Tom 7, Nr 3 (2022)
Artykuł przeglądowy
Opublikowany online: 2022-11-16
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Porównanie polskich i niemieckich wytycznych dotyczących indukcji porodu
Ginekologia i Perinatologia Praktyczna 2022;7(3):136-147.
Streszczenie
Indukcja porodu to obecnie jedna z najczęściej wykonywanych procedur w opiece położniczej. Odsetek porodów indukowanych wzrósł znacząco w ostatnich dekadach, zarówno w Polsce, jak i na świecie. Statystyki te różnią się między poszczególnymi państwami i ośrodkami, co może wynikać między innymi z rozbieżności w wytycznych publikowanych przez międzynarodowe towarzystwa ginekologiczne.
W niniejszym opracowaniu przedstawiono i porównano nowe wytyczne Niemieckiego Towarzystwa Ginekologów i położników (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe; dalej DGGG) opublikowane w marcu 2021 roku we współpracy z Austriackim (Österreichische Gesellschaft für Gynäkologie und Geburtshilfe; dalej OEGGG) i Szwajcarskim (Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe; dalej SGGG) Towarzystwem Ginekologów i Położników oraz zaktualizowane w 2021 roku wytyczne Polskiego Towarzystwa Ginekologów i Położników (PTGiP).
W większości wskazań wytyczne obu towarzystw są zgodne. Rekomendacje odbiegają od siebie znacząco w kwestii niektórych wskazań i przeciwskazań, indukcji porodu na życzenie, stanu po cięciu cesarskim oraz użyciu mizoprostolu. W naszej opinii różnice w prezentowanych rekomendacjach wynikają głównie z uwarunkowań lokalnych oraz braku wystarczających danych z wysokiej jakości badań.
Z uwagi na trudny charakter badań na kobietach ciężarnych, potrzebna jest wieloośrodkowa, międzynarodowa współpraca.
Słowa kluczowe: poródindukcja porodumetody indukcjiwytycznerekomendacjeprostaglandynymizoprostol
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