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Análisis de la finalización de la gestación y morbilidad materna en las gestaciones de 41 semanas |
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| Authors: | R Crespo C LaprestaS Castán JM CampillosB Rodríguez-Solanilla JJ Tobajas |
| Institution: | a Facultativo especialista de área, Sección de Medicina Maternofetal, Servicio de Obstetricia, Hospital Universitario Miguel Servet, Zaragoza, España b Facultativo especialista de área, Servicio de Medicina Preventiva, Hospital Universitario Miguel Servet, Zaragoza, España c Jefe de Sección de Paritorios y Urgencias, Servicio de Obstetricia, Hospital Universitario Miguel Servet, Zaragoza, España d Jefe de Sección de Medicina Maternofetal, Servicio de Obstetricia, Hospital Universitario Miguel Servet, Zaragoza, España e Facultativo especialista de área, Sección de Paritorios y Urgencias, Servicio de Obstetricia, Hospital Universitario Miguel Servet, Zaragoza, España f Jefe de Servicio de Obstetricia, Hospital Universitario Miguel Servet, Zaragoza, España |
| Abstract: | ObjectiveTo evaluate the mode of delivery and maternal morbidity associated with pregnancies ending at 41 weeks.Material and methodsWe designed a retrospective cohort study. The mode of delivery and maternal complications of 230 pregnancies ending at 41 weeks were compared with those in 234 pregnancies ending between 37 and 40 weeks at the Miguel Servet University Hospital in 2005.ResultsWomen delivering at 41 weeks had an increased risk of membrane sweep, unfavorable Bishop score at admission, induction and longer duration of labor. These increases were also seen in the rates of operative vaginal delivery (25.6 vs 17.6%, p < 0.001) and cesarean section (21.7 vs 8.5%, p < 0.001).ConclusionsThe rates of maternal peripartum complications increase as pregnancy reaches 41 weeks. Accurate investigation of these rates is important to determine the gestational age at which the risk of continuing the pregnancy outweighs the risk of labor induction. |
| Keywords: | Gestació n de 41 semanas Embarazo prolongado Inducció n de parto Morbilidad materna Cesá rea |
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