Manejo de la distocia cervical durante el trabajo de parto en gestantes a termino.

Abstract

SUMMARY Objectives: To determine the management of cervical distension through bibliographic review, to avoid maternal and fetal complications. Methods: It was carried out through systematic review in electronic search engines such as Medline, Pubmed, Cochrane, which includes retrospective reviews, meta - analysis, cohort studies, in a period of time from 2013 to 2018, studies for determine the correct management in the arrest of cervical dilatation, among the options, the termination of labor by caesarean section, the expectant management and the use of oxytocin. Results: Management with oxytocin at a continuous infusion dose for a longer time increases the risk of maternal-fetal complications; in addition to the continuous dose of oxytocin, it is more effective for the completion of labor versus pulsatile preparations, (p: <0.0001, q = 5,796), but the use of continuous infusion increases the maternal-fetal risk; As a result, from 3.8 hours to 5.2 hours respectively, with cervical arrest up to 5.5 cm-6.5 cm respectively, 3.8 hours and 5.2 hours respectively; p: 0.02 with significant value), in addition to the group in patients diagnosed with the 2014 norms that present as complications chorioamnionitis (p: 0.001). Conclusion: This study highlights the choice of cervical management taking into account maternal-fetal complications, under all the effects of these options.