Pesquisadores de Melbourne descobriram que um dos dois métodos comuns para induzir o parto é mais seguro para os bebês, embora ambos fossem tão seguros para a mãe e nenhum deles levasse a mais cesarianas.
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)
Domínio público
Pesquisadores de Melbourne descobriram que um dos dois métodos comuns para induzir o parto é mais seguro para os bebês, embora ambos fossem tão seguros para a mãe e nenhum deles levasse a mais cesarianas.
As descobertas podem ajudar a informar o número crescente de induções realizadas globalmente a cada ano – agora cerca de 14 milhões – quando os riscos de uma gravidez contínua superam os benefícios.
Publicado no The Lancet , o estudo liderado pela Monash Health e pela Monash University encontrou evidências claras de que um cateter balão leva a um perfil de segurança aprimorado para recém-nascidos do que os hormônios vaginais.
Isso incluiu menos eventos adversos, como acidose (acúmulo de ácido na corrente sanguínea), má condição após o nascimento ou admissão na unidade de terapia intensiva neonatal . Não houve diferença nos eventos adversos maternos ou taxas de cesariana entre os dois métodos.
A indução do parto é uma das intervenções obstétricas mais comuns e as taxas aumentaram significativamente na última década, de 25 para 35% apenas na Austrália.
Mais comumente, o colo do útero é "maturado" mecanicamente, pela inserção de um cateter balão cheio de água que exerce pressão sobre o colo do útero por várias horas e o guia para abri-lo, ou hormonalmente, com medicamentos que replicam a prostaglandina, um hormônio que também suaviza e abre o colo do útero.
A meta-análise de dados internacionais concluiu que, embora ambos os métodos fossem eficazes, os cateteres balão eram mais seguros para os recém-nascidos e seu uso poderia reduzir consideravelmente os eventos adversos ao nascimento.
Investigadores de 12 estudos de alta qualidade contribuíram com dados, resultando em 5.460 mulheres que foram randomizadas em estudos originais para cateter balão ou prostaglandinas vaginais.
Primeiro autor Dr. Madeleine Jones, um Monash Health/Monash Women's Registrar e Monash University Departamento de Obstetrícia e Ginecologia Ph.D. candidata, disse que pesquisas anteriores haviam demonstrado que os cateteres de balão eram provavelmente tão eficazes quanto a prostaglandina vaginal.
"No entanto, não ficou claro se um método era mais seguro que o outro, pois há uma capacidade limitada de medi-los com ensaios clínicos únicos ou análise de dados resumidos de vários ensaios", disse o Dr. Jones.
"Estabelecemos uma colaboração internacional liderada por nosso grupo de pesquisa na Monash University e na Monash Health para abordar essa lacuna de conhecimento. Isso nos permitiu alcançar alguns resultados claros e importantes".
O autor sênior Dr. Wentao Li, da Escola de Ciências Clínicas da Monash University Departamento de Obstetrícia e Pesquisa em Ginecologia, disse que os resultados foram significativos.
“Pela primeira vez, identificamos evidências claras de que um cateter balão sobre prostaglandinas vaginais leva a um perfil de segurança aprimorado para recém-nascidos, incluindo menos eventos adversos, como acidose, más condições após o nascimento ou admissão em uma unidade de terapia intensiva neonatal”, disse o Dr. Disse Li.
"Os eventos adversos maternos não mostraram diferença entre os dois métodos, nem houve diferença significativa nas taxas de cesariana.
"O que tudo isso significa é que a segurança perinatal deve ser cuidadosamente avaliada na tomada de decisões compartilhadas e na formulação de políticas em torno das escolhas dos métodos de indução do parto".