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Induced Labor– Is There an Increased Risk of Perinatal Infection?

dc.contributor.authorOlival, V
dc.contributor.authorCorreia, A
dc.contributor.authorMahomed, F
dc.contributor.authorMira, R
dc.contributor.authorVirella, D
dc.date.accessioned2013-02-08T14:04:22Z
dc.date.available2013-02-08T14:04:22Z
dc.date.issued2011
dc.description.abstractObjectives: 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.por
dc.identifier.citationIN: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, Portugalpor
dc.identifier.urihttp://hdl.handle.net/10400.17/1046
dc.language.isoengpor
dc.publisherServiço de Ginecologia-Obstetrícia e Serviço de Pediatria Médica, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central, EPEpor
dc.subjectParto Induzidopor
dc.subjectInfecçãopor
dc.subjectRecém-Nascidopor
dc.subjectHDE OBS
dc.subjectHDE PED
dc.titleInduced Labor– Is There an Increased Risk of Perinatal Infection?por
dc.typelecture
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typelecturepor

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