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在没有先前阴道分娩的患者中,宫成熟后的分娩方式
Inna Bleicher1, Marianna Dashkovsky-Feldgorn1, Shlomi Sagi1
1Department of Obstetrics and Gynecology, Bnai-Zion Medical Center, Haifa, Israel; Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
概括
宫成熟气球 (CRB) 用于试图剖腹产后试验分娩的妇女 (TOLAC) 引产导致与无子妇女相比,类似的分娩方式和结果. 这种方法提供了可比的阴道分娩率,而不会增加对母亲或新生儿的不良结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 诱导分娩 (IOL) 在无孕和多孕患者中很常见.
- 宫成熟气球 (CRB) 是一种用于引产的方法.
- 剖腹产后分娩试验 (TOLAC) 是对先前剖腹产分娩 (CD) 的女性的一个选择.
研究的目的:
- 为了比较无卵儿患者和接受TOLAC的患者之间的分娩方式和母婴结局,使用CRB用于IOL.
- 评估CRB在不同产科人群中的安全性和有效性.
主要方法:
- 在两个高等医疗中心进行了回顾性队列研究.
- 包括单独怀孕>37周怀孕接受ICL与CRB.
- 与试用TOLAC的患者 (n=161) 进行比较的无卵性患者 (n=1577).
主要成果:
- 剖腹产 (CD) 的发生率在各组之间相似 (29.8%的TOLAC与28.9%的无卵子,p=0.86).
- 由于胎儿痛苦导致的CD在TOLAC组中更频繁 (75%对56%,p=0.014).
- 两个组的孕产妇和新生儿结局在两组之间是可比的.
结论:
- 对IOL的CRB可以在无孕妇女和试图TOLAC的妇女中实现可比的阴道分娩率.
- 在TOLAC患者中使用CRB用于IOL并不会增加对母亲或新生儿的不良结果.
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