摘要
目的:比较不同羊水指数(AFI)足月妊娠产妇通过一次性球囊宫颈扩张器引产效果比较。方法:回顾性收集2019年8月-2021年9月本院一次性球囊宫颈扩张器引产的足月妊娠产妇116例,根据产前AFI值分为<5cm为过少组、5~8cm为偏少组、>8cm为正常组,分别为26例、42例、48例,均予一次性球囊宫颈扩展器引产,比较各组促宫颈成熟度有效率、妊娠结局、新生儿出生结局。结果:促宫颈成熟有效率过少组(53.9%))低于临界组(71.4%)及正常组(85.4%)(P<0.05),产后出血量、第一产程时长、引产并发症3组无差异(P>0.05)。自然分娩率过少组(19.2%)和偏少组(33.3%)均低于正常组(47.9%),剖宫产率(53.9%、47.6%)高于正常组(27.1%),新生儿出生1min Apgar评分过少组(7.92±0.27分)和临界组(7.85±0.32分)均低于正常组(9.92±0.26分)(均P<0.05),新生儿黄疸发生率3组无差异(P>0.05),新生儿低体重、胎儿窘迫、窒息、肺炎发生率偏少组高于另外两组(P<0.05)。结论:AFI对足月妊娠产妇一次性球囊宫颈扩张器引产结局有一定影响,AFI值越低分娩结局越差,可作为临床评估分娩结局的参考指标。
Objective:To compare the effect of disposable balloon cervical dilator used in induction of labor of full-term pregnant women with different amniotic fluid volumes.Methods:116 full-term pregnant women who had undergone induction of labor by disposable balloon cervical dilator from August 2019 to September 2021 were selected retrospectively.According to the amniotic fluid index(AFI)value,these women were divided in group(26 women with the AFI value below 5cm),group B(42 women with the AFI value in 5-8cm),and group C(48 women with the AFI value over 8cm),respectively.The effective rate of promoting cervical ripening,the pregnancy outcomes,and the neonatal outcomes of the women were compared among three groups.Results:The effective rate(53.9%)of promoting cervical ripening of the women in group A was significantly lower than that(71.4%)of the women in group B and that(85.4%)of the women in group C(P<0.05).There were no significant differences in the postpartum blood loss,the duration of first stage of labor,and the complications rate of induced labor of the women among the three groups(P>0.05).The rate of natural delivery of the women in group A(19.2%)or in group B(33.3%)were significantly lower than that(47.9%)of the women in group C,and the rate of cesarean section of the women in group A(53.9%)or in group B(47.6%)were significantly higher than that(27.1%)in group C.The Apgar score at 1min of newborns after birth in group A(7.92±0.27 points)or in group B(7.85±0.32 points)was significantly lower than that(9.92±0.26 points)of the women in group C(all P<0.05).There was no significant difference in the incidence of neonatal jaundice among the three groups(P>0.05).The incidences of the neonatal low weight,fetal distress,asphyxia,and pneumonia in group A were significantly higher than those in group B and in group C(P<0.05).Conclusion:The value of AFI has significant impact on the outcomes of induced labor by bisposable balloon cervical dilator of full-term pregnant women.The lower value of AFI,the poorer pregnancy outcomes of the women is.AFI of the pregnant women can be used as a reference index of the for evaluating their pregnancy outcomes in the clinic.
作者
金智奕
唐琳
徐凤英
JIN Zhiyi;TANG Lin;XU Fengying(Jinshan District Tinglin Hospital,Shanghai,201505)
出处
《中国计划生育学杂志》
2022年第9期2137-2140,2144,共5页
Chinese Journal of Family Planning
关键词
足月妊娠
羊水指数
一次性球囊宫颈扩张器引产
宫颈成熟
产程
新生儿结局
Full-term pregnant
Amniotic fluid index
Disposable balloon cervical dilator
cervical ripening
Stage of labor
Outcomes of newborn
