Influencing factors of failure of labor induction by oxytocin and delivery outcome
10.3760/cma.j.cn115682-20200513-03313
- VernacularTitle:催产素点滴引产失败及分娩结局的影响因素
- Author:
Yang XU
1
;
Xue CONG
;
Zhaoyan PANG
;
Linya LI
;
Xiaoqing LI
;
Guohui FAN
;
Jing ZHAO
Author Information
1. 中日友好医院妇产科，北京 100029
- Keywords:
Oxytocin;
Pregnancy woman;
Labor induction;
Influencing factor;
Delivery outcome
- From:
Chinese Journal of Modern Nursing
2020;26(34):4792-4797
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of the failure of labor induction by oxytocin and delivery outcome, and provide a basis for standardizing pregnancy management and process management of labor induction by oxytocin.Methods:Using a self-designed data collection form, the data of 1 705 pregnant women who underwent labor induction by oxytocin in the Department of Obstetrics of China-Japan Friendship Hospital from 2014 to 2018 were retrospectively collected, and the influencing factors of the failure of labor induction by oxytocin and the outcome of delivery were analyzed.Results:A total of 1 705 primary mothers were included in the study. Multiple factor analysis show that, amniotic fluid pollution, macrosomia, and the duration of labor induction by oxytocin were independent influencing factors for the failure of labor induction by oxytocin. The duration of labor induction by oxytocin was related to the method of delivery, weight of the newborn, and amount of postpartum hemorrhage, and the difference was statistically significant ( P<0.01) . The outcome of delivery labor induction by oxytocin was the cause of cesarean delivery, and "intrauterine fetal distress" and "cephalopelvic disproportion" accounted for the highest proportion. Conclusions:The main influencing factors for the failure of labor induction by oxytocin are amniotic fluid pollution, macrosomia, etc., and the influencing factors will gradually increase with the process of labor induction, thereby reducing the natural delivery rate. Therefore, it is necessary to strengthen pregnancy management, control pregnancy weight and fetal weight, and reduce pregnancy complications. It is also necessary to strengthen clinical management of labor induction by oxytocin, provide sound education and guidance for labor induction by oxytocin, and increase the vaginal delivery rate after labor induction by oxytocin.
