Risk factors related to dystocia in primiparous women at the Hospital General Dr. Napoleón Dávila Córdova
DOI:
https://doi.org/10.36097/rgcs.v1i1.3098Keywords:
dystocia, risk factors, nulliparousAbstract
Dystocia is a term that means laborious, difficult, and painful labor. They are alterations that occur in the pelvic-genital canal (bone and soft tissues), the fetus and uterine contractility. A retrospective cross-sectional descriptive study was carried out with the aim of analyzing the risk factors related to dystocic delivery in primiparous pregnant women at the Dr. Napoleón Dávila Córdova General Hospital from December 2019 to December 2020. From a universe of 380 pregnant women Primiparous women in labor attended in the emergency service of the hospital that appeared diagnosed with dystocia during the study period, a simple random sampling of 133 medical records was carried out for 35%. Breech presentation, pelvic narrowing, uterine malformations, arterial hypertension, maternal height less than 140 cm, and labor of more than 20 hours were identified as non-modifiable risk factors. It is concluded that the factors that most affected the presentation of dystocia in nulliparous women were insufficient prenatal controls, overweight and obesity in pregnant women.
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Adwani, N., Fouly, H., & Omer, T. (2021). Assessing the Impact of Obesity on Pregnancy and Neonatal Outcomes among Saudi Women. Nurs Rep, 11, 279-290. https://doi.org/10.3390/nursrep11020027
Alijahan, R., & Kordi, M. (2014). Risk factors of dystocia in nulliparous women. Iran J Med Sci, 39(3), 254-260. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4027004/
Araujo, J. E., Peixoto, A. B., Perez Zamarian, A. C., Elito Júnior, J., & Tonni, G. (2016). Macrosomia. Best Practice Res Clin Obst Gynaecol, 38, 83-96. https://doi.org/10.1016/j.bpobgyn.2016.08.003
Bellussi, F., Ghi, T., Youssef, A., Salsi, G., Giorgetta, F., Parma, D., Simonazzi, G., & Pilu, G. (2017). The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. Am J Obst Gynecol. http://dx.doi.org/10.1016/j.ajog.2017.07.025
Díaz, C. N. (2015). Factores de riesgo asociados a las distocias del trabajo de parto en el hospital Víctor Ramos Guardia Huaraz, 2011. [Tesis de pregrado]. Lima: Universidad Nacional Mayor de San Marcos. Disponible en: https://cybertesis.unmsm.edu.pe/bitstream/handle/20.500.12672/4147/D%C3%ADaz_rc.pdf?sequence=1&isAllowed=y
Faundes, A. (2021). La evolución histórica de la tasa de la cesárea: de una excepción en la antigüedad a un exceso en la actualidad. Rev Peru Ginecol Obstet, 67(1), 00004. http://dx.doi.org/10.31403/rpgo.v67i2302
Hautakangas, T., Palomäki, O., Eidstø, K., Huhtala, H., & Uotila, J. (2018). Impact of obesity and other risk factors on labor dystocia in term primiparous women: a case control study. BMC Pregnancy and Childbirth, 18, 304. https://doi.org/10.1186/s12884-018-1938-3
Herzberg, S., Kabiri, D., Mordechai, T., Haj Yahya, R., Chill, H., Levitt, L., Amsalem, H., & Ezra, Y. (2017). Fetal macrosomia as a risk factor for shoulder dystocia during vacuum extraction. J Matern Fetal Neonatal Med, 30(15), 1870-1873. https://doi.org/10.1080/14767058.2016.1228060
Instituto Nacional de Estadística y Censos (INEC). (2015). Anuario de estadísticas vitales - Nacimientos y Defunciones. Disponible en: https://www.ecuadorencifras.gob.ec/documentos/web-inec/Poblacion_y_Demografia/Nacimientos_Defunciones/Publicaciones/Anuario_Nacimientos_y_Defunciones_2014.pdf
Instituto Nacional de Estadística y Censos (INEC). (2020). Estadísticas de defunciones generales en el Ecuador. Disponible en: https://www.ecuadorencifras.gob.ec/documentos/web-inec/Poblacion_y_Demografia/Defunciones_Generales_2019/Presentacion_EDG%20_2019.pdf
Jaramillo, D. R., & Jaramillo, D. A. (2017). Parto distócico y factores relacionados en pacientes atendidas en el área de gineco-obstetricia del Hospital “Vicente Corral Moscoso”, Enero del 2015 - junio del 2016, Cuenca-Ecuador. [Tesis de pregrado]. Cuenca: Universidad de Cuenca. Disponible en: http://dspace.ucuenca.edu.ec/bitstream/123456789/26951/1/PROYECTO%20DE%20INVESTIGACI%c3%93N.pdf
Jiménez, S., Pentón, R. J., Cairo, V. M., Cabrera, R., Chávez, L. A., & Álvarez, M. C. (2015). Factores de riesgo maternos y fetales en recién nacidos con macrosomía. Medicent Electrón, 19(3), 142-148. Disponible en: https://www.medigraphic.com/pdfs/medicentro/cmc-2015/cmc153b.pdf
Kjaergaard, H., Dykes, A.-K., Ottesen, B., & Olsen, J. (2010). Risk indicators for dystocia in low-risk nulliparous women: A study on lifestyle and anthropometrical factors. Journal of Obstetrics and Gynaecology, 30(1), 25-29. https://pubmed.ncbi.nlm.nih.gov/20121499/
LeFevre, N. M., Krumm, E., & Cobb, W. J. (2021). Labor Dystocia in Nulliparous Women. Am Fam Physician, 103(2), 90-96. https://pubmed.ncbi.nlm.nih.gov/33448772/
López, J. A. (2018). Controles prenatales y su asociación con el parto distócico en el servicio de gineco-obstetricia del Hospital Nacional Dos de Mayo durante el periodo enero - diciembre 2016. [Tesis de pregrado]. Lima: Universidad Ricardo Palma. Disponible en: https://repositorio.urp.edu.pe/bitstream/handle/URP/1170/tesis%20L%C3%93PEZ%20SI%C3%91A%20HECHO.pdf?sequence=1&isAllowed=y
Luhete, P. K., Mukuku, O., Tambwe, A. M., & Muenze, P. K. (2017). Etude du pronostic maternel et périnatal au cours de l’accouchement chez l’adolescente à Lubumbashi, République Démocratique du Congo. Pan African Medical J. https://doi.org/10.11604/pamj.2017.26.182.9479
Nahaee, J., Abbas-Alizadeh, F., Mirghafourvand, M., & Mohammad-Alizadeh-Charandabi, S. (2020). Pre- and during-labour predictors of dystocia in active phase of labour: a case-control study. BMC Pregnancy and Childbirth, 20(425). https://doi.org/10.1186/s12884-020-03113-5
Nahaee, J., Abbas-Alizadeh, F., Mirghafourvand, M., & Mohammad-Alizadeh-Charandabi, S. (2020). Pre- and during-labour predictors of dystocia in active phase of labour: a case-control study. BMC Pregnancy and Childbirth, 20, 425. https://doi.org/10.1186/s12884-020-03113-5
Ortiz-Prado, E., Acosta Castillo, T., Olmedo-López, M., Armijos, L., Ramírez, D., & Iturralde, A. L. (2017). Cesarean section rates in Ecuador: a 13-year comparative analysis between the public and private health systems. Rev Panam Salud Pública, 41, e15. https://iris.paho.org/bitstream/handle/10665.2/33845/v41a152017.pdf?sequence=1&isAllowed=y
Paul, J. A., Yount, S. M., Blankstein, R., LeClair, M., Keiran, D. M., Landry, N., & Dever, K. (2017). Use of an early labor lounge to promote admission in active labor. J Midwifery Women’s Health. https://doi.org/10.1111/jmwh.12591
Riethmuller, D., Equy, V., & Mottet, N. (2022). Distocia dinámica. EMC-Ginecología-Obstetricia, 58(1), 1-11. https://doi.org/10.1016/S1283-081X(22)46054-1
Sharma, S., & Dhakal, I. (2018). Cesarean vs vaginal delivery: An institutional experience. J Nepal Med Assoc, 56(209), 535-539. https://doi.org/10.1016/j.medici.2015.09.001
Veintimilla, O. K., Ledezma, M. A. F., Marrero, D., & López, L. (2020). Factores de riesgo asociados a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. QhaliKay. Revista de Ciencias de la Salud, 4(2), 1-8. Disponible en: https://revistas.utm.edu.ec/index.php/QhaliKay/article/view/2725/2821
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