Labor induction in women with pre-eclampsia: maternal and neonatal outcomes

Abstract

OBJECTIVE: To identify the process of labor induction and maternal and neonatal outcomes in women with preeclampsia assisted in a philanthropic hospital with 100% care by the Unified Health System (UHS) in Belo Horizonte, Minas Gerais, Brazil. METHODS: This is a cross-sectional and retrospective study. Data were collected from 222 records between January 2016 and June 2017. Measures of absolute and relative frequency were calculated using SPSS software version 23. RESULTS: Of the total, 43% of women were in the age group between 20 and 29 years old, 62.6% declared themselves brown and 68% were primiparous. The main classification found was pre-eclampsia (PE) with severity criteria (63.5%). The induction time of 12 to 24 hours was the most recurrent (36.9%) and the most used cervical ripening method was vaginal misoprostol (92.8%). Induction was successful for 59% of women, with induction failure being the main indication for cesarean section (59.3%). The most serious complications in the postpartum period were hemorrhage (9.5%), seizure (1.4%) and maternal death from stroke (AVC) and postpartum hemorrhage (0.5%). Regarding neonatal results, 98.6% of newborns had an Apgar value ≥7 in the 5'minute; and of these, only one required admission to the neonatal intensive care unit. CONCLUSION: The choice of inducing labor in this group of pregnant women is presented as a valuable intervention in order to minimize the short, medium and long-term maternal risks associated with the cesarean section.

Keywords

• pre-eclampsia
• induced labor
• high-risk pregnancy
• newborn infant