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Authors
Advisor(s)
Abstract(s)
Objectives: To assess induced labor-associated perinatal infection risk at Hospital D.Estefânia from January to June of 2010 at Hospital de D. Estefânia’s delivery rooms, reviewing the indications for inducing labor as well as the techniques used.
Material and Methods: Performing an historical prospective study searching the clinical processes as well as the mother and newborn’s computer database from January to June of 2010. An exposed and an unexposed group were created; the first group comprises pregnant women and their newborns whose labor was induced. The unexposed group is constituted by newborns and pregnant women whose labor was spontaneous. Labor induction was performed using intra-vaginal prostaglandins in women who didn’t start it spontaneously; perinatal infection was defined either clinically or using blood tests. The gestational age was ≥ 37 weeks for both groups. 19 variables were studied for both groups.
Results: A total of 190 mother-newborn pairs were included: 55 in the exposed group and
135 in the unexposed group. 3 cases of perinatal infection were reported, two in the exposed group and one in the unexposed group. Preliminary data resulted in a perinatal infection rate of 3.6% in the exposed group and 0.7% in the unexposed group; preliminary data suggest that
the risk of perinatal infection may be increased in up to 5-fold when labor is inducted.
Conclusions: A larger series of patients and a multivariable analysis using logistic regression are both necessary in order to perform a more thorough assessment of labor induction’s role in perinatal infection risk. One must also try to distinguish labor inducing- and clinical practicesrelated
factors.
Description
Keywords
Parto Induzido Infecção Recém-Nascido HDE OBS HDE PED
Citation
IN:Reunião Nacional, III Jornadas de Controlo de Infecção em Pediatria e II Jornadas de Controlo de Infecção de Ginecologia e Obstetrícia; 2011, 17 Novembro. Lisboa, Portugal
Publisher
Serviço de Ginecologia-Obstetrícia e Serviço de Pediatria Médica, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE