摘要
目的:通过探讨晚期妊娠米索前列醇引产的子宫收缩和产程特点,分析其风险性和可行性。方法:2003年5月至2004年6月我院产科晚期妊娠用米索前列醇引产进入活跃期的产妇134例为观察组,同期自然临产产妇165例为对照组,应用胎儿监护仪观察子宫收缩各项指标(间隔时间、持续时间、强度和曲线类型),观察子宫过度刺激综合征、羊水粪染、急产、产程时间、产后出血等情况。结果:子宫收缩各项指标、子宫过度刺激综合征、羊水粪染、急产发生率、产程时间比较差异均有显著性,产后出血量和产后出血率差异无显著性。结论:晚期妊娠米索前列醇引产易出现子宫收缩过频、过强、子宫过度刺激综合征、急产等。因此,必须在正确掌握指征、有力监护、及早识别和处理产力异常的前提下,应用米索前列醇引产。
Objective： To explore uterine contraction and birth process characteristics of labor induced by misoprostol, and to determine the risks as well as feasibility of such method in inducing labor. Methods： From May 2003 to June 2004, 134 late pregnancy Parturient women who used misoprostol to induce labor in our hospital and eventually went into active phase were recruited in the study group; 165 women who had spontaneous labor were taken as control. Index of uterine contraction were recorded by fetus monitoring, including interval, duration, intensity and curve types of labor. The incidence of over stimulus syndrome, amniotlo fluid feces contamination and precipitate labor were closely observed together with the birth process and postpartum hemorrhage. Results： The index of uterine contraction, over stimulus syndrome, amniotic fluid feces contamination, precipitate labor and the type of birth process had significance difference between two groups; while postpartum hemorrhage quantity and the incidence of postpartum hemorrhage are similar in the two groups. Conclusions： Misoprostol used in induction of labor in late pregnancy may cause problems including over frequency and over intensity of labor, uterine over stimulus syndrome and precipitate labor. So misoprostol should be used with strict indication, intensive monitor, early recognition and management of abnormal uterine contraction.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2005年第11期668-671,共4页
Journal of Practical Obstetrics and Gynecology
基金
广东省医学科学技术研究基金资助课题(A2002547)
关键词
米索前列醇
引产
子宫收缩
产程
Misoprostol
Induced labor
Uterine contraction
Birth process
