Efectividad del misoprostol en la maduración del cérvix e inducción del trabajo de parto en gestantes a término en el Hospital General León Becerra Camacho en el periodo septiembre 2023 – abril 2024
| dc.contributor.advisor | Martínez Álvarez, Marlon Eduardo | |
| dc.contributor.author | Guim Núñez, Madeline Dennisse | |
| dc.contributor.author | Loor Arroyo, Keyli Nathaly | |
| dc.date.accessioned | 2024-10-14T13:48:25Z | |
| dc.date.available | 2024-10-14T13:48:25Z | |
| dc.date.issued | 2024 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/17539 | |
| dc.description | The project investigates the effectiveness of misoprostol in the induction of labor in full-term pregnant women at the León Becerra Camacho Hospital. Although it is not approved in many countries for this use, it has been shown to be effective in cervical ripening and reducing cesarean sections. Objective: Determine the effectiveness of misoprostol in the maturation of the cervix and induction of labor in full-term pregnant women treated at the León Becerra Camacho General Hospital in the period September 2023 - April 2024. The study was quantitative, with an observational design of analysis and synthesis. We worked with a sample of 38 full-term pregnant women, the information was collected through the institution's survey and statistics. Results, the range of 20 to 35 years predominated with 42.1%; the gestational age was 39 weeks 48.7%, previous births of the patients between 1 and 2 births 48.7%, place of origin 57.9% is urban, the factors for induction were prolonged pregnancy 60.5 ; 31.6% early membrane rupture; 68.4% of patients had a vaginal delivery, while 31.6% required cesarean section due to failed induction. Maternal complications: postpartum hemorrhage 39.5% and birth canal injury 26.3%. Fetal complications 15.8% included meconium cases, applied dose of 50mcg 73.7%; 60.5% received between 1 and 2 doses; 68.4% achieved cervical maturity in less than 12 hours, the adverse reaction was tachysystole in 5.3%, 94.7% did not present adverse reactions after its application. Conclusion Misoprostol is a valuable tool in the practice of labor induction, however, it must be carefully monitored to achieve the best results and avoid risks to the mother and baby. | es_ES |
| dc.description | The project investigates the effectiveness of misoprostol in the induction of labor in full-term pregnant women at the León Becerra Camacho Hospital. Although it is not approved in many countries for this use, it has been shown to be effective in cervical ripening and reducing cesarean sections. Objective: Determine the effectiveness of misoprostol in the maturation of the cervix and induction of labor in full-term pregnant women treated at the León Becerra Camacho General Hospital in the period September 2023 - April 2024. The study was quantitative, with an observational design of analysis and synthesis. We worked with a sample of 38 full-term pregnant women, the information was collected through the institution's survey and statistics. Results, the range of 20 to 35 years predominated with 42.1%; the gestational age was 39 weeks 48.7%, previous births of the patients between 1 and 2 births 48.7%, place of origin 57.9% is urban, the factors for induction were prolonged pregnancy 60.5 ; 31.6% early membrane rupture; 68.4% of patients had a vaginal delivery, while 31.6% required cesarean section due to failed induction. Maternal complications: postpartum hemorrhage 39.5% and birth canal injury 26.3%. Fetal complications 15.8% included meconium cases, applied dose of 50mcg 73.7%; 60.5% received between 1 and 2 doses; 68.4% achieved cervical maturity in less than 12 hours, the adverse reaction was tachysystole in 5.3%, 94.7% did not present adverse reactions after its application. Conclusion Misoprostol is a valuable tool in the practice of labor induction, however, it must be carefully monitored to achieve the best results and avoid risks to the mother and baby. | es_ES |
| dc.description.abstract | El proyecto investiga la efectividad del misoprostol en la inducción del parto en gestantes a término en el Hospital León Becerra Camacho. Aunque no está aprobado en muchos países para este uso, ha demostrado ser eficaz en la maduración cervical y reducción de cesáreas. Objetivo: Determinar la efectividad del misoprostol en la maduración del cérvix e inducción del trabajo de parto en gestantes a término atendidas en el Hospital General León Becerra Camacho en el periodo septiembre 2023 – abril 2024. El estudio fue cuantitativo, de diseño observacional de análisis y síntesis. Se trabajó con una muestra de 38 gestantes a término, la información fue recolectada mediante la encuesta y estadística de la institución. Resultados, predominó el rango de 20 a 35 años el 42,1%; edad gestacional 39 semana 48,7%, partos previos de las pacientes han tenido entre 1 y 2 partos 48,7%, lugar de procedencia 57,9% urbana, los factores de inducción fueron: embarazo prolongado 60,5% y 31,6% ruptura temprana de membrana. El 68,4% tuvieron parto vaginal, el 31,6% requirió cesárea por inducción fallida. Complicaciones maternas: hemorragia posparto 39,5% y lesión del canal del parto 26,3%. Complicaciones fetales el 15,8% incluyeron casos meconiales, dosis aplicada de 50mcg 73,7%; recibieron entre 1 y 2 dosis 60,5%; un 68,4% lograron la madurez cervical en menos de 12 horas, se presentó un porcentaje mínimo de reacción adversa por taquisistolia 5,3%, el 94,7% no presentaron reacciones. Conclusión el misoprostol es una herramienta valiosa en la práctica de la inducción del trabajo de parto. | es_ES |
| dc.format.extent | 83 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2024 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Misoprostol | es_ES |
| dc.subject | Inducción | es_ES |
| dc.subject | Embarazo a término | es_ES |
| dc.subject | Madurez cervical | es_ES |
| dc.subject.other | Obstetricia | es_ES |
| dc.title | Efectividad del misoprostol en la maduración del cérvix e inducción del trabajo de parto en gestantes a término en el Hospital General León Becerra Camacho en el periodo septiembre 2023 – abril 2024 | es_ES |
| dc.type | bachelorThesis | es_ES |
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