双气囊导尿管引产- 6小时与12小时插入时间的有效性比较:一项前瞻性病例对照研究。

IF 2.4 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Geburtshilfe Und Frauenheilkunde Pub Date : 2023-11-30 eCollection Date: 2023-12-01 DOI:10.1055/a-2177-0290
Lena Strößner, Yvonne Heimann, Ekkehard Schleußner, Anna Kolterer
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引用次数: 0

摘要

导言:引产是一种常见的产科程序,用于在分娩延迟或不确定时启动或增强宫缩。双气囊导尿管是引产过程中宫颈成熟的一种安全有效的机械方法。本研究评估将双球囊导管插入时间从12小时减少到6小时的有效性。方法:248例足月行双球囊导尿管诱导的妇女分为两组:2021年上半年晚上8点放置导尿管12小时(P12), 2021年下半年早上7点放置导尿管6小时(P6)。采用t检验、卡方检验和Wilcoxon符号秩检验进行统计分析。主要和次要终点包括诱导分娩间隔、前列腺素至分娩间隔、分娩方式以及产妇和新生儿结局。结果:P6组诱导分娩间隔时间明显缩短558 min (P6: 1348 min, P12: 1906 min, p)。结论:双球囊置管时间由12小时缩短至6小时,诱导分娩间隔时间缩短近9小时,对产妇及新生儿预后无不良影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Induction of Labour with a Double Balloon Catheter - Comparison of Effectiveness of Six Versus Twelve Hours Insertion Time: a Prospective Case Control Study.

Introduction: Induction of labour is a common obstetric procedure to initiate or augment contractions when labour is delayed or uncertain. The double balloon catheter is a safe and effective mechanical method for cervical ripening during induction of labour. This study evaluates the effectiveness of reducing double balloon catheter insertion time from 12 to 6 hours.

Methods: 248 women undergoing induction with a double balloon catheter at term were divided into two groups: catheter placed for 12 hours at 8 pm in the first half of 2021 (P12) and catheter placed for 6 hours at 7 am in the second half of 2021 (P6). T-tests, chi-squared tests, and Wilcoxon signed rank test were used for statistical analysis. Primary and secondary endpoints included induction to delivery interval, prostaglandin to delivery interval, mode of delivery, and maternal and neonatal outcomes.

Results: The P6 group had a significantly reduced induction to delivery interval of 558 min (P6: 1348 min, P12: 1906 min, p < 0.01, 95% CI: 376-710) within demographically comparable groups. Multiparous women also showed a significant reduction in prostaglandin to delivery interval of 260 min (P6: 590 min, P12: 850 min, p = 0.038, 95% CI: 9-299). There were no significant differences in mode of delivery, maternal blood loss, or neonatal outcome.

Conclusion: Reducing double balloon catheter placement time from 12 to 6 hours resulted in almost 9 hours less induction to delivery interval without adverse effects on maternal and neonatal outcome.

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来源期刊
Geburtshilfe Und Frauenheilkunde
Geburtshilfe Und Frauenheilkunde 医学-妇产科学
CiteScore
2.50
自引率
22.20%
发文量
828
审稿时长
6-12 weeks
期刊介绍: Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely gynecological oncology, including oncology of the breast obstetrics and perinatal medicine, reproductive medicine, and urogynecology. GebFra invites the submission of original articles and review articles. In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information. Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.
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