电邮这篇文章 体质缺乏生物准备的孕妇出现过饱和倾向时宫颈准备的联合方法
- 作者: Burkitova A.M.1, Bolotskikh V.M.2,3
-
隶属关系:
- Maternity Hospital № 9
- Maternity Hospital No. 9
- Saint Petersburg State University
- 期: 卷 70, 编号 4 (2021)
- 页面: 5-13
- 栏目: Original study articles
- URL: https://ogarev-online.ru/jowd/article/view/64499
- DOI: https://doi.org/10.17816/JOWD64499
- ID: 64499
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
订阅存取
详细
目标是开发一种有效的方法，用于在缺乏分娩生理准备的背景下为有过成熟倾向的孕妇准备软产道，并减少准备软产道所需的时间用于分娩，以便进行后续的分娩激发。
材料与方法。根据准备分娩宫颈的方法将患者分为三组：第一组（n=50）仅使用海带，第二组 （n=50）- 组合使用双向弗雷氏导尿管与米非司酮，第3组（n=50）- 仅药物米非司酮。纳入标准：孕周41周-41周和4天（含）、宫颈未成熟（基线比肖普评分0-2）、单胎妊娠、头先露、胎儿全膀胱、阴道清洁I-II、胎儿状况满意（正常曲线类型）根据胎心监护和多普勒数据显示没有胎儿血流动力学紊乱）。所得数据采用Statistica 6.0软件包进行统计处理。
结果。这三组患者的年龄、妊娠期和出生体重指数没有差异。使用米非司酮和弗雷氏导尿管联合准备分娩宫颈时，根据比肖普量表，宫颈成熟的动态更加明显，并且该过程比仅使用海带或仅使用抗孕激素准备分娩时发生得更快。当米非司酮和弗雷氏导尿管联合使用时，与单独使用米非司酮或仅在海带的帮助下进行预引产相比，可以缩短从预引产开始到产程发展的时间间隔，并且还可以减少与仅使用米非司酮或单独使用海带的引产前相比，由于引产缺乏效果而导致剖宫产的频率。这种为分娩准备宫颈的组合方法的无疑优点是其有效性、子宫过度刺激、胎儿窘迫综合征的风险低，以及发生感染并发症的风险低。
结论。有过成熟倾向的子宫颈准备分娩的组合方法是有效、安全的，并且可以让您在缺乏分娩生物准备的背景下缩短软产道准备分娩的时间。
作者简介
Ainura Burkitova
Maternity Hospital № 9
Email: ainura777spb@mail.ru
MD
俄罗斯联邦, 47 Ordzhonikidze Str., Saint Petersburg, 196158Vyacheslav Bolotskikh
Maternity Hospital No. 9; Saint Petersburg State University
编辑信件的主要联系方式.
Email: docgin@yandex.ru
SPIN 代码: 3143-5405
MD, PhD, DSci (Medicine)
俄罗斯联邦, 47 Ordzhonikidze Str., Saint Petersburg, 196158; Saint Petersburg参考
- Bayev OR, Rumyantseva VP, Burduli GM, et al. Prognostic factors for the efficacy of mifepristone in preparation for labor. Obstetrics and Gynecology. 2011;(8):91–94. (In Russ.)
- Bruckner TA, Cheng YW, Caughey AB. Increased neonatal mortality among normal-weight births beyond 41 weeks of gestation in California. Am J Obstet Gynecol. 2008;199(4):421.e1–7. doi: 10.1016/j.ajog.2008.05.015
- Tychychnyi OV, Baev OR, Krechetova LV. The course and outcomes of labor in relation to management tactics during prolonged pregnancy. Obstetrics and Gynecology. 2016;(7):28–33. (In Russ.). doi: 10.18565/aig.2016.7.28-33
- Nosareva SV. Prejdevremennoe islitie okoloplodnykh vod. Metody rodovozbujdeniya. [dissertation abstract]. Moscow; 2003. (In Russ.). [cited 2021 May 22]. Available from: https://www.dissercat.com/content/prezhdevremennoe-izlitie-okoloplodnykh-vod-metody-rodovozbuzhdeniya
- Patent RUS No. 2700408 С1. 16.09.19. Byul. No. 26. Bolotskikh VM, Kuzminykh TU, Burkitova AM. Sposob podgotovki k rodam beremennykh s otsutstviem biologicheskoi gotovnosti rodovykh putei k rodam pri tendencii k perenashivaniu. (In Russ.). [cited 2021 March 30]. Available from: https://patenton.ru/patent/RU2700408C1.pdf.
- Bakleicheva MO, Bespalova ON, Romanova ML. Kateter Foleya kak metod vybora pri podgotovke sheiki matki k rodam v sravnenii s laminariyami. Journal of Obstetrics and Women’s Diseases. 2017;66(Suppl.):18–19. (In Russ.)
- Zvereva AV. Podgotovka sheiki matki pri inducirovannykh rodakh. [dissertation abstract]. 2013. (In Russ.). [cited 2021 May 25]. Available from: https://www.dissercat.com/content/podgotovka-sheiki-matki-pri-indutsirovannykh-rodakh/read
- Jozwiak M, Bloemenkamp KW, Kelly AJ, et al. Mechanical methods for induction of labour. Cochrane Database Syst Rev. 2012;(3):CD001233. doi: 10.1002/14651858.CD001233.pub2
- Kareva EN. Molekulyarnye mekhanizmy deistviya antiprogestinov. Jeksperimental’naja i klinicheskaja farmakologija. 1999;(4):72–76. (In Russ.)
- Weng L, Jiao L, Tang X. Histological study of uterine cervix during termination of early pregnancy by mifepristone and prostaglandins. Zhonghua Fu Chan Ke Za Zhi. 1995;30(9):522–525. (In Chinese)
- Stenlund PM, Ekman G, Aedo AR, Bygdeman M. Induction of labor with mifepristone – a randomized, double-blind study versus placebo. Acta Obstet Gynecol Scand. 1999;78(9):793–798. doi: 10.1080/j.1600-0412.1999.780910.x
- Edwards MS. Mifepristone: cervical ripening and induction of labor. Clin Obstet Gynecol. 1996;39(2):469–473. doi: 10.1097/00003081-199606000-00020
- Gasparyan ND. Podgotovka k rodam mifeginom i ego vliyaniya na sostoyanie detei grudnogo vozrasta, laktacionnuyu i menstualnuyu funkziyu jenshin posle rodov. Rossiiskii vestnik akushera-ginekologa. 2001;(4):34–37. (In Russ.).
补充文件
