Feasibility and safety analysis of dinoprostone and cervical dilator balloon for cervical ripening and induction of labor in full-term puerperae
Objective To explore the feasibility and safety of dinoprostone and cervical dilation balloon for cervical ripening and induction of labor in full-term puerperae.Methods Eighty cases of full-term puerperae who gave birth in Xuzhou First People's Hospital from January 2020 to March 2023 were selected as the research subjects for the prospective study.According to their hospitalization ID number,they were divided into two groups,namely dinoprostone group and balloon group.The age of the dinoprostone group was(28.67±2.17)years old;there were 30 cases of primipara and 10 cases of parturient;the gestational age was 37-41(39.12±1.23)weeks;dinoprostone suppository was used to promote cervical ripening.The age of the balloon group was(28.44±2.12)years old;there were 31 cases of primipara and 9 cases of parturient;the gestational age was 37-42(39.23±1.19)weeks;cervical dilation balloon was used to promote cervical ripening.The cervical Bishop score,cervical ripening effect,maternal delivery,occurrence of adverse reactions,and induced labor outcomes were compared between the two groups.Independent sample t test and x2 test were used.Results The Bishop score of the dinoprostone group after induced labor was(8.58±0.51)points,and there was no statistically significant difference compared with that of the balloon group[(8.62±0.58)points](t=0.328,P=0.744).The total effective rate of the dinoprostone group was 92.50％(37/40),and there was no statistically significant difference compared with that of the balloon group[95.00％(38/40)](x2=0.213,P=0.644).The time from intervention to labor,the first stage of labor,the total stage of labor,and the time from intervention to vaginal delivery in the dinoprostone group were(14.68±3.81)h,(5.67±2.23)h,(6.12±2.24)h,and(34.21±5.49)h,which were shorter than(20.22±4.26)h,(7.23±1.12)h,(8.02±1.22)h,and(45.25± 6.58)h in the balloon group(t=6.131,3.954,4.711,and 8.148,all P＜0.001).The incidences of premature rupture of membranes and overcontraction in the balloon group were 2.50％(1/40)and 0,which were lower than those in the dinoprostone group[22.50％(9/40)and 25.00％(10/40)](x2=7.314 and 11.429,both P＜0.05).There were no statistically significant differences in the induced labor outcomes between the dinoprostone group and the balloon group(all P＞0.05).Conclusions For puerperae with full-term delivery,it is safe and effective to choose cervical dilation balloon or dinoprostone to promote cervical ripening and induced labor.However,the use of dinoprostone can shorten the labor time and total labor process,which is suitable for high-risk puerperae who need to shorten the labor process.However,it is easy to cause excessive uterine stimulation and large fluctuations in blood pressure,resulting in excessive uterine contractions and premature rupture of membranes.Therefore,the appropriate method should be selected based on individual cases.
万方数据
维普
