dc.contributorNiño González, Jorge Ernesto
dc.creatorHasbón Carreño, Sara Lucía
dc.creatorMonsalve Pinto, Diego Leonardo
dc.date.accessioned2013-01-11T04:37:34Z
dc.date.available2013-01-11T04:37:34Z
dc.date.created2013-01-11T04:37:34Z
dc.date.issued2012
dc.identifierhttp://repository.urosario.edu.co/handle/10336/4066
dc.identifierhttps://doi.org/10.48713/10336_4066
dc.description.abstractThe labor induction has demonstrated a simultaneous increment on Caesarean operation ratios, specifically in nulliparous patients with clinically unfavorable cervix. Although widely used, the clinical evaluation of the cervix is a subjective method; for this reason, the purpose of the present manuscript is to determine the usefulness of the cervix length ultrasound measurement, compared with the Bishop score, in the prediction of labor induction success in nulliparous patients at Hospital Universitario Clinica San Rafael Obstetrics Department. Materials and methods: We describe an observational study with the evaluation of a prospective cohort of 80 pregnant patients, all of them were performed ultrasound and clinical evaluation of the cervix before the labor induction. Results: The bivariate analysis demonstrated that patients with cervix length >20 mm are 1.57 times more likely to end in caesarean delivery (RR 1.57 IC95% 1.03-2.39 p <0.05). Similarly, patients with Bishop score 0 to 3 are 2.33 more likely to end in Caesarean delivery (RR 2.33 IC95% 1.28-4.23 p <0.05). Binary logistic regression showed that maternal age and cervical length were the only independent parameters with statistical significance for the prediction of labor induction success. Conclusions: Cervix length ultrasound measurement is more useful than clinical evaluation in the prediction of labor induction success in nulliparous patients.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEspecialización en Ginecología y Obstericia
dc.publisherFacultad de Medicina
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto completo)
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rightsEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectLongitud cervical
dc.subjectInduccion de trabajo de parto
dc.subjectPuntaje de Bishop
dc.subjectCesarea
dc.subjectParto vaginal
dc.titleLongitud cervical como predictor de exito en induccion de trabajo de parto en nuliparas
dc.typemasterThesis


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