Rotura prematura de membranas em gestações a termo: revisão sobre condutas
Palavras-chave:
misoprostol, ocitocina, rotura prematura de membranas, trabalho de partoResumo
A rotura prematura de membranas em gestações a termo é uma situação freqüente na prática clínica obstétrica, mas até hoje há controvérsias quanto à melhor condução clínica . Esta revisão, que apresenta um breve resumo histórico, assim como aborda fatores etiológicos dessa condição, teve como objetivo apresentar as possíveis condutas frente à rotura prematura de membranas a termo, relatando os resultados perinatais e obstétricos que se relacionam aos métodos de indução do trabalho de parto com prostaglandinas ou ocitocina ou à conduta expectante. De acordo com os dados disponíveis na literatura científica, a indução imediata do trabalho de parto com misoprostol pode reduzir as taxas de parto por cesárea e de infecção materna e neonatal, havendo evidência científica suficiente para recomendar seu uso em gestantes que se apresentam com essa condição.
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