Effects of cervical balloon and dinoprostone suppositories and oxytocin on vaginal delivery and maternal and infant complications in patients with gestational hyperglycemia induced labour
Objective To analyze the effect of cervical balloon,dinoprostone suppositories and oxytocin on induced labor in pregnant patients with hyperglycemia,and to explore the effect on delivery mode and maternal and infant complica-tions.Methods Totally 62 cases of induced labor with hyperglycemia during pregnancy admitted to Xuchang Maternal and Child Health Hospital from January 2020 to September 2023 were retrospectively analyzed,and divided into groups according to the mode of induced labor.Those who used dinoprostone suppositories in combination with oxytocin were set up as the control group(n=31),and those who were treated with cervical balloon based on the control group were set up as the observation group(n=31).The course of labor,mode of delivery,cervical maturity and Apgar score of new-born were compared between the two groups,and the postpartum blood loss and the incidence of maternal and infant complications were compared between the two groups.Results Labor time in observation group was(9.16±1.44)h,the first stage of labor was(6.78±1.32)h,the second stage of labor was(0.82±0.12)h,and the total stage of labor was(7.54±1.21)h,which was shorter than that in control group,and the difference between groups was statistically significant(P＜0.05).The vaginal delivery rate and cesarean section rate of the observation group were 90.32％and 9.68％respectively,and there were significant differences compared with the control group(P＜0.05).12h after intervention,there was no difference in prenatal cervical maturity between the two groups(P＞0.05).24h after intervention,post-partum cervical maturity scores in the observation group were(6.44±0.81)points and(8.18±1.12)points,respec-tively.At 5 min after delivery,the Apgar score in observation group(9.24±0.44)was higher than that in control group(8.78±0.36).The 2h postpartum blood loss and 24h postpartum blood loss in the observation group were(156.32±21.75)mL and(178.12±25.44)mL,respectively.The incidence of maternal and infant complications was 6.45％,which was significantly lower than that in the control group,and the corresponding parameters were statisti-cally different between the two groups(P＜0.05).Conclusion Cervical balloon induction of hyperglycemia induced la-bor during pregnancy can promote cervical maturity,shorten labor,improve vaginal delivery rate,reduce postpartum blood loss,improve maternal and infant prognosis,and suggest its popularization and application.
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