摘要
目的:前瞻性研究米索前列醇(Miso)、低位水囊(LPWB)及小剂量催产素(OX)静脉滴注3种引产方法的有效性及对母、婴的影响。方法:将124例单胎、头位、、宫颈Bishop评分<5分、足月妊娠初产妇随机分为3组:Miso组41例,LPWB组43例,OX组40例;3种方法引产后,如宫颈Bishop评分≥7分,则行人工破膜术。结果:LPWB组及Miso组较OX组、宫颈Bishop评分<5分显著提高(P<0.001,P<0.01),引产到临产时间明显缩短(P<0.001,P<0.05),但3组间母、婴并发症差异无显著性。结论:对宫颈不成熟孕妇采用LPWB及Miso引产安全、有效、经济,可靠。
Objective:To study prospect ively and comparedly for three methods of induced labor. Method s:124 cases of primipara with single fetus,head presentation and fu ll-term were into this study All cases had unfavourable cervical ripening(Bishop score<5).The three methods for inducing labor were intravaginal misoprostol(Miso) (n=41);low position water bag(LP WB)(n=43) and continuous intravennus oxytocin drip (OX)(n=40).Once the cervical Bishop score exceeded 7,an artificial amniotomy was performed. Results: Cervical Bishop score were higher significantly in LPWB group and Miso group than that in OX group (P<0.001,P<0.01).The intervals from the beginning of induced labor to the beginning of the first dilivery course were much shorter in LPWB group and Miso group than that in OX group(p<0.00 1,P<0.05),but no significant diffe rences in maternal and infant complicati ons were observed among the three groups .Conclusions:Both the methods of LPWB and Miso have great effect in impr oving the cervical Bishop score and shor tening the interval for induced labor,th ey are economical and reliable.The intra venus OX drip is not the first chosen me thod for induced labor.
出处
《现代妇产科进展》
CSCD
2000年第4期255-257,共3页
Progress in Obstetrics and Gynecology
关键词
米索前列醇
低位水囊
催产素
引产
前瞻性研究
Three methods for induced labor, Miso prostol
low position water bag
oxytocin
Labor, induced
prospective study, compared