单次剂量米索前列醇阴道内放置行计划分娩  

THE USE OF SINGLE DOSE VAGINAL MISOPROSTOL IN PLANNED DELIVERY

作　　者：邱晓燕[1] 申玉红[1] 董玉英[1] 江明礼[1] 

机构地区：[1]上海市第一人民医院妇产科

出　　处：《上海医科大学学报》1998年第5期379-381,共3页Journal of Fudan University(Medical Science)

摘　　要：目的观察单次剂量米索前列醇用于足月妊娠计划分娩的效果，评价其对母儿的安全性。方法选择１０３例正常妊娠３７～４２周单胎头位未产妇，其宫颈Ｂｉｓｈｏｐ评分≥６分，阴道内放置米索前列醇５０μｇ进行计划分娩。结果日间分娩率在５ｐｍ之前达６４１％，８ｐｍ前达８４５％；自然分娩率６８０％，低位钳产率１６５％，剖宫产率１５５％；阴道分娩平均产程为（５１０±２０３）ｈ，急产发生率为１０７％；子宫过强收缩为２９１％。结论阴道内放置米索前列醇进行计划分娩是一种简便易行、安全有效的方法。PURPOSE To evaluate the effectiveness of single does vaginal misoprostol in planned delivery, and to study its safety for both mother and fetus. METHODS 103 nullipara of 37～42 gestational weeks singleton pregnancy were selected, all were cephalic presentation with cervical Bishop Score≥6. Misoprostol 50 μg was applied intravaginally. RESULTS Labor acompleted in 64% of the patients before 5 pm the same day, and 84 5% before 8pm. There were 68% spontaneous delivery, 16 5% low forceps and 15 5% cesarean section delivery. The average time of vaginal delivery was (5 10±2 03)h, with 10 7% precipitate labor 2 91% of cases had hypertonus contractions. CONCLUSIONS Misoprostol is an effective, safe and also low-priced agent for planned delivery.

关 键 词：米索前列醇 足月妊娠 计划分娩 

分 类 号：R714.7[医药卫生—妇产科学] R986[医药卫生—临床医学]