Cervical balloon combined with oxytocin improves clinical efficacy and safety for induction of labor with scarred uterus

IF 0.4 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Clinical and experimental obstetrics & gynecology Pub Date : 2022-01-20 DOI:10.31083/j.ceog4901029

Dong-ha Ji, J. Ding, Xiaoqiong Li, Gang Li, D. Yin

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引用次数: 0

Abstract

Background: To evaluate cervical balloon combined with oxytocin improves clinical efficacy and safety for induction of labor with scarred uterus. Methods: The clinical data of pregnant women undergoing vaginal trial delivery after cesarean section in Huai’an Maternal and Child Health Hospital, from January 2020 to January 2021 were retrospectively analyzed. Among them, 80 pregnant women with scarred uterus who were induced by cervical balloon combined with oxytocin were considered as CBO group. 80 pregnant women with natural delivery scar uterus were considered as control, who were matched to CBO group for age, gestational age, and pre-pregnancy BMI. In CBO group, Bishop score before and after induction of labor was compared. Between the CBO and control groups, mode of delivery and duration of labor were analyzed, and maternal and infant outcomes were compared. Results: The overall effective rate of cervical maturation after labor induction was 88.8%, and the proportion of vaginal delivery in the CBO group were significantly higher than that in the control group. Besides, the induced labor time, first stage of labor time and the total stage of labor time in the CBO group were significantly shorter than those in the control group. There was no significant difference in maternal and infant outcomes between the two groups. Conclusion: Cervical balloon combined with oxytocin could significantly improve the clinical effect of parturients with scar uterine without increasing maternal and infant complications, which is a safe and effective strategy that can be applied in clinical practice.

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宫颈球囊联合催产素提高瘢痕子宫引产的临床疗效和安全性

背景：评价宫颈球囊联合催产素对瘢痕子宫引产的临床疗效和安全性。方法：回顾性分析2020年1月至2021年1月在淮安市妇幼保健院剖宫产后阴道试产的孕妇的临床资料。其中80例宫颈球囊联合催产素诱发子宫瘢痕的孕妇为CBO组。80名患有自然分娩疤痕子宫的孕妇被视为对照，她们在年龄、胎龄和孕前BMI方面与CBO组相匹配。CBO组在引产前后比较Bishop评分。在CBO组和对照组之间，分析了分娩方式和分娩持续时间，并比较了母婴结局。结果：引产后宫颈成熟的总有效率为88.8%，CBO组阴道分娩的比例明显高于对照组。此外，CBO组的引产时间、第一产程时间和总产程时间均显著短于对照组。两组之间的母婴结局没有显著差异。结论：宫颈球囊联合缩宫素治疗瘢痕子宫产妇，在不增加母婴并发症的情况下，可显著提高临床效果，是一种安全有效的临床应用策略。

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

Clinical and experimental obstetrics & gynecology 医学-妇产科学

CiteScore

0.50

自引率

0.00%

发文量

241

审稿时长

1 months

期刊介绍： CEOG is an international, peer-reviewed, open access journal. CEOG covers all aspects of Obstetrics and Gynecology, including obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine. All submissions of cutting-edge advances of medical research in the area of women''s health worldwide are encouraged.