SYSTEMATIC REVIEW REGARDING PSYCHOLOGICAL  AND PHYSIOLOGICAL PROCESS ASPECTS  ABOUT THE METHODS OF INDUCING LABOR

Delia NICOLAICIUC; Gabriela SIMIONESCU; Natalia DARII; Mariana BOLOTA; Sorana Caterina ANTON; B. DOROFTEI

Delia NICOLAICIUC “Cuza-Voda” Obstetrics and Gynecology Clinical Hospital, Iasi
Gabriela SIMIONESCU “Cuza-Voda” Obstetrics and Gynecology Clinical Hospital, Iasi
Natalia DARII “Cuza-Voda” Obstetrics and Gynecology Clinical Hospital, Iasi
Mariana BOLOTA “Cuza-Voda” Obstetrics and Gynecology Clinical Hospital, Iasi
Sorana Caterina ANTON “Grigore T. Popa” University of Medicine and Pharmacy Iasi
B. DOROFTEI “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

SYSTEMATIC REVIEW REGARDING PSYCHOLOGICAL AND PHYSIOLOGICAL PROCESS ASPECTS ABOUT THE METHODS OF INDUCING LABOR (Abstract): Aim review article aims to synthesize the mechanisms involved in triggering labor, focusing on the cervical phenomena resulting in maturation, cervical dilation and fetal expulsion. Furthermore, this article highlights the ways in which labor may be induced. Material and methods: The data collected by accessing Medline; Medscape; PubMed and ISI Web of Knowledge using the following keywords: labor induction, oxytocin, cervix ripening, prostaglandins, uterine contraction, amniotomy, membrane stripping, misoprostol, Foley catheter. Review articles, original articles, as well as, case reports were taken into consideration when the search was performed. We identified more than 1,000 abstracts and reviewed over 150 full text articles using the keywords listed above. We preferentially included high quality systematic reviews or large randomized trials. Results: After reviewing the literature we included 28 full text articles in our analysis. A series of factors should be taken into consideration by the obstetrician before considering inducing labor. There are studies that compare the use of oxytocin versus prostaglandins for labor induction and the results are in favor of prostaglandins with a lower rate of number of pregnancies completed by segmental transversal cesarean. However, administration of oxytocin may increase the risk of termination of pregnancy through segmental transversal cesareans. In contrast to, oxytocin and prostaglandins, the mechanical methods of inducing labor may increase the risk of both maternal and neonatal infectious. Conclusions: The decision to trigger labor requires the obstetrician to carefully analyze the timing of induction of birth and the risks and benefits, considering, for each patient, the most effective method of triggering. Thus, we emphasize on the necessity of developing protocols to guide obstetricians, since there is no consensus on the doses that should be administered. The cost-effectiveness of the treatment should be considered.

Author Biographies

Sorana Caterina ANTON, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Mother and Child Medicine

B. DOROFTEI, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Mother and Child Medicine

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