低位水囊在足月妊娠计划分娩引产中的应用

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目的:探讨低位水囊在足月妊娠计划分娩引产中的应用效果。方法:选取佛山市南海区第七人民医院2016年1月至2016年12月足月妊娠的产妇76例,将所有产妇随机分组,分别为对照组(38例)和观察组(38例),其中对照组产妇采取催产素进行引产,观察组产妇采取低位水囊进行引产,比较2种方式所取得的引产效果。结果:两组新生儿出生后,采用Apgar评分评价其窒息发生率,数据比较,差异无统计学意义(P>0.05)。比较两组产妇的分娩方式,观察组产妇的阴道分娩率为94.74%,明显高于对照组的76.32%,剖宫产发生率为5.26%,明显低于对照组的23.68%,差异具有统计学意义(P<0.05)。观察组产妇的引产时间、总产程和产后2 h的出血量分别为(4.13±0.75)h、(6.11±0.69)h和(171.52±37.21)m L,数据均优于对照组,差异均具有统计学意义(P<0.05)。结论:将低位水囊应用于足月妊娠计划分娩引产中,能够加速产妇宫颈口的扩张,缩短产妇的产程,具有较高的引产成功率,而且能够有效降低产妇产后出血以及剖宫产率。 Objective: To investigate the effect of low-grade balloon in term labor induction labor. Methods: Seventy-six maternal mothers of full-term pregnancy from January 2016 to December 2016 in Seventh People’s Hospital of Nanhai District of Foshan City were enrolled. All the mothers were randomly divided into control group (38 cases) and observation group (38 cases) In the control group, the mother took oxytocin to induce labor and the observation group took maternal low-pressure water bag to induce labor. The induction of labor was compared between the two methods. Results: After birth, Apgar score was used to evaluate the incidence of asphyxia in two groups of neonates. There was no significant difference between the two groups (P> 0.05). Compared with the delivery mode of the two groups, the vaginal delivery rate of the observation group was 94.74%, significantly higher than that of the control group (76.32%), cesarean section rate was 5.26%, significantly lower than that of the control group (23.68%), the difference was statistically significant Significance (P <0.05). In the observation group, the maternal induction of labor, the total labor and the amount of bleeding at 2 h after birth were (4.13 ± 0.75) h, (6.11 ± 0.69) h and (171.52 ± 37.21) m L, respectively, all of which were superior to the control group Statistical significance (P <0.05). Conclusion: The application of low water sac in full-term pregnancy planning labor delivery can accelerate the expansion of maternal cervix and shorten the delivery of labor, with a high success rate of induction of labor, but also can effectively reduce the postpartum hemorrhage and cesarean section rate.
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