masterThesis
Intervenciones y complicaciones perinatales relacionadas al ingreso hospitalario durante la fase latente de la labor de parto. Revisión sistemática
Fecha
2021-10-13Autor
Guerra Lagos, Leonardo Javier
Institución
Resumen
Background: The incidence of perinatal interventions and complications are
more common in patients who hospitalized in the latent phase of labor. Current
evidence suggest that latent phase is define as acervical dilatation less than 6
centimeters.
General objective: To evaluate the perinatal interventions and complications
related to hospitaladmission during the latent phase of labor.
Methodology: observational, systematic review. The search terms used in
English were “Labor Stage, First”, “Labor Onset”, “Patient Admission”, “Delivery,
Obstetric”. Studies with full text, quintile one to two, with methodological,
analytical, retrospective, prospective, descriptive designs between the years
1998-2020 were included.
Results: admission in latent phase of labor is related to a higher risk of cesarean
section (p
<0.05), use of oxytocin during labor (p <0.05), epidural anesthesia (p <0.05),
number of vaginalexaminations (p <0.05), and labor duration since admission (p
<0.05). The variety of published results for the other interventions did not
determine any other association.
Conclusions: admission in latent phase of labor (<6 cm of dilation) is related to
an increased risk of prolonged labor, number of vaginal examinations, epidural
anesthesia, use of oxytocin tostimulate labor; and as a result the probability of
cesarean section increases