SciELO - Scientific Electronic Library Online

 
vol.85 suppl.1Perinatal Prognosis in third trimester pregnant women recovered from COVID-19 infectionEvaluation of a remote control model for pregnant and post-partum patients with SARS-CoV-2infection author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

CONTRERAS B., Natalia; ELGUETA N., Rogelio; LOPEZ A., Marcia  and  BRAVO D., Matías. Labor induction in COVID-19 patients: experience in the San Juan de Dios Hospital. Rev. chil. obstet. ginecol. [online]. 2020, vol.85, suppl.1, pp.S28-S34. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262020000700006.

Introduction and Objectives:

Describe the experience of deliveries in pregnant women with a confirmed diagnosis of COVID 19 by asymptomatic RT-PCR or with mild symptoms and those without the disease, and determine the success rate of vaginal delivery in the induction of labor.

Methods:

Retrospective study of patients who had their delivery between 15th April and 03rd of July, 2020 in the San Juan de Dios Hospital. Patients induced with Dinoprostone, Oxytocin or both sequentially were included, and were divided according to COVID 19 status by RT-PCR on their admission process. The group of positive patients was demographically characterized and the data of both groups was determined in relation to the need for labor induction and its success for vaginal delivery.

Results:

Of a total of 657 births, there were 9.7% (n = 64) of patients with COVID 19, of which 23.4% (n = 15) required labor induction, with a success rate for vaginal delivery of 66.7% (n = 10). Of these patients, 50% received Oxytocin, 40% Dinosprostone and 10% both drugs sequentially. In the negative patients, there were a total of 568 births, with 29.8% (n = 169) of users requiring labor induction. The success rate for vaginal delivery in this group was 72.2% (n = 122); 50% using Oxytocin; 27% Dinoprostone; 14.8% using both; and 8.2% using Cook's Catheter.

Conclusions:

We know that the results of this study are limited by the low number of patients included, however, in our experience, we can observe that, in patients with SARS-CoV-2 PCR positive, asymptomatic or with mild disease, it was possible to perform induction of labor according to standard protocols, achieving success rates for vaginal deliveries, similar to patients without the disease.

Keywords : COVID 19; Labor induction; Dinoprostone; Oxytocin.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )