Revista Cubana de Obstetricia y Ginecología
On-line version ISSN 1561-3062
CORRALES GUTIERREZ, Alexis; CARRILLO GONZALEZ, Tania T; BENAVIDES CASAL, María E and BORGES ECHEVARRIA, Pedro. Perinatal results of the expectant management of prolonged pregnancy. Rev Cubana Obstet Ginecol [online]. 2008, vol.34, n.1, pp. 0-0. ISSN 1561-3062.
OBJECTIVE: to prove that with an expectant management in prolonged pregnancy (PP) significant perinatal results may be obtained. METHODS: a comparative study was made between the attention of a protocol with this type of management (expectant) and prolonged pregnancy in a five-year period (n=1826). It is compared with gestations of 37-41 normal weeks or at low risk. The studied variables were the induction criteria, the type of delivery, the Apgar scores, the admission of newborn infants in the Intensive Care Unit, and the perinatal mortality. RESULTS: it was possible that 74.5 % of the PP had an spontaneous delivery. Olygohydramnios was the main cause of induction. 76.5 % had an transpelvic delivery with a RR of cesarean section 1.30 times higher, although it was not remarkable. The low Apgar score at the 5th minute was 0.05 %, with the same behavior observed in the gestations of 37-41 weeks. Likewise, the admissions of neonates in the Intensive Care Units was similar in both groups, but the perinatal mortality rate was almost three times lower than in PP (2,73 vs. 7,5). CONCLUSIONS: the expectant management of PP, with follow-up of the fetal well-being, attains excellent perinatal results with a lower obstetric intervention.
Keywords : Prolonged pregnancy; induction; Apgar; perinatal mortality.