborns status according to Apgar scale at 1st 5th minutes, pH level umbilical cord blood, frequency fetal distress based cardiotocography (Fischer score < 6 points), duration induction, color amniotic fluid.Results. average was largest subgroup deliveries, smallest section. In 14 (63.6%) indications for signs only 8 (36.4%) activity.In Ia compared Ic, there longer higher percentage deliveries meconium-stained waters (28.3%), neonatal acidemia (16.7%) children an minute ≤ points (8.4%). Ic Ia, value Fischer (50%), reinforcement more than 4 hours (44.5%), asphyxia (38.9%). Indications caesarean 50% distress, 38.9% which not associated medication, 11.1% clinically narrow pelvis.In all groups relationship between induction condition (the when infusion lasted hours).In indication urgent 63.6% cases, Iс it 50%. This indicates mediated negative effect exogenous fetus childbirth. condition, criteria, worse control group, regardless delivery.Conclusions. use can have fetus, increases sections and, as result, is risk factor complications postpartum period. There correlation injection newborn.
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ژورنال
عنوان ژورنال: Reproductive Endocrinology
سال: 2023
ISSN: ['2411-1295', '2309-4117']
DOI: https://doi.org/10.18370/2309-4117.2023.67.84-89