Effect of single-chamber balloon combined with dinoprostone suppository on cervical ripening induced by full-term maternal delivery
10.3760/cma.j.issn.1008-6706.2019.24.011
- VernacularTitle: 单腔球囊联合地诺前列酮栓对足月顺产产妇促宫颈成熟的效果研究
- Author:
Wenlong ZHAO
1
;
Jiali YU
;
Zhipeng CHEN
;
Zhiying YU
Author Information
1. Department of Obstetrics, the Central Hospital of Yiwu, Yiwu, Zhejiang 322000, China
- Publication Type:Journal Article
- Keywords:
Pregnancy trimester, third;
Cervical ripening;
Pregnancy outcome;
Single-lumen balloon;
Double balloon;
Dinoprostone suppository
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(24):2984-2987
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of single-chamber balloon combined with dinoprostone suppository on the progestation of the cervix in full-term maternal delivery.
Methods:From January 2017 to December 2018, 120 cases of full-term maternal women admitted to the Central Hospital of Yiwu were selected.According to the random number table method, all women were divided into control group (60 cases) and observation group (60 cases). The control group was given a single-cavity balloon to promote cervical ripening.The observation group received single-chamber balloon combined with dinoprostone to promote cervical ripening.The effects of maternal cervical ripening were observed.
Results:The total effective rate of maternal cervical ripening in the observation group (95.00%) was significantly higher than that in the control group (81.67%), and the difference was statistically significant (χ2=6.135, P<0.05). The differences of maternal postpartum hemorrhage and neonatal asphyxia rate were not statistically significant (t=1.684 , χ2=2.563, all P>0.05). The total maternal labor [(5.8±2.1)h] in the observation group was significantly shorter than that in the control group [(7.6±2.5)h], the difference was statistically significant (t=3.126, P<0.05). The vaginal delivery rate (95.00%) of the observation group was higher than that of the control group (73.33%), the difference was statistically significant (χ2=5.342, P<0.05). Before implanting the balloon and balloon combination, the Bishop score between the two groups had no statistically significant difference (t=3.623, P>0.05). After the balloon and balloon combination were taken out, the Bishop score of the maternal cervix[(8.6±1.5)points] in the observation group was higher than that in the control group [(7.2±1.3)points], and the difference was statistically significant (t=4.354, P<0.05). The incidence of adverse reaction of the observation group (6.67%) was lower than that of the control group (13.33%), the difference was statistically significant between the groups(χ2=3.821, P<0.05).
Conclusion:Compared with simple single-chamber balloon, single-chamber balloon combined with dinoprostone suppository has more significant effect on the maternal ripening of the cervix, it can improve the vaginal delivery rate and maternal cervical Bishop scores, effectively reduce the maternal total labor, and reduce the incidence of maternal adverse reactions.
