Influence of cervical balloon fluid volume on maternal labor process, maternal and infant outcomes, and pregnancy-related anxiety.

IF 3.9 4区 医学 Q1 PSYCHIATRY
Ni Wang, Jie Zhou, Li-Juan Ding, Li Qian, Chen Chen, Xiao-Shi Wang, Na Xu
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Abstract

Background: The full implementation of the national two-child policy has presented significant challenges in ensuring the safety of pregnant women.

Aim: To investigate the effect of cervical balloon fluid volume on maternal processes, maternal and infant outcomes, and anxiety during pregnancy.

Methods: A total of 100 singleton term pregnancies with cervical maturity induction and anxiety were selected using a lottery method; 50 women were included. Cervical balloons were used for all participants. In the control group, 80 mL of fluid was injected into both balloons; in the observation group, 80 and 100 mL were injected into the vaginal and cervical balloons, respectively. The two groups were compared for cervical maturity, labor duration, anxiety, maternal and infant outcomes, and effects on cervical ripening.

Results: After treatment, the cervical maturity test (Bishop) score was significantly higher in the observation group (9.76 ± 1.19) than in the control group (7.62 ± 0.83), and the Hamilton Anxiety Scale score was lower in the observation group (7.32 ± 0.85) than in the control group (13.05 ± 1.12). The observation group showed higher rates of natural delivery and lower rates of cesarean section than the control group. The first and total stages of labor were shorter in the observation than in the control group; no significant differences were found in the second and third stages. The incidence of complications was lower in the observation group [1 (2.00%) vs 9 (18.00%) for complications; 49 (98.00%) vs 41 (82.00%) for non-complications].

Conclusion: The selected fluid volumes to promote cervical maturity and induce labor stabilize maternal mood, increase the natural delivery rate, shorten labor, and improve maternal and infant outcomes.

宫颈球囊液量对产妇产程、母婴结局及妊娠相关焦虑的影响
背景:全面二孩政策的全面实施给孕妇的安全保障带来了重大挑战。目的:探讨宫颈球囊液量对妊娠过程、母婴结局及焦虑的影响。方法:采用摇号法对100例宫颈催熟伴焦虑的单胎足月妊娠患者进行抽样调查;其中包括50名妇女。所有参与者均使用宫颈气球。对照组分别在两个球囊内注射80 mL液体;观察组分别在阴道和宫颈球囊内注射80 mL和100 mL。比较两组宫颈成熟度、产程、焦虑、母婴结局及对宫颈成熟的影响。结果:治疗后,观察组患者宫颈成熟度试验(Bishop)评分(9.76±1.19)明显高于对照组(7.62±0.83),汉密尔顿焦虑量表评分(7.32±0.85)明显低于对照组(13.05±1.12)。观察组患儿自然分娩率高于对照组,剖宫产率低于对照组。观察组第一产程和总产程均短于对照组;第二、三期无明显差异。观察组并发症发生率较低[1例(2.00%)vs 9例(18.00%);49例(98.00%)vs 41例(82.00%)。结论:选择合适的产液量可促进宫颈成熟引产,稳定产妇情绪,提高自然分娩率,缩短产程,改善母婴结局。
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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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