引产指征的医院研究

Dr. Ferdousi Begum, Dr. Nargis Sultana, Dr. Yasmin Ara Begum, Dr. Hachina Akhter, Dr. Mosammat Rehana, Dr. Karishma Sultana, Dr. Sunny Barua, Dr. Nasrin Zannat Sumi
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引用次数: 1

摘要

引产是一种刺激分娩和阴道分娩的技术。引产可采用药物或非药物方法。在低收入国家,这一比例通常很小。人工晶状体并不是没有风险的,很多女性都觉得很痛苦。研究目的:本研究旨在探讨引产的指征。方法:2008年1月至2008年6月在孟加拉班班胡谢赫穆吉布医科大学附属医院妇产科进行前瞻性横断面研究。按照纳入标准,共有50例患者入组。使用预先设计的半结构化问卷收集数据。在招募研究人群之前,需要取得口头同意。完成的数据表格进行审查、编辑和处理,以供计算机输入数据。结果:在研究人群(N=50)中,五分之一(10.20.0%)的母亲年龄在20岁以下。年龄在20 ~ 30岁之间的产妇占多数(34例,68.0%),平均年龄25.4±4.32岁。17例(17.34.0%)患者采用催产素滴注+ ARM引产,10例(17.34.0%)患者采用ARM +催产素滴注引产,23例(23.46.0%)患者采用宫颈前列腺素不良后再采用催产素滴注+ ARM引产。引产失败(需要剖腹产)的总人数为20例(20.40.0%)。其中因胎儿窘迫11例(11.55.0%),因子宫活动异常9例(9.45.0%),因宫颈难产1例(1.5.0%)。结论:当潜在的帮助大于潜在的危险时,应采用引产。研究指出,随着怀孕的推进,引产可以降低死胎、巨大儿和高血压的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indication of Induction of Labor-A Hospital Based Study
Introduction: Labor induction is the technique that excites childbirth and vaginal delivery. Inducing labour can be built with the pharmaceutical or non-pharmaceutical method. In low-income countries, the rates are generally minor. IOL is not risk-free, and many women find it painful. Aim of the Study: The study aims to investigate the indication of induction of labour. Methods: A Prospective cross-sectional study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University, Hospital, from January 2008 to June 2008. A total of 50 patients were enrolled in this study following the inclusive criteria. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. Result: Among the study population (N=50), one-fifth of the mothers’ (10,20.0%) age was under twenty. The majority of mothers were (34,68.0%) between 20-30 years old with a mean age of 25.4 ± 4.32 years. In seventeen patients (17,34.0%) labour induction was given by oxytocin drip followed by ARM, in ten patients labour induction was given by ARM followed by oxytocin drip & in twenty-three patients (23,46.0%) with unfavourable cervix prostaglandin was used and then followed by oxytocin drip and ARM. The total number of induction failures (who needed a caesarian section) was twenty (20,40.0%). Among the total number of caesarian sections, eleven (11,55.0%) were done due to fetal distress, nine (9,45.0%) were done due to abnormal uterine action, one (1,5.0%) was done due to cervical dystocia. Conclusion: Labor induction should be applied to improve birth consequences and when the potential aids outweigh the potential dangers. Researches point out that inducing labour lessens the risk of having a stillbirth, macrosomia and developing high blood pressure as the pregnancy advances.
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