[The use of prostaglandins for labor conduction in its latent phase].
We wanted to know enprostil efficacy, an E2 prostaglandin analogous as a labor conductor in it's latent phase in term pregnancies. 188 patients were included, 52% received intracervical enprostil and 48% were treated with oxytocin. The labor evolution, resolution and complications were watch over. 15 patients (15.6%) of the study group required labor conduction with oxytocin because it was inhibited after peridural anesthesia. The main pregnancy resolution was vaginal via; only 6.3% of the study group subjected cesarean section against 10.3% of the witness group and the most frecuent indication was stationary dilation (1 and 8 cases respectively). The time of the latent phase and total labor was lower statistically in the study group. The observed complications were post-labor hemorrhage (3.1%), polysystolia (4.1%) and vomiting (5.2%), without significant difference with the witness group. We conclude that intracervical enprostil help cervical mature. shortenning latent phase and total labor, disminish oxytocin requeriment and cesarean incidence by cervical alterations without compromise maternal-fetal morbi-mortality.
Calderón Hernandez
J S
JS
Centro Hospitalario 20 de Noviembre, ISSSTE, México, D.F.
Franco Solis
M
M
Velasco Sanchez
M G
MG
Escobedo Aguirre
F
F
Ahued Ahued
J R
JR
D016620:Enprostil; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D008137:Longitudinal Studies; D010121:Oxytocin; D011247:Pregnancy; D011446:Prospective Studies
D010121:Oxytocin; D016620:Enprostil
Empleo de prostaglandinas para la conducción del trabajo de parto en su fase latente.