低位水囊引产对孕足月分娩延迟产妇分娩结局及并发症的影响  

Effect of Abortion Induced by Water Bag on Delivery Outcome and Complications of Pregnant Women with Delayed Full-term Delivery

作　　者：王芳 WANG Fang(Department of Obstetrics and Gynecology,Jinxian County People's Hospital,Jinxian 331700,Jiangxi,China)

机构地区：[1]进贤县人民医院妇产科,江西进贤331700

出　　处：《医学信息》2023年第24期110-112,116,共4页Journal of Medical Information

摘　　要：目的研究低位水囊引产对孕足月分娩延迟产妇分娩结局及并发症的影响。方法选取2021年1月-2023年1月于我院分娩的42例孕足月分娩延迟产妇为研究对象,采用随机数字表法分为对照组和观察组,各21例。对照组静脉滴注缩宫素,观察组在对照组基础上联合低位水囊引产,比较两组分娩方式、宫颈成熟度评分、引产至临产时间、第一和第二产程时间、产后出血量、新生儿Apgar评分以及并发症发生率。结果观察组阴道分娩率高于对照组,剖宫产率低于对照组(P<0.05);观察组宫颈成熟度评分高于对照组,引产至临产时间、第一和第二产程时间均短于对照组(P<0.05);观察组产后出血量低于对照组(P<0.05),而两组新生儿Apgar评分比较,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组(P<0.05)。结论低位水囊引产对孕足月分娩延迟产妇分娩结局及并发症具有积极的影响,可降低并发症发生率,提高阴道分娩率,缩短分娩时间,减少产后出血量,是一种可行、有效的引产方式。Objective To study the effect of abortion induced by water bag on delivery outcome and complications of pregnant women with delayed full-term delivery.Methods A total of 42 pregnant women with delayed full-term delivery in our hospital from January 2021 to January 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 21 pregnant women in each group.The control group was treated with intravenous infusion of oxytocin,and the observation group was treated with abortion induced by water bag on the basis of the control group.The delivery mode,cervical maturity score,induction to labor time,first and second labor time,postpartum hemorrhage,neonatal Apgar score and complication rate were compared between the two groups.Results The vaginal delivery rate of the observation group was higher than that of the control group,and the cesarean section rate was lower than that of the control group(P<0.05).The cervical maturity score of the observation group was higher than that of the control group,and the time from induction to labor,the first and second stages of labor were shorter than those of the control group(P<0.05).The amount of postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05),but there was no significant difference in Apgar score between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Abortion induced by water bag has a positive effect on the delivery outcome and complications of pregnant women with delayed full-term delivery.It can reduce the incidence of complications,improve the rate of vaginal delivery,shorten the delivery time and reduce the amount of postpartum hemorrhage,which is a feasible and effective method of induction of labor.

关 键 词：低位水囊引产 孕足月分娩延迟 分娩结局 

分 类 号：R714[医药卫生—妇产科学]