Induction of labor with oxytocin in pregnancy with low-risk heart disease: A randomized controlled trial
| Autor: | Ravi Kant Dogra, Neelam Aggarwal, Vanita Suri, Yogita Dogra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Heart disease lcsh:Medicine labor 030204 cardiovascular system & hematology lcsh:Gynecology and obstetrics Risk heart disease law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law caesarean Medicine Clinical Investigation induction lcsh:RG1-991 reproductive and urinary physiology Fetus Pregnancy 030219 obstetrics & reproductive medicine business.industry Obstetrics lcsh:R Obstetrics and Gynecology Induction of labor medicine.disease Oxytocin Gestation delivery business medicine.drug |
| Zdroj: | Turkish Journal of Obstetrics and Gynecology Turkish Journal of Obstetrics and Gynecology, Vol 16, Iss 4, Pp 213-218 (2019) |
| ISSN: | 2149-9330 2149-9322 |
| Popis: | Objective To compare maternal and perinatal outcomes in pregnant women with underlying heart disease who underwent induction of labor with those who had spontaneous labor. Materials and methods A total of 50 pregnant women with heart disease who were registered in cardio-obstetric clinic were recruited consecutively between 38-41 weeks' gestation. Patients with favorable Bishop scores at 38 weeks were randomized into two groups. Induction of labor with oxytocin was performed in one group, and the second group underwent spontaneous onset of labor. Descriptive analysis in terms of mean, standard deviation, and percentage was performed. Unpaired t-test was applied for comparison of two groups using SPPS statistical software. Results No significant difference in the rate of maternal complications was observed between the two groups. No cardiac complications were reported in pregnant females who underwent induction of labor. Fifty-two percent of patients delivered during workday hours when labor was induced, whereas only 24% of pregnant women delivered during working hours who underwent spontaneous delivery. No maternal or neonatal deaths were reported. Conclusion Induction of labor with oxytocin is a relatively safe procedure in women with heart disease, it does not result in any cardiac complications. More patients delivered during daytime when electively induced, which minimized the maternal and fetal risks because obstetric, anesthesiologist, cardiologist, and perinatologist specialists are readily available during the daytime. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|