Relación del tiempo de trabajo de parto, espontáneo o inducido en gestantes nulíparas con embarazo a término en el Hospital Universitario de Guayaquil durante el periodo de enero a diciembre del 2016.

Abstract

Introduction: In 2013 labor induction was performed in about 23% of nulliparous women, by 2015 the use of misoprostol was reported in 42.9% of births in mothers with their first product. A prolonged labor that is one of the most common causes to initiate the induction of labor. The existence of a relationship between the use of misoprostol in induction and the spontaneous follow-up of labor, both to avoid neonatal complications and to reduce mortality and maternal hemorrhages. Objective: to establish the working time of patients with full-term pregnancy at the University Hospital of Guayaquil, during the period January to December 2016 that misoprostol was not used in the induction of labor. Method: Study with a quantitative, descriptive, non-experimental design, observational, indirect, analytical, retrospective, conducted at the University Hospital of Guayaquil since December 2016, area of gynecology and obstetrics. Results: 49 hospital records were taken into account, it was obtained that labor was performed less than 24 hours in the mothers analyzed, 8 were spontaneous deliveries, and 41 were induced. Of the cases reported as not induced, the maximum time of labor was 12 hours, minimum time of 11 hours, with an average of 10.5 hours. On the other hand, cases induced by the maximum time of 9 hours, the minimum time of 4 hours, with an average of 7.5 hours. Conclusion: The induction of labor reduced the time of mothers with full term pregnancy.