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在临床上经常会遇到因宫颈弹性差、宫缩弱,使产程进展有缓慢甚至停滞,运用催产素引产失败,最后行剖宫产结束分娩,给患者带来极大的痛苦。在一次米非司酮(mifepristonetab)与米索前列醇Cytotec序贯合并使用流产清宫时,笔者发现药流后孕妇的宫颈非常松弛。受此启发,决定用米索前列醇阴道放药助产。经过对68例产妇应用,效果非常满意。现将我们的做法介绍给大家,希望同行有此借鉴。1 临床资料 选择①头盆相称、软产道无异常,胎儿中等大小,②宫颈75％～100％容受,弹性差,无宫缩,③足月妊娠的初产妇为治疗对象共68例,其中汉族41例,少数民族27例。年龄最大36岁,
Clinically often encounter due to poor cervical elasticity, contraction of the palace, the progress of labor has slow or even stagnation, the use of oxytocin induction of labor failure, and finally the cesarean end of delivery, to patients with great pain. In a sequential combination of mifepristonetab with misoprostol, Cytotec, abortion, the authors found that the cervix was absent in pregnant women after abortion. Inspired by this, decided to misoprostol misoprostol. After 68 cases of maternal application, the effect is very satisfied. Now we introduce our approach to everyone, I hope colleagues have this reference. 1 clinical data ① appropriate head and neck, soft birth canal no abnormalities, fetal medium size, ② cervical 75% to 100% tolerance, poor flexibility, no contractions, ③ full-term pregnancy primipara for the treatment of a total of 68 cases, of which Han 41 cases, 27 ethnic minorities. The oldest 36 years old,