COOK®宫颈成熟球囊联合人工破膜及催产素在足月妊娠引产中的应用

Ying Dong, Chuyu Li, Xin-rui Zhao, Lin Zhang, Xiaojun Jia, Zhongxing Fu, Yan Du, Ling Wang
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引用次数: 0

摘要

目的:逐步推广COOK[配方:见文]气囊在引产过程中的应用。本研究探讨COOK[公式:见文]双球囊促进子宫颈部成熟的安全性和有效性,以及COOK[公式:见文]双球囊是否能提高引产成功率。方法:选取2016年1月1日至9月30日在上海普陀妇幼保健院就诊的343例足月妊娠孕妇。在所有孕妇中,166名孕妇进行了引产,包括使用COOK气囊、人工破膜术(AROM)和催产素静脉滴注(COOK组)。另外177例自发性膜破裂(rom)和宫颈成熟的孕妇给予催产素静脉滴注,以促进子宫正常收缩(催产素组)。比较两组产妇不良反应、分娩方式及分娩结局。结果:COOK组与催产素组在产妇年龄([公式:见文]vs[公式:见文]年数,[公式:见文])、胎龄([公式:见文]vs[公式:见文]年数,[公式:见文])和出生体重([公式:见文]vs[公式:见文][公式:见文]g,[公式:见文])方面存在显著差异。在胎次、胎次、分娩方式、镇痛、1 min和5 min Apgar评分、分娩时间、产后出血、不良事件等方面均无显著差异。结论:使用COOK[公式:见文]球囊可帮助宫颈未成熟妇女足月妊娠,获得与宫颈成熟妇女相同的妊娠结果,且不会额外发生不良事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of COOK® cervical ripening balloon combined with artificial rupture of membranes and oxytocin in labor induction for full-term pregnancy
Objective: The use of COOK[Formula: see text] balloon in the process of induction of labor is gradually promoted. This study was conducted to investigate the safety and efficacy of COOK[Formula: see text] double balloon in promoting the maturity of uterine neck, and whether COOK[Formula: see text] double balloon can improve the success rate of induced labor. Methods: A total of 343 pregnant women with full-term pregnancy in Shanghai Putuo Maternity & Infant Health Hospital from January 1st to September 30th of 2016 were enrolled. Of all the pregnant women, 166 had labor induction, which included the use of a COOK[Formula: see text] balloon, the implementation of artificial rupture of membranes (AROM) and oxytocin intravenous (IV) drip (COOK[Formula: see text] group). The other 177 pregnant women with spontaneous rupture of membranes (SROM) and mature cervix only were administrated with oxytocin IV drip to promote regular uterus contraction (oxytocin group). Maternal adverse reactions, mode of delivery and delivery outcomes of two groups were subsequently compared between the two groups. Results: There were significant differences of maternal age ([Formula: see text] versus [Formula: see text] years, [Formula: see text]), gestational age ([Formula: see text] versus [Formula: see text] years, [Formula: see text]) and birth weight ([Formula: see text] versus [Formula: see text][Formula: see text]g, [Formula: see text]) between the COOK[Formula: see text] group and the oxytocin group. There were no significant differences in terms of gravidity, parity, mode of delivery, analgesia, 1 min and 5 min Apgar score, labor time, postpartum hemorrhage, and adverse events. Conclusion: Use of a COOK[Formula: see text] balloon may help in full-term pregnancy for women with immature cervix and to obtain the same pregnancy results as those with mature cervix, without extra occurrence of adverse events.
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