Comparison of the application effect of cervical single lumen dilation balloon and COOK cervical dilation balloon in promoting cervical maturity during full-term pregnancy#br#
LI Xiaorong1 LYU Yuping1 HE Bikai2 CHEN Huishan2
1.Department of Obstetrics, Nanhai District People’s Hospital of Foshan City, Guangdong Province, 528200, China；
2.Department of Obstetrics, Nanhai Maternal and Child Health Hospital of Foshan City, Guangdong Province, Foshan 528200, China
Abstract：Objective To compare the application effect of domestic cervical single lumen dilation balloon and COOK cervical dilation balloon in promoting cervical maturity during full-term pregnancy. Methods A total of 268 singleton primiparas who were hospitalized for delivery in Nanhai Maternal and Child Health Hospital of Foshan City, Guangdong Province from January 2015 to December 2019 were selected as the research subjects. According to the random number table method, they were divided into domestic cervical single lumen dilation balloon (single balloon group) 136 cases and imported COOK cervical dilation balloon group (COOK double balloon group) 132 cases. The average placement time of cervical single lumen dilation balloon or COOK cervical dilation balloon in each group, the cervical Bishop score after placement, the effective in promoting cervical maturity, the natural birth rate after placement, vaginal delivery rate, vaginal delivery of maternal balloon placement until delivery time, oxytocin use condition, neonatal birth weight, and the incidence of neonatal asphyxia, postpartum hemorrhage, urgent sexual chorioamnitis, and cervical laceration were recorded. Results The average placement time of single balloon group was shorter than that of COOK double balloon group, the cervical Bishop score after placement, the effective in promoting cervical maturity were higher than those of COOK double balloon group, and the differences were statistically significant (P < 0.05); there were no significant differences in the natural birth rate after placement, vaginal delivery rate between two groups (P > 0.05). The vaginal delivery of maternal balloon placement until delivery time in single balloon group was shorter than in COOK double balloon group, and the difference was statistically significant (P < 0.05); there was no significant difference in oxytocin use condition between two groups (P > 0.05). The cervical laceration rate in single balloon group was lower than that in COOK double balloon group, and the difference was statistically significant (P < 0.05); there were no significant differences in the incidence of postpartum hemorrhage and urgent sexual chorioamnitis between two groups (P > 0.05). There were no significant differences in neonatal birth weight and the incidence of neonatal asphyxia between two groups (P > 0.05). Conclusion Compared with COOK cervical dilatation balloon, cervical single lumen dilation balloon has better clinical effect, and can be popularized in clinic to promote cervical maturity and induce labor at full-term.
李晓荣1 吕玉平1 何碧开2 陈惠珊2. 宫颈单腔扩张球囊与COOK宫颈扩张球囊在足月妊娠促宫颈成熟中的应用效果比较[J]. 中国医药导报, 2022, 19(12): 100-103,107.
LI Xiaorong1 LYU Yuping1 HE Bikai2 CHEN Huishan2. Comparison of the application effect of cervical single lumen dilation balloon and COOK cervical dilation balloon in promoting cervical maturity during full-term pregnancy#br#. 中国医药导报, 2022, 19(12): 100-103,107.
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