Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 25
Filtrar
1.
Environ Pollut ; 346: 123681, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38428789

RESUMO

This work reports comprehensive time-series datasets over the past 50 years for natural (210Po) and anthropogenic (134Cs and 137Cs) radionuclides in three fish species (cod, herring and plaice) from Danish marine areas covering the North Sea, Kattegat, and Baltic Sea. Impact from the global fallout of atmospheric nuclear weapons testing, radioactive discharges from the European nuclear reprocessing plants and release from Chernobyl accident are clearly detected in the fish samples. While 210Po concentrations in each fish species demonstrated comparable levels across the three regions without notable temporal trends, significantly higher median 210Po concentration was observed in the lower trophic level fish, namely herring and plaice, compared to cod. In contrast, 137Cs concentrations in all three species steadily decrease over time after the Chernobyl-attributed peaks in late 1980s in the entire study area, whereas 137Cs always demonstrated higher concentrations in cod than herring and plaice. Our calculated concentration factors (CFs) for 137Cs in this work indicate that the mean CFs for 137Cs over the past 50 years are significantly different across the three species, following the order of cod < herring < plaice. Based on the time-series data, ecological half-lives (Teco) of 137Cs in fish from Danish marine areas were estimated to evaluate the long-term impact of anthropogenic radioactive contamination in different regions. Our results indicate no significant difference in Teco across different fish species, whereas the weighted mean Teco for fish in the Baltic Sea (29.3 ± 3.9 y) is significantly longer than those of the North Sea (9.8 ± 0.9 y) and Kattegat (11.7 ± 1.2 y), reflecting the strong 'memory effect' of the Baltic Sea due to its slow water renewal. However, the dose assessment demonstrates that the contribution of the natural radionuclide 210Po to ingestion dose from fish consumption is 1-2 order of magnitude higher compared to that of 137Cs.


Assuntos
Radioatividade , Poluentes Radioativos da Água , Animais , Poluentes Radioativos da Água/análise , Mar do Norte , Radioisótopos de Césio/análise , Peixes , Dinamarca
2.
Environ Sci Technol ; 55(20): 13638-13645, 2021 10 19.
Artigo em Inglês | MEDLINE | ID: mdl-34587450

RESUMO

We measure 3H in an ice core from Camp Century. The temporal distribution of 3H concentration in the ice core corresponds generally well with the historical record of explosive yields of atmospheric nuclear weapons tests. Maximum 3H values observed in 1962-1963 are comparable to those in ice core or precipitation in many other locations in the Northern Hemisphere. There is no indication that significant 3H contamination was locally released into the air during the operation of the Camp Century reactor. It is, however, somewhat surprising that several prominent 3H peaks are still observed after 1980. We suggest that these are associated with airborne 3H releases from the civil nuclear industry. A wavelet analysis during 1970-2017 indicates the primary frequency of variability in the 3H record is annual 3H peaks. These annual peaks can be combined with the 3H spikes from global fallout of known nuclear weapons tests to benchmark and evaluate theoretical ice core dating scales back to the 1950s. A positive correlation is observed between annual 3H average concentration and variability of Arctic Oscillation (AO). This highlights the value of 3H as a potential tracer for air masses and airborne pollutants in the Arctic.


Assuntos
Poluentes Ambientais , Armas Nucleares , Regiões Árticas , Groenlândia , Trítio
3.
Chemosphere ; 244: 125595, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32050355

RESUMO

This work reports comprehensive time-series datasets for 137Cs and 99Tc in marine samples from the Danish Straits over the past 40 years, where dynamic inputs from the two European nuclear reprocessing plants Sellafield (SF) and La Hague (LH) and Chernobyl accident are clearly archived. Distinct seasonal variations between 137Cs and 99Tc are observed in Fucus vesiculosus (F. vesiculosus), which needs to be taken into account when using F. vesiculosus as a bio-monitor to represent the concentration of radionuclides in seawater. Comparable transfer factor (TF) for 99Tc from SF to Kattegat between our calculation and earlier studies indicates a relatively steady water mass transport over the past decades. Three distinct events are observed in the temporal evolution of 99Tc/137Cs activity ratio in F. vesiculosu with the first event corresponding with the increased 99Tc discharge from SF, while the other two are very likely related to the major Baltic inflow (MBI) events. The correlation between the 99Tc/137Cs activity ratio and salinity fits well into the binary mixing line with the North Sea (NS) and the Baltic Sea (BS) as end members. A model simulation indicates that water mass from NS constitutes less than 50% in the surface water and 50-100% for most locations in the bottom water of the Danish Straits. Overall observations show that 137Cs and 99Tc in marine samples, especially 99Tc/137Cs isotope ratios, serve as useful oceanic tracers to study different natural processes, such as water mixing and transport dynamics.


Assuntos
Radioisótopos de Césio/análise , Monitoramento de Radiação , Poluentes Radioativos da Água/análise , Contaminação Radioativa da Água/estatística & dados numéricos , Países Bálticos , Dinamarca , Fucus/química , Mar do Norte , Oceanos e Mares , Salinidade , Água do Mar , Água
4.
Appl Radiat Isot ; 151: 30-38, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31158703

RESUMO

Sources of background and background variation in a BEGe type HPGe detector located in a surface laboratory were identified. Different strategies for background reduction were applied. A cosmic veto was installed, and optimised using a digital acquisition system in list-mode with time-stamped data. This resulted in the reduction of total background by a factor of 1.4. Thermal and fast neutron fluxes were also calculated. The radon induced background component and its variation were significantly reduced.


Assuntos
Poluentes Radioativos do Ar/análise , Monitoramento de Radiação/métodos , Radônio/análise , Espectrometria gama/métodos
6.
PLoS One ; 12(10): e0187140, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29073224

RESUMO

Functional diversity based on species traits is a powerful tool to investigate how changes in species richness and composition affect ecosystem functioning. However, studies aimed at understanding changes in functional diversity over large temporal and spatial scales are still scant. Here we evaluate the combined effect of diversification and species sorting on functional diversity of fossil marine gastropods during the Pliocene-Quaternary transition in the Pacific coast of South America. We analyzed a total of 172 species in 29 Pliocene and 97 Quaternary sites. Each species was characterized according to six functional traits: body size, feeding type, mobility, attachment, life-habit, and larval mode. Functional diversity was estimated according to four indexes (functional richness, evenness, divergence and dispersion) based on functional traits measured. Extrapolated species richness showed a slight yet not significant decrease from the Pliocene to the Quaternary despite the fact that a large faunal turnover took place; furthermore, a large extinction of Pliocene species (61-76%) was followed by a high pulse of appearances (49-56%) during the Quaternary. Three out of four indices of functional diversity (evenness, divergence and dispersion) increased significantly towards the Quaternary which is more than expected under a random turnover of species. The increase in functional diversity is associated with a loss of large-sized carnivore forms, which tended to be replaced by small-sized grazers. Hence, this trait-selective species turnover, even in the absence of significant changes in species richness, likely had a large effect and has shaped the functional diversity of present-day assemblages.


Assuntos
Gastrópodes/classificação , Biologia Marinha , Animais , Fósseis , América do Sul , Especificidade da Espécie
7.
Environ Sci Technol ; 51(12): 6867-6876, 2017 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-28505439

RESUMO

This work focuses on the occurrence of 236U in seawater along Danish coasts, which is the sole water-exchange region between the North Sea-Atlantic Ocean and the Baltic Sea. Seawater collected in 2013 and 2014 were analyzed for 236U (as well as 238U and 137Cs). Our results indicate that 236U concentrations in Danish seawater are distributed within a relatively narrow range of (3.6-8.2) × 107 atom/L and, to a certain extent, independent of salinity. 236U/238U atomic ratios in Danish seawater are more than 4 times higher than the estimated global fallout value of 1× 10-9. The levels of 236U/238U atomic ratios obtained are comparable to those reported for the open North Sea and much higher than several other open oceans worldwide. This indicates that besides the global fallout input, the discharges from the two major European nuclear reprocessing plants are dominating sources of 236U in Danish seawater. However, unexpectedly high 236U/238U ratios as well as high 236U concentrations were observed at low-salinity locations of the Baltic Sea. While this feature might be interpreted as a clue for another significant 236U input in the Baltic Sea, it may also be caused by the complexity of water currents or slow turnover rate.


Assuntos
Água do Mar , Urânio/análise , Oceano Atlântico , Países Bálticos , Dinamarca , Radioisótopos do Iodo , Mar do Norte , Oceanos e Mares , Poluentes Radioativos da Água
8.
Appl Radiat Isot ; 126: 194-196, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28065630

RESUMO

The performance of a new gamma-gamma coincidence spectrometer system for environmental samples analysis at the Center for Nuclear Technologies of the Technical University of Denmark (DTU) is reported. Nutech Coincidence Low Energy Germanium Sandwich (NUCLeGeS) system consists of two HPGe detectors in a surface laboratory with a digital acquisition system used to collect the data in time-stamped list mode with 10ns time resolution. The spectrometer is used in both anticoincidence and coincidence modes.

9.
Anal Chem ; 87(14): 7411-7, 2015 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-26105019

RESUMO

An automated analytical method implemented in a flow injection (FI) system was developed for rapid determination of (236)U in 10 L seawater samples. (238)U was used as a chemical yield tracer for the whole procedure, in which extraction chromatography (UTEVA) was exploited to purify uranium, after an effective iron hydroxide coprecipitation. Accelerator mass spectrometry (AMS) was applied for quantifying the (236)U/(238)U ratio, and inductively coupled plasma mass spectrometry (ICPMS) was used to determine the absolute concentration of (238)U; thus, the concentration of (236)U can be calculated. The key experimental parameters affecting the analytical effectiveness were investigated and optimized in order to achieve high chemical yields and simple and rapid analysis as well as low procedure background. Besides, the operational conditions for the target preparation prior to the AMS measurement were optimized, on the basis of studying the coprecipitation behavior of uranium with iron hydroxide. The analytical results indicate that the developed method is simple and robust, providing satisfactory chemical yields (80-100%) and high analysis speed (4 h/sample), which could be an appealing alternative to conventional manual methods for (236)U determination in its tracer application.

11.
PLoS One ; 9(3): e90043, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24621560

RESUMO

BACKGROUND: During the last decade, new Neogene fossil assemblages from South America have revealed important clues about the evolution of seabird faunas in one of the major upwelling systems of the world: the Humboldt Current. However, most of this record comes from arid Northern Chile and Southern Peru and, in consequence, our knowledge of the evolutionary history of seabirds in the temperate transitional zone is negligible. A new Late Pliocene assemblage of fossil birds from the coastal locality of Horcon in Central Chile offers a unique opportunity to fill this gap. PRINCIPAL FINDINGS: Isolated bones of a medium-sized penguin are the most abundant bird remains. Morphological and cladistic analyses reveal that these specimens represent a new species of crested penguin, Eudyptes calauina sp. nov. Eudyptes is a penguin genus that inhabit temperate and subantarctic regions and currently absent in central Chile. Additionally, a partial skeleton of a small species of cormorant and a partial tarsometatarsus of a sooty shearwater have been identified. CONCLUSION/SIGNIFICANCE: The Horcon fossils suggest the existence of a mixed avifauna in central Chile during the Pliocene in concordance with the latitudinal thermal gradient. This resembles the current assemblages from the transitional zone, with the presence of species shared with Northern Chile and Southern Peru and a previously unrecorded penguin currently absent from the Humboldt System but present in the Magellanic region. Comparison of Pliocene seabird diversity across the Pacific coast of South America shows that the Horcon avifauna represents a distinctive assemblage linking the living faunas with the Late Miocene ones. A comparison with the fossil record near the Benguela Current (west coast of southern Africa) suggests that the thermic gradient could play an important role in the preservation of a higher diversity of cold/temperate seabirds in the Humboldt Current.


Assuntos
Evolução Biológica , Aves , Fenômenos Geológicos , Animais , Aves/anatomia & histologia , Chile , Paleontologia , Filogenia , Temperatura
12.
Environ Sci Technol ; 48(7): 3935-42, 2014 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-24617716

RESUMO

An automated multisample processing flow injection (FI) system was developed for simultaneous determination of technetium, neptunium, plutonium, and uranium in large volume (200 L) seawater. Ferrous hydroxide coprecipitation was used for the preliminary sample treatment providing the merit of simultaneous preconcentration of all target radionuclides. Technetium was separated from the actinides via valence control of technetium (as Tc(VII)) in a ferric hydroxide coprecipitation. A novel preseparation protocol between uranium and neptunium/plutonium fractions was developed based on the observation of nearly quantitative dissolution of uranium in 6 mol/L sodium hydroxide solution. Automated extraction (TEVA for technetium and UTEVA for uranium) and anion exchange (AGMP-1 M for plutonium and neptunium) chromatographic separations were performed for further purification of each analyte within the FI system where four samples were processed in parallel. Analytical results indicate that the proposed method is robust and straightforward, providing chemical yields of 50-70% and improved sample throughput (3-4 d/sample). Detection limits were 8 mBq/m(3) (0.013 pg/L), 0.26 µBq/m(3) (0.010 fg/L), 23 µBq/m(3) (0.010 fg/L), 84 µBq/m(3) (0.010 fg/L) and 0.6 mBq/m(3) (0.048 ng/L) for (99)Tc, (237)Np, (239)Pu, (240)Pu and (238)U for 200 L seawater, respectively. The unique feature of multiradionuclide and multisample simultaneous processing vitalizes the developed method as a powerful tool in obtaining reliable data with reduced analytical cost in both radioecology studies and nuclear emergency preparedness.


Assuntos
Atividades Humanas , Monitoramento de Radiação/métodos , Radioisótopos/análise , Água do Mar/química , Poluentes Radioativos da Água/análise , Compostos Férricos/química , Análise de Injeção de Fluxo , Humanos , Concentração de Íons de Hidrogênio , Indicadores e Reagentes , Netúnio/análise , Oxirredução , Plutônio/análise , Hidróxido de Sódio/química , Soluções , Tecnécio/análise , Urânio/análise
13.
J Environ Radioact ; 102(11): 1024-31, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21784564

RESUMO

The ECOSYS model is the ingestion dose model integrated in the ARGOS and RODOS decision support systems for nuclear emergency management. The parameters used in this model have however not been updated in recent years, where the level of knowledge on various environmental processes has increased considerably. A Nordic work group has carried out a series of evaluations of the general validity of current ECOSYS default parameters. This paper specifically discusses the parameter revisions required with respect to the modelling of deposition and natural weathering of contaminants on agricultural crops, to enable the trustworthy prognostic modelling that is essential to ensure justification and optimisation of countermeasure strategies. New modelling approaches are outlined, since it was found that current ECOSYS approaches for deposition and natural weathering could lead to large prognostic errors.


Assuntos
Produtos Agrícolas/efeitos dos fármacos , Planejamento em Desastres/métodos , Serviços Médicos de Emergência/métodos , Modelos Teóricos , Liberação Nociva de Radioativos/prevenção & controle , Poluentes Radioativos/toxicidade , Produtos Agrícolas/metabolismo , Tomada de Decisões , Planejamento em Desastres/legislação & jurisprudência , Planejamento em Desastres/organização & administração , Ingestão de Alimentos , Serviços Médicos de Emergência/legislação & jurisprudência , Serviços Médicos de Emergência/organização & administração , Contaminação Radioativa de Alimentos/análise , Contaminação Radioativa de Alimentos/prevenção & controle , Humanos , Doses de Radiação , Liberação Nociva de Radioativos/legislação & jurisprudência , Poluentes Radioativos/metabolismo , Gestão de Riscos/legislação & jurisprudência , Gestão de Riscos/métodos , Gestão de Riscos/organização & administração
14.
Radiat Prot Dosimetry ; 140(2): 182-90, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20176731

RESUMO

The ECOSYS model is used to estimate ingestion dose in the ARGOS and RODOS decision support systems for nuclear emergency management. It is recommended that nation-specific values for several parameters are used in the model. However, this is generally overlooked when the systems are used in practice. We have estimated first year ingestion doses in two scenarios with wet and dry deposition of (137)Cs, using the ECOSYS model. We calculated doses for each country using national dietary data while keeping all other parameters at their default values. These dose calculations were then used to estimate the variation in ingestion doses resulting from the variation in the diets only. The dietary data demonstrated that the average consumption of milk, meat and vegetables varied by a factor of 2-4 among the Nordic countries. For both scenarios, the ingestion doses varied by a factor of about 2, among the countries. For all countries, the model predictions were most sensitive to changes in milk, beef and wheat consumption. The results demonstrate that recent and reliable dietary data are required to reliably estimate ingestion doses.


Assuntos
Dieta , Contaminação Radioativa de Alimentos/análise , Modelos Teóricos , Doses de Radiação , Cinza Radioativa , Contaminação Radioativa de Alimentos/prevenção & controle , Humanos , Países Escandinavos e Nórdicos
15.
Environ Sci Technol ; 43(17): 6522-8, 2009 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-19764211

RESUMO

Environmental 129I mainly released from reprocessing plants at La Hague (France) and Sellafield (U.K.) provides a unique atmospheric and environmental tracer. This study deals with 129I and 127I speciation in precipitation collected in Denmarkduring 2001-2006 that indicates many newfindings. The concentrations of total 129I in precipitation vary from 0.28 to 5.63 x 10(9) atoms 129I L(-1) with an average of (2.34 +/- 1.43) x 10(9) atoms 129I L(-1), and the annual deposition flux of 129I is (1.25 +/- 0.30) x 10(12) atoms m(-2). Increased 129I levels in precipitation and 129I/ 127I ratio are attributed to the releases of 129I from the reprocessing plants at La Hague and Sellafield. Iodide is the major specie of 129I, which accounts for 50-99% of total 129I. The concentrations of total 127I vary from 0.78 to 2.70 microg iodine L(-1) with an average of 1.63 +/- 0.47 microg iodine L(-1), and annual deposition flux of 0.95 +/- 0.26 mg m(-2). Unlike 129I, iodate is the major specie of 127I, which accounts for 43-93% of total 127I. The 291I/ l27I atomic ratios for total iodine vary from 5.04 to 76.5 x 10(-8) with an average of (30.1 +/- 16.8) x 10(-8). These values are 10 times lower for iodate with an average of (2.95 +/- 3.13) x 10(-8). Seasonal variations of 129I/127 ml values and 129I concentrations are associated with highs in spring and lows in summer-autumn periods. Re-emission of 129 from the surface water of the English Channel, Irish Sea, North Sea, and Norwegian Sea, especially from the European continental coast areas, is evidently the major source of 129I in the precipitation, while stable 127I in the precipitation has multiple sources, i.e., marine, as well as terrestrial emission. This work shows that data on speciation of iodine isotopes can provide thorough indications about the sources and geochemical cycle despite the complicated atmospheric chemistry of iodine.


Assuntos
Poluentes Atmosféricos/análise , Isótopos de Iodo/análise , Chuva/química , Neve/química , Movimentos do Ar , Dinamarca , Monitoramento Ambiental , Radioisótopos do Iodo/análise , Fatores de Tempo
16.
Environ Sci Technol ; 41(17): 5993-9, 2007 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-17937272

RESUMO

Surface seawater samples collected from the North Sea and English Channel were analyzed for total 129I and 127I, as well as for iodide and iodate. Relatively high 129I concentrations (2-3 x 10(11) atoms/L) were observed in the northern part of the English Channel and in the southeastern North Sea. The atomic ratio of 129I/127I decreases from the eastern (1.0-1.9 x 10(-6)) to the western (4-6 x 10(-8)) parts of the North Sea and from the northeastern (1.5 x 10(-6)) to southwestern (1-5 x 10(-8)) parts of the English Channel. The ratios of iodide to iodate are 0.1-0.5 and 0.5-1.6 for 127I and 129I, respectively, in open seawaters, whereas these ratios range from 0.6 to 1.3 and 0.8 to 2.2, respectively, in coastal waters. The results suggest that (1) imprints of the La Hague facility dominates the 129I distribution in the surface water of the North Sea, (2) reduction of iodate to iodide is relatively fast during the transport to the European continental coast, (3) oxidation of newly produced 129I- to (129)IO3- is insignificant during water exchange between the coastal area and open sea, (4) reduction of iodate and oxidation of iodide in the open sea seems to be a slow process.


Assuntos
Monitoramento Ambiental , Isótopos de Iodo/análise , Água do Mar/análise , Poluentes Radioativos da Água/análise , Transporte Biológico , Geografia , Sedimentos Geológicos/análise , Sedimentos Geológicos/química , Iodatos/análise , Iodetos/análise , Mar do Norte , Oxirredução , Salinidade , Água do Mar/química , Movimentos da Água
17.
Anal Chem ; 79(8): 3126-34, 2007 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-17375901

RESUMO

An analytical method for the determination of 36Cl in nuclear waste such as graphite, heavy concrete, steel, aluminum, and lead was developed. Several methods were investigated for decomposing the samples. AgCl precipitation was used to separate 36Cl from the matrix elements, followed by ion-exchange chromatography to remove interfering radionuclides. The purified 36Cl was then measured by liquid scintillation counting. The chemical yield of chlorine, as measured by ICPMS, is above 70% and the decontamination factors for all interfering radionuclides are greater than 10(6). The detection limit of this analytical method for 36Cl is 14 mBq. The method has been used to determine 36Cl in heavy concrete, aluminum, and graphite from the Danish DR-2 research reactor.

18.
Appl Radiat Isot ; 65(5): 610-8, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17350274

RESUMO

The concentrations of (99)Tc and impurity radionuclides in the (99m)Tc tracer solution obtained from a commercial (99)Mo/(99m)Tc generator were measured by gamma spectrometry and liquid scintillation counting. (99)Mo and (103)Ru were found in the (99m)Tc eluate. A simple separation using two extra alumina cartridges was investigated to purify the eluate to obtain a suitable (99m)Tc tracer with low (99)Tc concentration. The activity ratio of (99)Tc/(99m)Tc in the prepared (99m)Tc solution is lower than 15 x 10(-9), which is higher than the theoretical ratio of less than 10 x 10(-9). The possible reason is discussed. The (99)Tc in the 20 kBq spiked (99m)Tc tracer was found to be less than 0.3 mBq, which is lower than the detection limit of the radiometric method used for environmental samples. The purified (99m)Tc eluate is used as yield tracer for the determination of low levels of (99)Tc in environmental samples.


Assuntos
Molibdênio/química , Compostos de Organotecnécio/química , Radioisótopos/química , Geradores de Radionuclídeos , Radioisótopos de Rutênio/química , Tecnécio/química , Contagem de Cintilação
19.
Int Arch Occup Environ Health ; 80(5): 458-64, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17021842

RESUMO

OBJECTIVE: To describe the prevalence of atopy and respiratory symptoms among baker apprentices at the start of the education and factors associated with non-participation in the study. METHODS: A total of 346 students, 22.1(0.6) years of age, mean (SD), from the food production programme of technical colleges in Denmark were invited to participate in a 3 year study. Of the students, 187 agreed to participate and filled in a physician-administered questionnaire. The presence of atopy was determined by skin prick test (SPT) and serum allergen specific IgE (SpIgE). Bronchial hyper responsiveness to methacholine (PD(20)

Assuntos
Culinária , Hipersensibilidade/epidemiologia , Adolescente , Adulto , Estudos de Coortes , Dinamarca/epidemiologia , Feminino , Humanos , Masculino , Exposição Ocupacional , Estudos Retrospectivos
20.
Acta Obstet Gynecol Scand ; 85(5): 579-82, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16752237

RESUMO

BACKGROUND: The aim of the study was to retrospectively identify possible factors for predicting the outcome of induction with misoprostol. METHODS: Fifty micrograms of misoprostol were administered intravaginally every 6 h during the first 2 days of induction, up to a maximum of 4 doses. The Bishop score, indication for induction, gestational length, maternal age, and parity were analyzed. The study involved 99 patients (47 primiparous and 52 multiparous) at term (>36 weeks of gestation) with unripe cervices. RESULTS: Forty-five per cent of the patients achieved ripening of cervix and went into labor after a single dose of misoprostol; a further 45% required 2 doses. Nine patients received more than 2 tablets. Ninety-seven per cent of all vaginal deliveries occurred within the first 2 days of induction. Ninety-five per cent of the patients delivered vaginally when the Bishop score was >3, compared with 75% of those with a Bishop score of < or =3 (p=0.003). Among factors creating the Bishop scoring system, in logistic regression analysis effacement of the cervix was the only independent, significant predictor of cesarean section (p=0.003, OR = 0.16) even after adjusting for maternal age, which also was a significant predictor in the regression analysis. Eleven patients had previously had a cesarean section; one of them had a uterine rupture with a fatal outcome for the fetus. All women with a previously scarred uterus are now excluded from misoprostol treatment. CONCLUSION: Misoprostol 50 microg administered intravaginally every 6 h according to this protocol is highly effective for inducing labor in carefully selected patients with unripe cervices.


Assuntos
Maturidade Cervical/efeitos dos fármacos , Trabalho de Parto Induzido/métodos , Misoprostol/administração & dosagem , Ocitócicos/administração & dosagem , Administração Intravaginal , Adulto , Feminino , Idade Gestacional , Humanos , Idade Materna , Paridade , Gravidez , Resultado da Gravidez , Estudos Retrospectivos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...