引入受控释放的迪诺普罗斯阴道插入物用于劳动诱导的影响:日本的一项回顾性单中心研究
Ryosuke Shindo1, Shigeru Aoki1, Sayuri Nakanishi1
1Perinatal Center for Maternity and Neonates, Yokohama City University Medical Center, Yokohama, JPN.
Cureus
|February 29, 2024
概括
在日本引入控制释放的迪诺普罗阴道插入剂 (CR-DVI) 显著增加了阴道分娩率的妇女与不利的宫. 这种诱导分娩的方法被证明是安全的,没有增加不良妊娠结果.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 宫成熟对于宫不利的妇女的产业诱导至关重要.
- 控制释放的迪诺普罗阴道插入剂 (CR-DVI) 是宫成熟的新选择.
- 关于CR-DVI作为额外的劳动诱导方法的影响的研究有限.
研究的目的:
- 评估引入CR-DVI作为劳动诱导的额外选择的影响.
- 评估阴道分娩率和新生儿结果的变化.
- 确定CR-DVI在临床实践中的安全概况.
主要方法:
- 在日本进行的回顾性研究,比较了CR-DVI引入前后的结果 (265名参与者).
- 第1组:仅使用光扩展器 (n=116).
- 第二组:首选CR-DVI,同时也使用了液晶扩展器 (n=149).
主要成果:
- 在CR-DVI引入后,阴道分娩率显著增加 (50.9%对66.4%,p=0.01).
- 在引入后的93%病例中使用CR-DVI,其中79.9%在12小时前被移除.
- 两组之间没有观察到新生儿结局的显著差异.
结论:
- 引入CR-DVI作为分娩诱导选择与更高的阴道分娩率有关.
- 遵守删除标准可确保CR-DVI的安全性,不增加不良结果.
- CR-DVI代表了一个宝贵的补充劳动诱导策略的妇女不利的子宫.
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