Estudio comparativo del manejo de amenaza de parto prematuro con salbutamol y óxido nítrico
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El parto pretérmino constituye la principal causa de morbimortalidad neonatal, se han tratado de implementar diversas medidas terapéuticas y preventivas sin que su incidencia haya disminuido. Se realizó un estudio comparativo del uso de salbutamol y óxido nítrico en el manejo de las pacientes con amenaza de parto pretérmino en el periodo de agosto de 1995 a mayo de 1996, evaluándose variables demográficas, efectos hemodinámicos, efectos en el producto, vía de parto, complicaciones asociadas y periodo de prolongación del embarazo, sin que se encontrara diferencia estadísticamente significativa. Se concluye que el óxido nítrico puede emplearse como alternativa de tratamiento.
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McCormick MC. The contribution of low birth weight to infant mortality amd childhood morbidity. New Engl J Med 1985; 312: 82-90.
Hoffman HJ. Risk factors associatted with the occurrence of preterm birth. Clin Obstet Gynecol 1984; 27: 539-52.
Keirse MJNC. Ncw perspectives for the effective treatment of preterm labor. Am J Obstet Gynecol 1995: 173: 618-28.
Keirse MJNC et al. Risk of preterm delivery in patient with a previous preterm delivery and/or abortion. B r J Obstet Gynecol 1978; 85: 81-5.
Greenberg RS. The impact of prenatal care in different social groups. Am J Obstet Gynecol 1982; 145: 797-801.
Meis PJ et al. Causes of low birth weigth in public and prívate patients. An1 J Obstet Gynecol 1987; 156: 1165-6.
Davis JL, et al. Uterine leiomyoma in pregnancy: A prospective study. Obstet Gynecol 1990; 75: 41-4.
Romero R. Muzor M. lnfection and preterm labor. Clin Obstet Gynccol 1988: 3 1: 553-83.
Creasy RK et al. System for predicting spontaneus preterm birth, Obstet Gynecol 1980: 55: 692-5.
Main DM et al. Controlled trial of a preterm labor detection programs; efficacy and cost Obstet Gynecol 1989: 74: 873-7.
Leveno KJ et al. Cervical dilatation and prematurity revised. Obstet Gynecol 1986: 68: 209-14.
Buekens P el al. Randomized controlled trial of routine cervical exarninations in pregnancy. Lancet 1994: 344: 841-4.
Nagcotte MP et al. Quantitation of uterine activity preccending preterm, term and posterm labor. Am .1 Obstet Gynecool 1988: 158:1254-9.
Mewman RB et al. Maternal perception of preterm labor uterine activity. Obstet Gynecol 1986; 68: 765-9.
Lazar P et al. Multicentric controlled trial of cervical cerelage in women at moderate risk of pretrm delivery. Br J Obstet Gynecol 1984:91: 731-5.
Besinger RE. The safety an efficacy of tocolytic agents for the treatment of preterm labor. Obstet Gynecol 1990: 45: 415-40.
Picon RA et al. Controlled trial of hydratation and bed rest versus bed rest alone in the evaluation of preterm uterine contractions. Am J Obstet Gynccol 1989; 161: 775-9.
American Collage uf Obstctricians and Ginecoiogists. AntenataI corticosteroid therapy for fetal maturation. Comitee Opinion 147. Washington, D.C. 1994.
Chundrasenhkhar Y. A L-aringe-nitric-oxide cyclic guanosine monophosphate systemic exist in the uterus and inhibir contractility during pregnancy. Am J Obstet Gynecol 1994: 170: 175-85.
Less C et al. Arrest of preterm labor an prolongation of gestation with glyceryl trinitrate, a nitric oxid donor, Lancet 1994; 343: 325-6.