COOK宫颈扩张球囊联合人工破膜在孕足月计划分娩中的应用效果

Abstract
Figure/Table
References (27)
Related Citation (0)

Download: PDF (592 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of COOK cervical dilatation balloon combined with artificial rupture of membranes in full-term programed delivery. Methods From January 2017 to December 2019, 732 full-term pregnant women in Anhui Maternal and Child Health Hospital who needed to programed delivery were selected for this study. According to the random number table method, they were divided into COOK cervical dilation balloon combined with artificial rupture group (group A) and COOK cervical dilation balloon group (group B). According to inclusion and exclusion criteria, there were 347 cases in group A and 357 cases in group B. The effective rate of induced labor, labor rate and delivery outcome of two groups were compared. Results There were no significant differences in the total effective rate and labor rate between two groups (P > 0.05). The natural delivery rate and 24 h delivery rate of group A were higher than those of group B (P < 0.05). The labor time, the first stage of labor and the total stage of labor of pregnant with natural delivery in group A were shorter than those of group B (P < 0.05). The incidence of amniotic fluid pollution was lower than that of group B (P < 0.05); while there were no significant differences in the incidence of fetal distress, oligohydramnios, chorioamnionitis, neonatal asphyxia, and postpartum hemorrhage between two groups (P > 0.05). Conclusion COOK cervical dilatation balloon combined with artificial rupture of membranes can shorten the labor time and total labor time, improve 24 h delivery rate and natural delivery rate, and optimize the programed delivery process.

Key words： Cervical dilatation balloon Artificial rupture of membranes Programed delivery

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Nan LIU Yu LI Xiaoyan

Cite this article:

ZHANG Nan LIU Yu LI Xiaoyan. Application effect of COOK cervical dilatation balloon combined with artificial rupture of membranes in full-term programed delivery[J]. 中国医药导报, 2021, 18(27): 98-101.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I27/98

[1] 聂爱宏，饶晓艳，杨春莲，等.双球囊导管用于足月妊娠促宫颈成熟及母婴结局对比研究[J].中国医学创新，2017， 14（25）：12-15.
[2] 罗虹，程楚云.COOK宫颈扩张球囊在足月妊娠引产中的应用[J].深圳中西医结合杂志，2019，29（23）：182-184.
[3] 亓露，贾丹丹，张晓燕.人工破膜与自然破膜对产程和分娩结局的影响[J].临床医药文献电子杂志，2016，3（33）：6555，6558.
[4] Leduc D，Biringer A，Lee L，et al. Induction of labour [J]. J Obstet Gynaecol Can，2013，35（9）：840-857.
[5] ACOG Committee Opinion No.766：Approaches to Limit Intervention During Labor and Birth [J]. Obstet Gynecol，2019，133（2）：e164-e173.
[6] Tsakiridis I，Mamopoulos A，Athanasiadis A，et al. Induction of Labor：An Overview Guidelines [J]. Obstet Gynecol Surv，2020，75（1）：61-72.
[7] 赵三存，董悦.妊娠晚期促宫颈成熟与引产指南[J].中华妇产科杂志，2008，43（1）：75-76.
[8] 苟文丽.分娩学[M].北京：人民卫生出版社，2003：122.
[9] 戴夏琳，张丽武，时增玉，等.Cook宫颈扩张球囊用于足月妊娠引产的临床效果观察[J].广西医学，2016，38（2）：261-262，265.
[10] Harman Crowell EH，Crowell AM，Theiler RN. Effect of delayed misoprostol dosing interval for induction of labor：a retrospective study [J]. BMC Pregnancy Childbirth，2019，19（1）：309.
[11] Vogel JP，Souza JP，Gülmezoglu AM. Patterns and Outcomes of Induction of Labour in Africa and Asia：a secondary analysis of the WHO Global Survey on Maternal and Neonatal Health [J]. PLoS One，2013，8（6）：e65612.
[12] 李燕，周辉，何伟，等.子宫颈扩张球囊联合缩宫素在足月妊娠期高血压和轻度子痫前期患者引产的临床效果研究[J].实用妇产科杂志，2018，34（10）：792-795.
[13] 中华医学会围产医学分会.妊娠并发症和合并症终止妊娠时机的专家共识[J].中华围产医学杂志，2020，23（11）：721-732.
[14] 庄莹莹，张晨凌.宫颈扩张球囊应用于足月妊娠引产的临床研究[J].现代妇产科进展，2018，27（6）：456-457， 461.
[15] 林菲菲.子宫颈扩张球囊与缩宫素在足月妊娠促宫颈成熟及引产的疗效评价[J].实用妇科内分泌电子杂志，2019，6（30）：65，79.
[16] Bacak SJ，Olson-Chen C，Pressman E. Timing of induction of labor [J]. Semin Perinatol，2015，39（6）：450-458.
[17] Vogel JP，Osotti AO，Kelly AJ，et al. Pharmacological and mechanical interventions for labour induction in outpatient settings [J]. Cochrane Database Syst Rev，2017，9（3）：CD007701.
[18] 朱红云，赵囡囡，周洪英，等.不同人工破膜时机在宫颈扩张球囊引产中的应用[J].安徽医药，2019，23（3）：527-529.
[19] Battarbee AN，Palatnik A，Peress DA，et al. Association of Early Amniotomy After Foley Balloon Catheter Ripening and Duration of Nulliparous Labor Induction [J]. Obstet Gynecol，2016，128（3）：592-597.
[20] 张燕.球囊宫颈扩张器配合人工破膜在晚期引产中的疗效分析[J].浙江创伤外科，2019，24（6）：1196-1198.
[21] 李凤娥.COOK宫颈扩张球囊与缩宫素静脉滴注在足月妊娠引产中的优劣差异[J].中国医药科学，2019，9（15）：79-81，191.
[22] 郑明阳，张宁，孟晓东.宫颈扩张双球囊和Foley球囊对足月妊娠促宫颈成熟比较[J].中国现代医生，2020，58（26）：72-75.
[23] 王庆芳.人工破膜在产程中的应用体会[J].辽宁医学杂志，2013，27（6）：290-291.
[24] 黄凤精，李筱芸，严东琴.不同时机行人工破膜对COOK宫颈扩张球囊引产初产妇的影响分析[J].数理医药学杂志，2020，33（10）：1452-1454.
[25] 薛文先.妊娠晚期羊水过少对妊娠结局及分娩方式的影响评价[J].基层医学论坛，2020，24（17）：2445-2446.
[26] 王佳.足月胎膜早破破水至分娩的间隔时间对母婴结局的影响[J].中国当代医药，2021，28（2）：87-90.
[27] 张霞，吴思思，王繁.人工破膜对生殖道B族链球菌感染母婴风险评价[J].中国妇幼保健，2020，35（9）：1619-1621.