Falhas de indução de parto e seus fatores de risco associados: uma revisão sistemática da literatura

Abstract

Objective: to summarize the literature on the risk factors for failed induction of labor in order to contribute with the decision making process on whether or not to induce labor and the implementation of measures to reduce cesarean rates according to the profile of the pregnant woman in the process of induction. Method: A systematic review was performed without meta-analysis according to the following methodology. First, the research question, developed from the topic of "labor induction failures and their risk factors", was defined as: "what are the risk factors associated with failure to induce labor according to the literature?". The searches were done in PUBMED and BIREME. Results: From an initial sample of 1008 articles and after rigorous selection regarding the topic addressed and the methodological quality, we conducted the analysis of 13 articles that addressed risk factors failed induction of labor. The analysis of the studied variables allows us to infer that advanced maternal age, cervical characteristics (dilation and cervical length), obesity, short stature, prematurity and increased fetal weight are risk factors for failed induction of labor. Final considerations: This study can contribute to planning and organizing of health actions and services, contributes to the decision-making of the care team towards both high-risk and habitual-risk pregnant women by observing the epidemiological profile and the gestational history of the patients, with the objective of improving care practice and reducing the statistics of caesarean sections.