文章摘要

子宫颈扩张球囊对宫颈不成熟足月孕妇引产结局影响的回顾性队列研究

作者: 1何莉华
1 安徽中医药大学第一附属医院妇产科,合肥 230031
通讯: 何莉华 Email: 3073453721@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.10.019

摘要

目的:探讨子宫颈扩张球囊对宫颈不成熟足月孕妇引产结局的影响。方法:回顾性分析2019年2月至2021年10月安徽中医药大学第一附属医院妇产科收治的207例宫颈不成熟足月孕妇的引产相关资料,其中103例接受缩宫素促宫颈成熟记为缩宫素组,另外104例接受子宫颈扩张球囊促宫颈成熟记为球囊组。整理并比较2组围产期相关结局指标。结果:球囊组促宫颈成熟总有效率、Bishop评分均明显高于缩宫素组(分别92.31% vs 82.52%,7.17±1.05 vs 6.86±0.92,均P<0.05)。球囊组临产时间(21.40±3.57)h、产程时间(9.26±2.28)h,均明显短于缩宫素组的(26.58±3.91)h、(11.43±2.71)h,引产成功率为88.46%,明显高于缩宫素组的77.67%(P<0.05)。2组母婴不良结局发生率比较无明显差异(P>0.05)。结论:子宫颈扩张球囊用于宫颈不成熟足月孕妇的促进宫颈成熟效果优于缩宫素,可加快产程和提高引产成功率,减少不必要的剖宫产。
关键词: 足月妊娠;引产;宫颈成熟度;子宫颈扩张球囊

Retrospective cohort study on the effect of cervical dilatation balloon on the outcome of induction of labor in full-term pregnant women with cervical immature pregnancy

Authors: 1HE Lihua
1 Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230031, China

CorrespondingAuthor: HE Lihua Email: 3073453721@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.10.019

Abstract

Objective: To explore the effect of cervical dilatation balloon on the outcome of induction of labor in term pregnant women with immature cervix. Methods: The data of 207 full-term pregnant women with cervical immaturity treated in the Department of Gynecology and Obstetrics at the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from February 2019 to October 2021 was analyzed retrospectively. Among them, 103 cases received oxytocin to promote cervical maturity (oxytocin group), and 104 cases received cervical dilation balloon to promote cervical maturity (balloon group). The perinatal related outcome indicators between the 2 groups were sorted out and compared. Results: The total effective rate and Bishop score of promoting cervical maturation in the balloon group were significantly higher than those in the oxytocin group (92.31% vs 82.52%, 7.17±1.05 vs 6.86±0.92, both P<0.05). The labor time (21.40±3.57) h and labor process time (9.26±2.28) h in the balloon group were significantly shorter than those in the oxytocin group [(26.58±3.91) h and (11.43±2.71) h]. The success rate of induced labor was 88.46%, which was significantly higher than 77.67% in the oxytocin group (P<0.05). There was no significant difference in the incidence of adverse outcomes between the 2 groups (P>0.05). Conclusion: Cervical dilatation balloon is better than oxytocin in promoting cervical maturity in full-term pregnant women with immature cervix. It can accelerate the process of labor, improve the success rate of induced labor, and reduce unnecessary cesarean section.

Keywords: term pregnancy; induced labor; cervical maturity; balloon dilatation of cervix

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