HOW DO WE INDUCE LABOURS IN SPAIN? RESULTS OF THE INDUCESPAÑA SURVEY

Author:

del Barrio Fernández Pablo,Medina Mallen María del Carmen,Alonso Saiz Rubén,Álvarez Suberviola Edurne,Álvarez Colomo Cristina,Batllori Badia Emma,Dueñas Carazo María Begoña,Benítez Cano Elena,Bernardo Vega Rut,Boza Novo Patricia,Castro Portillo Laura,Comas Rovira Montserrat,Díaz Meca Lucía,Fernández Fernández Camino,Fernández Buhigas Irene,Fernández Menéndez Sara,Garrido Luque M. Belén,Gastaca Abásolo Irene,Llano Fontela Ruth,Llordella Sarmiento Ivanna,Llull Gomila Marina,López Pérez Rocío,Meca Casbas Marta Ruth,Muñoz Abellana Begoña,Muñoz Carmona Víctor,Orizales Lago Carmen María,Orozco Fernández Rodrigo,Ortiz Herrera María Caridad,Peña Salas María Soledad,Pérez Álvarez Sara,Prats Rodríguez Pilar,Puertas Prieto Alberto,Puerto Tamayo Linda Grace,Rodríguez López Silvia,Rodríguez Pradera Susana,Sabench Carreras Cristina,Soldevilla Pérez Susana,Suarez Arana María,Pintado Paredes Elena,Carrasco Catena Mª Amparo,Martínez-Pérez ÓscarORCID

Abstract

ABSTRACTBackgroundInduction of labour (IDP) is the artificial initiation of labour with the goal of achieving a vaginal delivery. IDP is one of the most frequently performed obstetric procedures in the world. Recent data indicate a highly variable percentage of induction depending on the country.MethodsA descriptive study was carried out on different aspects that are part of the ITP process through a survey prepared according to the Delphi method distributed among the 37 participating hospitals from June to October 2021.ResultsThe mean induction rate was 30.6%. The average rate of caesarean sections was 21.4%. 75% of the centers had a rate higher than 20% and only in 1 center was it lower than 15%. In 11 centers they were not available to use misoprostol and in 4 centers they did not have oxytocin as PDI. Mechanical methods were available in 23 hospitals. In 16 centers they had a double Cook balloon; in 5 they used a Foley catheter and in 2 hospitals they used both devices. In 4 hospitals they used mechanical methods simultaneously with prostaglandins. In all but 5 centers, continuous monitoring was performed in low-risk pregnancies, at least for the first hour. In these 5 centers, windows of 20 minutes were carried out from the start of the induction

Publisher

Cold Spring Harbor Laboratory

Reference47 articles.

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