Which is the safer method of labor induction for oligohydramnios women? Transcervical double balloon catheter or dinoprostone vaginal insert

被引:37
作者
Wang, WenYan [1 ]
Zheng, Jianlan [1 ,2 ]
Fu, JingLi [1 ]
Zhang, XiaoQiong [1 ]
Ma, QinLing [1 ]
Yu, ShuiLan [1 ]
Li, MeiYing [3 ]
Hou, Li [3 ]
机构
[1] Peoples Liberat Army 174th Hosp, Dept Obstet, Xiamen 361003, Peoples R China
[2] Xiamen Univ, Coll Med, Xiamen, Peoples R China
[3] Anhui Med Univ, Peoples Liberat Army Clin Coll 174, Ximen, Peoples R China
关键词
Cervical ripening; double balloon catheter; dinoprostone vaginal insert; induction of labor; oligohydramnios; AMNIOTIC-FLUID INDEX; PREGNANCY OUTCOMES; WEEKS GESTATION;
D O I
10.3109/14767058.2014.880880
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To compare the effectiveness and safety of two cervical ripening methods in term primiparous women with unfavorable cervices and oligohydramnios. Methods: Women (126 cases) with oligohydramnios [amniotic fluid index (AFI) <= 5 cm] and a low Bishop Score (<= 6) were assigned randomly to use double balloon catheter (mechanical method group, 67 cases) or dinoprostone 10mg controlled-release vaginal insert (pharmacological method group, 59 cases) for induction of labor. The study's primary outcome was caesarean section rate (CSR). The secondary outcome measures included maternal and neonatal morbidity, an incremental changes in Bishop Score, and intrapartum interventions. Results: There was no significant difference between the mechanical method group and the pharmacological method group in CSR and change in Bishop Score. Tacysystole, non-reassuring fetal heart patterns, and cases of newborn umbilical-cord arterial blood pH<7.1 were significantly lower with the mechanical method compared with the pharmacological method (p<0.05). More patients needed additional intervention in the mechanical method group. Conclusions: Both methods resulted in a similar CSR. Double balloon catheter resulted in fewer labor complications, but more frequent use of oxytocin and amniotomy. Compared with dinoprostone vaginal insert, double balloon catheter use may be less problematic in women with oligohydramnios.
引用
收藏
页码:1805 / 1808
页数:4
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