Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
989 5 |
Ultima descărcare din IBN: 2023-03-21 15:54 |
Căutarea după subiecte similare conform CZU |
618.39-085 (2) |
Științe medicale. Medicină (11192) |
SM ISO690:2012 GRECU, Chiril, , , BURLAC, Ala. Contraverse actuale în terapia tocolitică . In: Buletin de Perinatologie, 2015, nr. 1(65), pp. 52-61. ISSN 1810-5289. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Buletin de Perinatologie | ||||||
Numărul 1(65) / 2015 / ISSN 1810-5289 | ||||||
|
||||||
CZU: 618.39-085 | ||||||
Pag. 52-61 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Introduction: Preterm labor is the most reported perinatal morbidity and mortality. Tocolytic agents are effective in stopping uterine contractions and temporarily delay the birth, however, there are still signifi cant problems with potential morbidity and mortality for both mother and fetus as any tocolytic. Materials and methods. In the prospective study, which included consecutive women (200 cases) followed elucidating clinical features the use of tocolytic drugs (according to the clinical protocol) of pre-term delivery within 72 hours or bordering this time assessing its effectiveness in depending on the preparation and judging administered tocolytic neonatal outcomes. Results. Pregnant women who have a type of activity with stressful conditions and apparent clinical signs of preterm delivery, even if hospitalization intervene, but will be given tocolysis, the relative risk of preterm birth may constitute RR 2.25, CI 95% (1, 52 to 3.32) and for applying evolutionary tocolysis this risk of preterm delivery is maintained, representing RR 1.40 IC95% (1.06 to 1.85). If fi nding USG using transvaginal shortening cervix ≤ 25 mm in the absence of exposure to tocolytic therapy relative risk of birth within less than 48 hours will be RR 1.34, 95% CI, 0.69 to 2.61 , regular uterine contractions coming birth event with a relative risk RR 3.16, 95% CI, 1.66 to 6.04; The event replaces the risk of cervical dilation 5.82, even if it started tocolysis. Birth managed to delay monotherapy Ca channel blocker (Nifedipina) more than 24 hours in 95%, and the barrier for 48 hours in 85% of cases. Respiratory distress syndrome was found in 35.38% (23) in children born to mothers who not have been exposed to tocolysis, in contraposition with 22.22% (12) of mothers exposed tocolysis, possibly due to prevention success full corticosteroids more than 91%. Conclusions. CTG monitoring of uterine contractions and transvaginal ultrasound cervical length estimation complementary digital assessment of women with premature birth allow proper selection of patients for making tocolytic therapy. Making tocolytic therapy within 48 hours and to avoid combination therapy (or sequential therapy) may allow reduction of adverse reactions to the mother and reduce morbidity of preterm newborn. |
||||||
Cuvinte-cheie premature birth imminent, tocolysis |
||||||
|