Effect of Early Amniotomy on Delivery Outcome with/without Cervical Ripening: A Systematic Review and Meta-Analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-26 eCollection Date: 2024-03-01 DOI:10.4103/ijnmr.ijnmr_283_22

Banafsheh Mohammadi Zeidi, Ommolbanin Zare, Azadeh Kiapour

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引用次数: 0

Abstract

Background: Although shorter labors are the benefits of Early Amniotomy (EA), it may lead to risks such as non-reassuring fetal testing and cesarean delivery. Also, the effect of cervical ripening to induce labor before amniotomy is unknown. This systematic review and meta-analysis evaluated the effect of EA on the delivery outcome with or without cervical ripening.

Materials and methods: Bibliographic search was conducted without time limit until June 2020. PubMed, Scopus SID Magiran, Cochrane Library Science website, and ISI databases were searched with English and Farsi keywords, including amniotomy, delivery, induced, and pregnancy outcome.

Results: The meta-analysis on ten clinical trials showed that the incidence of cesarean section was lower (0.89% VS 0.94; relative risk, 0.85; 95% confidence interval, 0.55-1.30) compared to the group without cervical ripening, and the time to induce labor was approximately 55 minutes (mean difference, 0.91 hour; 95% confidence interval, -1.43 to - 0.33).

Conclusions: If EA is performed in women after cervical ripening, the incidence of cesarean section will not increase, and the duration of labor will be reduced. A shorter delivery time is associated with perinatal benefits and greater maternal satisfaction. Furthermore, EA with cervical ripening may reduce monitoring time in busy hospitals with limited medical staff.

查看原文本刊更多论文

早期羊膜腔切开术对有/无宫颈成熟的分娩结果的影响：系统回顾与元分析》。

背景：虽然缩短产程是早期羊膜切开术（EA）的好处，但它可能导致胎儿检测不可靠和剖宫产等风险。此外，羊膜腔切开术前宫颈成熟引产的效果尚不清楚。本系统综述和荟萃分析评估了EA对宫颈成熟与否对分娩结果的影响：文献检索无时间限制，截至 2020 年 6 月。在 PubMed、Scopus SID Magiran、Cochrane Library Science website 和 ISI 数据库中使用英语和波斯语关键词进行检索，包括羊膜腔切开术、分娩、引产和妊娠结局：对十项临床试验的荟萃分析表明，与未进行宫颈成熟术的组别相比，剖宫产的发生率较低（0.89% VS 0.94；相对风险，0.85；95% 置信区间，0.55-1.30），引产时间约为 55 分钟（平均差异，0.91 小时；95% 置信区间，-1.43 至 -0.33）：结论：如果在宫颈成熟后为产妇实施 EA，剖宫产的发生率不会增加，分娩时间也会缩短。分娩时间缩短与围产期获益和产妇满意度提高有关。此外，在医务人员有限、工作繁忙的医院，宫颈成熟后的 EA 可减少监测时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.